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Re: where are the others?

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Alan:

There have been failures and, if you dig back through the archives of

this group, you can read about some of them. Also, if you talk to any

of the surgeons who perform resurfs - they can tell you about the

cases where a resurfacing patient has required revision (conversion to

a THR). From what two doctors have told me, 1% to 2% of resurfacing

procedures may fail due to AVN or femoral neck fractures - in either

case a femoral component with a stem (THR-style) is used in the

revision surgery.

I don't think anyone is claiming 100% success - that would be

irresponsible.

RC2K Dr. Gross 3/24/04

> A note from a curious (and... some would say... suspiciously twisted)

> mind: Is it possible that resurfacing is 100% successful with ideal

> outcomes at all times? I ask because I don't think I've read

> anything since I joined the group that suggests anybody's resurf has

> failed, or that it wasn't what they were told -- or hoped -- it would

> be. It seems at times a little like Lake Woebegone, where all the

> children are above average.

>

> Possible I suppose that " the others " , the unsuccessful or unhappy

> ones just went away. Does Dave the rep know something he's

> not telling?

>

> Just Idly Curious...

> Alan

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,

As I mentioned to -Lou, I hoped to couch the question in some

lightness. I apparently didn't go back far enough into the

archives. And I'm really not trying to borrow grief, as I look

forward to what I hope will be the resurf that gets me back on the

handball courts. Just trying to keep hope and expectation in line

with reality... so I was looking for some of the less happy realities

and hadn't found any.

It's so easy, when so many people have had such good outcomes, to

hope/believe/expect mine will be the same. At this point the only

one of the three I can reasonably entertain is the hope. I have to

keep a bit of rein on the belief and the expectation.

All the best,

Alan

> > A note from a curious (and... some would say... suspiciously

twisted)

> > mind: Is it possible that resurfacing is 100% successful with

ideal

> > outcomes at all times? I ask because I don't think I've read

> > anything since I joined the group that suggests anybody's resurf

has

> > failed, or that it wasn't what they were told -- or hoped -- it

would

> > be. It seems at times a little like Lake Woebegone, where all

the

> > children are above average.

> >

> > Possible I suppose that " the others " , the unsuccessful or unhappy

> > ones just went away. Does Dave the rep know something

he's

> > not telling?

> >

> > Just Idly Curious...

> > Alan

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Hi Alan

Mine has failed, I'm going in on Thursday to hopefully have a large head

metal on metal thr using my bhr pelvis cup. If they find infection

caused the failure I will be put back together without a hip for a

while.

The success rate is very very high though.

Lbhr 04/09/01 kent uk

Dob 20 08 1972

where are " the others? "

A note from a curious (and... some would say... suspiciously twisted)

mind: Is it possible that resurfacing is 100% successful with ideal

outcomes at all times? I ask because I don't think I've read

anything since I joined the group that suggests anybody's resurf has

failed, or that it wasn't what they were told -- or hoped -- it would

be. It seems at times a little like Lake Woebegone, where all the

children are above average.

Possible I suppose that " the others " , the unsuccessful or unhappy

ones just went away. Does Dave the rep know something he's

not telling?

Just Idly Curious...

Alan

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Hi ALan

there are also people like me who are not recovering as fast as these people

playing tennis at 6 or 8 weeks or gardening at 5 weeks etc! I am at 4 months and

the max I can walk is 30 minutes and that is pushing it. I am very very

gradually improving but it is no where I thought I would be at this time!

Sunita

where are " the others? "

A note from a curious (and... some would say... suspiciously twisted)

mind: Is it possible that resurfacing is 100% successful with ideal

outcomes at all times? I ask because I don't think I've read

anything since I joined the group that suggests anybody's resurf has

failed, or that it wasn't what they were told -- or hoped -- it would

be. It seems at times a little like Lake Woebegone, where all the

children are above average.

Possible I suppose that " the others " , the unsuccessful or unhappy

ones just went away. Does Dave the rep know something he's

not telling?

Just Idly Curious...

Alan

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Alan:

I think it's totally reasonable to want to see the whole picture.

The factor that really convinced me was when I figured out that about

the worst possible outcome would be to have a revision to a M-o-M THR

device which would have been my first choice in THR if resurfacing

weren't available. Whatever time the Resurfacing gives me is all a

bonus and there is a possibility that it will work for a long time.

RC2K Dr. Gross 3/24/04

> > > A note from a curious (and... some would say... suspiciously

> twisted)

> > > mind: Is it possible that resurfacing is 100% successful with

> ideal

> > > outcomes at all times? I ask because I don't think I've read

> > > anything since I joined the group that suggests anybody's resurf

> has

> > > failed, or that it wasn't what they were told -- or hoped -- it

> would

> > > be. It seems at times a little like Lake Woebegone, where all

> the

> > > children are above average.

> > >

> > > Possible I suppose that " the others " , the unsuccessful or unhappy

> > > ones just went away. Does Dave the rep know something

> he's

> > > not telling?

> > >

> > > Just Idly Curious...

> > > Alan

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Good luck with this, . Please let us know what happens. We'll be

thinking of you and hoping for good success this time.

Eleanor

where are " the others? "

A note from a curious (and... some would say... suspiciously twisted)

mind: Is it possible that resurfacing is 100% successful with ideal

outcomes at all times? I ask because I don't think I've read

anything since I joined the group that suggests anybody's resurf has

failed, or that it wasn't what they were told -- or hoped -- it would

be. It seems at times a little like Lake Woebegone, where all the

children are above average.

Possible I suppose that " the others " , the unsuccessful or unhappy

ones just went away. Does Dave the rep know something he's

not telling?

Just Idly Curious...

Alan

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Alan

Check the past posts and you will see that we talk about failures. I have

posted a few months back about the 3 failures my OS mentioned to me when I asked

him about his negative experiences. Out of those 3 he had to remove the femur

head & neck in 2 patients and insert a metal shaft + Ball that was compatible

with the acetabulum component which remained unreplaced, and one patient had the

acetabulum cup repositioned (it had slipped) and that patient is still counted

among the 330+ successful ones that had the resurfacing done by him. So, the

failure rate is about 0.6% in his experience/case.

Regards

Dan

* +44 (0)7974 981-407

* +44 (0)20 8501-2573

@ dan.milosevic@...

_____

From: Alan Ray

Sent: 09 May 2004 17:26

To: surfacehippy

Subject: where are " the others? "

A note from a curious (and... some would say... suspiciously twisted)

mind: Is it possible that resurfacing is 100% successful with ideal

outcomes at all times? I ask because I don't think I've read

anything since I joined the group that suggests anybody's resurf has

failed, or that it wasn't what they were told -- or hoped -- it would

be. It seems at times a little like Lake Woebegone, where all the

children are above average.

Possible I suppose that " the others " , the unsuccessful or unhappy

ones just went away. Does Dave the rep know something he's

not telling?

Just Idly Curious...

Alan

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,

All the best on Thursday. No need for you to retell your story, I'll

go back and check your previous posts.

Thanks for your note. Although the news is not good, it's important

for people like me to remember that there are no sure things...in

medicine, in surgery or in life.

Let us know how it goes.

Alan

> Hi Alan

>

> Mine has failed, I'm going in on Thursday to hopefully have a large

head

> metal on metal thr using my bhr pelvis cup. If they find infection

> caused the failure I will be put back together without a hip for a

> while.

> The success rate is very very high though.

>

>

>

> Lbhr 04/09/01 kent uk

> Dob 20 08 1972

>

>

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...

I'm with you. I'll gladly take the risk. I have to keep reminding

myself that it is a risk and not a certainty. If I could get another

year on the handball court...I'd be there every day, and value the

time I get there...or anywhere else in life without the pain, and

without walking like I'm 85 years old.

I think you're right, too, the downside of failure isn't as dark as

it used to be...now that they've got M-o-M and the Big Femur Head.

Alan

> Alan:

>

> I think it's totally reasonable to want to see the whole picture.

>

> The factor that really convinced me was when I figured out that

about

> the worst possible outcome would be to have a revision to a M-o-M

THR

> device which would have been my first choice in THR if resurfacing

> weren't available. Whatever time the Resurfacing gives me is all a

> bonus and there is a possibility that it will work for a long time.

>

>

> RC2K Dr. Gross 3/24/04

>

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:

Best of luck to you. Keep us posted with your progress when you feel

up to it.

RC2K Dr. Gross 3/24/04

> Hi Alan

>

> Mine has failed, I'm going in on Thursday to hopefully have a large head

> metal on metal thr using my bhr pelvis cup. If they find infection

> caused the failure I will be put back together without a hip for a

> while.

> The success rate is very very high though.

>

>

>

> Lbhr 04/09/01 kent uk

> Dob 20 08 1972

>

> where are " the others? "

>

> A note from a curious (and... some would say... suspiciously twisted)

> mind: Is it possible that resurfacing is 100% successful with ideal

> outcomes at all times? I ask because I don't think I've read

> anything since I joined the group that suggests anybody's resurf has

> failed, or that it wasn't what they were told -- or hoped -- it would

> be. It seems at times a little like Lake Woebegone, where all the

> children are above average.

>

> Possible I suppose that " the others " , the unsuccessful or unhappy

> ones just went away. Does Dave the rep know something he's

> not telling?

>

> Just Idly Curious...

> Alan

>

>

>

>

>

>

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Hi Dr Mark

I am 61 and was very active physically (i am a Dance Therapist) bike, exercises

swimming etc.. before surgery; the only thing I was not doing much was walking

cause that is what hurts the most. I have simply OA. I was in good shape and was

eating a healthy diet. I am small and slim.

at surgery and right after, I lost a lot of blood and I had to have 2 blood

transfusions which would account for part of the slow recovery. But now it has

been 4 months and I don't know why it is so slow.

sunita

where are " the others? "

>

>

> A note from a curious (and... some would say... suspiciously

twisted)

> mind: Is it possible that resurfacing is 100% successful with

ideal

> outcomes at all times? I ask because I don't think I've read

> anything since I joined the group that suggests anybody's resurf

has

> failed, or that it wasn't what they were told -- or hoped -- it

would

> be. It seems at times a little like Lake Woebegone, where all

the

> children are above average.

>

> Possible I suppose that " the others " , the unsuccessful or unhappy

> ones just went away. Does Dave the rep know something

he's

> not telling?

>

> Just Idly Curious...

> Alan

>

>

>

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> > Hi ALan

> > there are also people like me who are not recovering as fast as

> these people playing tennis at 6 or 8 weeks or gardening at 5

weeks

> etc! I am at 4 months and the max I can walk is 30 minutes and

that

> is pushing it. I am very very gradually improving but it is no

where

> I thought I would be at this time!

> > Sunita

>

> Hi Sunita,

> I am glad you are improving. Thats the main point. May I ask -

How

> old are you? What was your diagnosis? and What was your level

of

> activity prior to surgery. They all figure into recovery time.

> Thanks,

> Dr. Mark

> > where are " the others? "

> >

> >

> > A note from a curious (and... some would say... suspiciously

> twisted)

> > mind: Is it possible that resurfacing is 100% successful

with

> ideal

> > outcomes at all times? I ask because I don't think I've read

> > anything since I joined the group that suggests anybody's

resurf

> has

> > failed, or that it wasn't what they were told -- or hoped --

it

> would

> > be. It seems at times a little like Lake Woebegone, where

all

> the

> > children are above average.

> >

> > Possible I suppose that " the others " , the unsuccessful or

unhappy

> > ones just went away. Does Dave the rep know something

> he's

> > not telling?

> >

> > Just Idly Curious...

> > Alan

> >

> >

> >

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> > Hi ALan

> > there are also people like me who are not recovering as fast as

> these people playing tennis at 6 or 8 weeks or gardening at 5

weeks

> etc! I am at 4 months and the max I can walk is 30 minutes and

that

> is pushing it. I am very very gradually improving but it is no

where

> I thought I would be at this time!

> > Sunita

>

> Hi Sunita,

> I am glad you are improving. Thats the main point. May I ask -

How

> old are you? What was your diagnosis? and What was your level

of

> activity prior to surgery. They all figure into recovery time.

> Thanks,

> Dr. Mark

> > where are " the others? "

> >

> >

> > A note from a curious (and... some would say... suspiciously

> twisted)

> > mind: Is it possible that resurfacing is 100% successful

with

> ideal

> > outcomes at all times? I ask because I don't think I've read

> > anything since I joined the group that suggests anybody's

resurf

> has

> > failed, or that it wasn't what they were told -- or hoped --

it

> would

> > be. It seems at times a little like Lake Woebegone, where

all

> the

> > children are above average.

> >

> > Possible I suppose that " the others " , the unsuccessful or

unhappy

> > ones just went away. Does Dave the rep know something

> he's

> > not telling?

> >

> > Just Idly Curious...

> > Alan

> >

> >

> >

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Best of evrything as you go forward. Three years with your resurf is not to

be disregarded. Do you know where you picked up the infection?

With Sincere wishes for a speedy recovery

Alyce

LC2K Wm Kennedy 5-23-03

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Best of evrything as you go forward. Three years with your resurf is not to

be disregarded. Do you know where you picked up the infection?

With Sincere wishes for a speedy recovery

Alyce

LC2K Wm Kennedy 5-23-03

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Cheers and Alan

I'll keep you informed!

where are " the others? "

>

> A note from a curious (and... some would say... suspiciously twisted)

> mind: Is it possible that resurfacing is 100% successful with ideal

> outcomes at all times? I ask because I don't think I've read

> anything since I joined the group that suggests anybody's resurf has

> failed, or that it wasn't what they were told -- or hoped -- it would

> be. It seems at times a little like Lake Woebegone, where all the

> children are above average.

>

> Possible I suppose that " the others " , the unsuccessful or unhappy

> ones just went away. Does Dave the rep know something he's

> not telling?

>

> Just Idly Curious...

> Alan

>

>

>

>

>

>

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Cheers and Alan

I'll keep you informed!

where are " the others? "

>

> A note from a curious (and... some would say... suspiciously twisted)

> mind: Is it possible that resurfacing is 100% successful with ideal

> outcomes at all times? I ask because I don't think I've read

> anything since I joined the group that suggests anybody's resurf has

> failed, or that it wasn't what they were told -- or hoped -- it would

> be. It seems at times a little like Lake Woebegone, where all the

> children are above average.

>

> Possible I suppose that " the others " , the unsuccessful or unhappy

> ones just went away. Does Dave the rep know something he's

> not telling?

>

> Just Idly Curious...

> Alan

>

>

>

>

>

>

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Hi Alyce

It was fine for around 9 months, the pain started just after a wisdom

tooth infection, took till February to show up on an xray, as the femur

slipped, all other tests only showed slight elevations.

Cheers

Re: Re: where are " the others? "

Best of evrything as you go forward. Three years with your resurf is

not to

be disregarded. Do you know where you picked up the infection?

With Sincere wishes for a speedy recovery

Alyce

LC2K Wm Kennedy 5-23-03

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Hi Alyce

It was fine for around 9 months, the pain started just after a wisdom

tooth infection, took till February to show up on an xray, as the femur

slipped, all other tests only showed slight elevations.

Cheers

Re: Re: where are " the others? "

Best of evrything as you go forward. Three years with your resurf is

not to

be disregarded. Do you know where you picked up the infection?

With Sincere wishes for a speedy recovery

Alyce

LC2K Wm Kennedy 5-23-03

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thanks Dr Mark for the support. I have been working on improving ROM, distance

walked etc but not systematically and I like your suggestion to set goals for

each week. I will start to write down today my goals for this week. I hope

though I don't get too disapointed if it does not happen or if I have set back

like I have had many times.

I will use this forum to support my goals and will write about the results.

thanks

sunita

where are " the others? "

> >

> >

> > A note from a curious (and... some would say... suspiciously

> twisted)

> > mind: Is it possible that resurfacing is 100% successful

with

> ideal

> > outcomes at all times? I ask because I don't think I've read

> > anything since I joined the group that suggests anybody's

resurf

> has

> > failed, or that it wasn't what they were told -- or hoped --

it

> would

> > be. It seems at times a little like Lake Woebegone, where

all

> the

> > children are above average.

> >

> > Possible I suppose that " the others " , the unsuccessful or

unhappy

> > ones just went away. Does Dave the rep know something

> he's

> > not telling?

> >

> > Just Idly Curious...

> > Alan

> >

> >

> >

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thanks Dr Mark for the support. I have been working on improving ROM, distance

walked etc but not systematically and I like your suggestion to set goals for

each week. I will start to write down today my goals for this week. I hope

though I don't get too disapointed if it does not happen or if I have set back

like I have had many times.

I will use this forum to support my goals and will write about the results.

thanks

sunita

where are " the others? "

> >

> >

> > A note from a curious (and... some would say... suspiciously

> twisted)

> > mind: Is it possible that resurfacing is 100% successful

with

> ideal

> > outcomes at all times? I ask because I don't think I've read

> > anything since I joined the group that suggests anybody's

resurf

> has

> > failed, or that it wasn't what they were told -- or hoped --

it

> would

> > be. It seems at times a little like Lake Woebegone, where

all

> the

> > children are above average.

> >

> > Possible I suppose that " the others " , the unsuccessful or

unhappy

> > ones just went away. Does Dave the rep know something

> he's

> > not telling?

> >

> > Just Idly Curious...

> > Alan

> >

> >

> >

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thanks Dr Mark for the support. I have been working on improving ROM, distance

walked etc but not systematically and I like your suggestion to set goals for

each week. I will start to write down today my goals for this week. I hope

though I don't get too disapointed if it does not happen or if I have set back

like I have had many times.

I will use this forum to support my goals and will write about the results.

thanks

sunita

where are " the others? "

> >

> >

> > A note from a curious (and... some would say... suspiciously

> twisted)

> > mind: Is it possible that resurfacing is 100% successful

with

> ideal

> > outcomes at all times? I ask because I don't think I've read

> > anything since I joined the group that suggests anybody's

resurf

> has

> > failed, or that it wasn't what they were told -- or hoped --

it

> would

> > be. It seems at times a little like Lake Woebegone, where

all

> the

> > children are above average.

> >

> > Possible I suppose that " the others " , the unsuccessful or

unhappy

> > ones just went away. Does Dave the rep know something

> he's

> > not telling?

> >

> > Just Idly Curious...

> > Alan

> >

> >

> >

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> > > Hi ALan

> > > there are also people like me who are not recovering as

fast as

> > these people playing tennis at 6 or 8 weeks or gardening at 5

> weeks

> > etc! I am at 4 months and the max I can walk is 30 minutes

and

> that

> > is pushing it. I am very very gradually improving but it is

no

> where

> > I thought I would be at this time!

> > > Sunita

> >

> > Hi Sunita,

> > I am glad you are improving. Thats the main point. May I

ask -

> How

> > old are you? What was your diagnosis? and What was your

level

> of

> > activity prior to surgery. They all figure into recovery

time.

> > Thanks,

> > Dr. Mark

> > > where are " the others? "

> > >

> > >

> > > A note from a curious (and... some would say...

suspiciously

> > twisted)

> > > mind: Is it possible that resurfacing is 100% successful

> with

> > ideal

> > > outcomes at all times? I ask because I don't think I've

read

> > > anything since I joined the group that suggests anybody's

> resurf

> > has

> > > failed, or that it wasn't what they were told -- or

hoped --

> it

> > would

> > > be. It seems at times a little like Lake Woebegone,

where

> all

> > the

> > > children are above average.

> > >

> > > Possible I suppose that " the others " , the unsuccessful or

> unhappy

> > > ones just went away. Does Dave the rep know

something

> > he's

> > > not telling?

> > >

> > > Just Idly Curious...

> > > Alan

> > >

> > >

> > >

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> > > Hi ALan

> > > there are also people like me who are not recovering as

fast as

> > these people playing tennis at 6 or 8 weeks or gardening at 5

> weeks

> > etc! I am at 4 months and the max I can walk is 30 minutes

and

> that

> > is pushing it. I am very very gradually improving but it is

no

> where

> > I thought I would be at this time!

> > > Sunita

> >

> > Hi Sunita,

> > I am glad you are improving. Thats the main point. May I

ask -

> How

> > old are you? What was your diagnosis? and What was your

level

> of

> > activity prior to surgery. They all figure into recovery

time.

> > Thanks,

> > Dr. Mark

> > > where are " the others? "

> > >

> > >

> > > A note from a curious (and... some would say...

suspiciously

> > twisted)

> > > mind: Is it possible that resurfacing is 100% successful

> with

> > ideal

> > > outcomes at all times? I ask because I don't think I've

read

> > > anything since I joined the group that suggests anybody's

> resurf

> > has

> > > failed, or that it wasn't what they were told -- or

hoped --

> it

> > would

> > > be. It seems at times a little like Lake Woebegone,

where

> all

> > the

> > > children are above average.

> > >

> > > Possible I suppose that " the others " , the unsuccessful or

> unhappy

> > > ones just went away. Does Dave the rep know

something

> > he's

> > > not telling?

> > >

> > > Just Idly Curious...

> > > Alan

> > >

> > >

> > >

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