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At 09:11 PM 4/9/2004 +0000, you wrote:

>My

>location is London & my specialist is in Harley St. Is it permitted

>to ask/pose questions about specialists & their history? To canvass

>information from other of their patients? Previous posts seem to

>avoid mentioning the specialist by name!

Lots of folks mention their surgeons by name. Often you'll see it after

their signature, like Joyce 4/8/03 Gross. Lists surgery date and

surgeon. Ask away!

>Another question: I've recently seen articles about non invasive

>surgery for total hip replacement surgery. Is this not possible for

>hip resurfacing?

The minimally invasive hip replacement involves cutting the head of the

femur off then breaking it up in pieces and bringing the pieces out through

a smaller opening. Since resurfacing preserves the head of the femur, that

is not an option. In addition to that, different instruments (guides) are

actually attached to the head of the femur, so they need more room to

work. I know some surgeons do smaller incisions than others, but nothing

as small as the minimally invasive THR that I know of. I'll happily take

my scars over a THR any day!

Cindy

C+ 5/25/01 and 6/28/01

Boyd

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At 09:11 PM 4/9/2004 +0000, you wrote:

>My

>location is London & my specialist is in Harley St. Is it permitted

>to ask/pose questions about specialists & their history? To canvass

>information from other of their patients? Previous posts seem to

>avoid mentioning the specialist by name!

Lots of folks mention their surgeons by name. Often you'll see it after

their signature, like Joyce 4/8/03 Gross. Lists surgery date and

surgeon. Ask away!

>Another question: I've recently seen articles about non invasive

>surgery for total hip replacement surgery. Is this not possible for

>hip resurfacing?

The minimally invasive hip replacement involves cutting the head of the

femur off then breaking it up in pieces and bringing the pieces out through

a smaller opening. Since resurfacing preserves the head of the femur, that

is not an option. In addition to that, different instruments (guides) are

actually attached to the head of the femur, so they need more room to

work. I know some surgeons do smaller incisions than others, but nothing

as small as the minimally invasive THR that I know of. I'll happily take

my scars over a THR any day!

Cindy

C+ 5/25/01 and 6/28/01

Boyd

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Guest guest

At 09:11 PM 4/9/2004 +0000, you wrote:

>My

>location is London & my specialist is in Harley St. Is it permitted

>to ask/pose questions about specialists & their history? To canvass

>information from other of their patients? Previous posts seem to

>avoid mentioning the specialist by name!

Lots of folks mention their surgeons by name. Often you'll see it after

their signature, like Joyce 4/8/03 Gross. Lists surgery date and

surgeon. Ask away!

>Another question: I've recently seen articles about non invasive

>surgery for total hip replacement surgery. Is this not possible for

>hip resurfacing?

The minimally invasive hip replacement involves cutting the head of the

femur off then breaking it up in pieces and bringing the pieces out through

a smaller opening. Since resurfacing preserves the head of the femur, that

is not an option. In addition to that, different instruments (guides) are

actually attached to the head of the femur, so they need more room to

work. I know some surgeons do smaller incisions than others, but nothing

as small as the minimally invasive THR that I know of. I'll happily take

my scars over a THR any day!

Cindy

C+ 5/25/01 and 6/28/01

Boyd

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Hi, I've just been looking at www.hip-surgery.co.uk and

www.misorthosurgery.co.uk. You might find these helpful.

> I've been reading at this board for a short while, as I'm probably

> going for a hip resurface. My question is to do with etiquette! My

> location is London & my specialist is in Harley St. Is it

permitted

> to ask/pose questions about specialists & their history? To

canvass

> information from other of their patients? Previous posts seem to

> avoid mentioning the specialist by name!

>

> I'm quite nervous about the prospect of the operation & would like

> to hear from others in a similar situation.

> General info is that I'm 47 years & led an active (running 3

> marathons)life up until about a year ago. My xray seems to show an

> irregular shape to the 'ball' part of my leg bone with almost no

> cartlidge left in one area. Specialist informs me that I'm 'just

> right' for the op. Suppose I am!

>

> Another question: I've recently seen articles about non invasive

> surgery for total hip replacement surgery. Is this not possible

for

> hip resurfacing?

>

> Any comments or suggestion welcome.

> Thanks in advance.

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Hi, I've just been looking at www.hip-surgery.co.uk and

www.misorthosurgery.co.uk. You might find these helpful.

> I've been reading at this board for a short while, as I'm probably

> going for a hip resurface. My question is to do with etiquette! My

> location is London & my specialist is in Harley St. Is it

permitted

> to ask/pose questions about specialists & their history? To

canvass

> information from other of their patients? Previous posts seem to

> avoid mentioning the specialist by name!

>

> I'm quite nervous about the prospect of the operation & would like

> to hear from others in a similar situation.

> General info is that I'm 47 years & led an active (running 3

> marathons)life up until about a year ago. My xray seems to show an

> irregular shape to the 'ball' part of my leg bone with almost no

> cartlidge left in one area. Specialist informs me that I'm 'just

> right' for the op. Suppose I am!

>

> Another question: I've recently seen articles about non invasive

> surgery for total hip replacement surgery. Is this not possible

for

> hip resurfacing?

>

> Any comments or suggestion welcome.

> Thanks in advance.

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Guest guest

Thanks for the information. Its been a help. I'd like to hear from

anyone in UK who has been with Dr. G in Harley St.

One report I've had had been very good but always a good idea to

hear more!

I've also visited the site www.hip-suregry.co.uk & was impressed by

the work of G Chana described there. Anyone with any experiences of

this?

Thanks in advance

> > I've been reading at this board for a short while, as I'm

probably

> > going for a hip resurface. My question is to do with etiquette!

My

> > location is London & my specialist is in Harley St. Is it

> permitted

> > to ask/pose questions about specialists & their history? To

> canvass

> > information from other of their patients? Previous posts seem to

> > avoid mentioning the specialist by name!

> >

> > I'm quite nervous about the prospect of the operation & would

like

> > to hear from others in a similar situation.

> > General info is that I'm 47 years & led an active (running 3

> > marathons)life up until about a year ago. My xray seems to show

an

> > irregular shape to the 'ball' part of my leg bone with almost no

> > cartlidge left in one area. Specialist informs me that I'm 'just

> > right' for the op. Suppose I am!

> >

> > Another question: I've recently seen articles about non

invasive

> > surgery for total hip replacement surgery. Is this not possible

> for

> > hip resurfacing?

> >

> > Any comments or suggestion welcome.

> > Thanks in advance.

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Guest guest

Thanks for the information. Its been a help. I'd like to hear from

anyone in UK who has been with Dr. G in Harley St.

One report I've had had been very good but always a good idea to

hear more!

I've also visited the site www.hip-suregry.co.uk & was impressed by

the work of G Chana described there. Anyone with any experiences of

this?

Thanks in advance

> > I've been reading at this board for a short while, as I'm

probably

> > going for a hip resurface. My question is to do with etiquette!

My

> > location is London & my specialist is in Harley St. Is it

> permitted

> > to ask/pose questions about specialists & their history? To

> canvass

> > information from other of their patients? Previous posts seem to

> > avoid mentioning the specialist by name!

> >

> > I'm quite nervous about the prospect of the operation & would

like

> > to hear from others in a similar situation.

> > General info is that I'm 47 years & led an active (running 3

> > marathons)life up until about a year ago. My xray seems to show

an

> > irregular shape to the 'ball' part of my leg bone with almost no

> > cartlidge left in one area. Specialist informs me that I'm 'just

> > right' for the op. Suppose I am!

> >

> > Another question: I've recently seen articles about non

invasive

> > surgery for total hip replacement surgery. Is this not possible

> for

> > hip resurfacing?

> >

> > Any comments or suggestion welcome.

> > Thanks in advance.

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Guest guest

Thanks for the information. Its been a help. I'd like to hear from

anyone in UK who has been with Dr. G in Harley St.

One report I've had had been very good but always a good idea to

hear more!

I've also visited the site www.hip-suregry.co.uk & was impressed by

the work of G Chana described there. Anyone with any experiences of

this?

Thanks in advance

> > I've been reading at this board for a short while, as I'm

probably

> > going for a hip resurface. My question is to do with etiquette!

My

> > location is London & my specialist is in Harley St. Is it

> permitted

> > to ask/pose questions about specialists & their history? To

> canvass

> > information from other of their patients? Previous posts seem to

> > avoid mentioning the specialist by name!

> >

> > I'm quite nervous about the prospect of the operation & would

like

> > to hear from others in a similar situation.

> > General info is that I'm 47 years & led an active (running 3

> > marathons)life up until about a year ago. My xray seems to show

an

> > irregular shape to the 'ball' part of my leg bone with almost no

> > cartlidge left in one area. Specialist informs me that I'm 'just

> > right' for the op. Suppose I am!

> >

> > Another question: I've recently seen articles about non

invasive

> > surgery for total hip replacement surgery. Is this not possible

> for

> > hip resurfacing?

> >

> > Any comments or suggestion welcome.

> > Thanks in advance.

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Guest guest

Hi,

so far I know is Mr. G. Ghana Birmigham the only one who is doing

resurfacing in minimally invasive technique. See

www.minimalinvasivehip.com.

Sigi

L BHR 17/06/2003 Dr. Hertel Cologne/Germany

> > I've been reading at this board for a short while, as I'm

probably

> > going for a hip resurface. My question is to do with etiquette!

My

> > location is London & my specialist is in Harley St. Is it

> permitted

> > to ask/pose questions about specialists & their history? To

> canvass

> > information from other of their patients? Previous posts seem to

> > avoid mentioning the specialist by name!

> >

> > I'm quite nervous about the prospect of the operation & would

like

> > to hear from others in a similar situation.

> > General info is that I'm 47 years & led an active (running 3

> > marathons)life up until about a year ago. My xray seems to show

an

> > irregular shape to the 'ball' part of my leg bone with almost no

> > cartlidge left in one area. Specialist informs me that I'm 'just

> > right' for the op. Suppose I am!

> >

> > Another question: I've recently seen articles about non invasive

> > surgery for total hip replacement surgery. Is this not possible

> for

> > hip resurfacing?

> >

> > Any comments or suggestion welcome.

> > Thanks in advance.

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Guest guest

Hi,

so far I know is Mr. G. Ghana Birmigham the only one who is doing

resurfacing in minimally invasive technique. See

www.minimalinvasivehip.com.

Sigi

L BHR 17/06/2003 Dr. Hertel Cologne/Germany

> > I've been reading at this board for a short while, as I'm

probably

> > going for a hip resurface. My question is to do with etiquette!

My

> > location is London & my specialist is in Harley St. Is it

> permitted

> > to ask/pose questions about specialists & their history? To

> canvass

> > information from other of their patients? Previous posts seem to

> > avoid mentioning the specialist by name!

> >

> > I'm quite nervous about the prospect of the operation & would

like

> > to hear from others in a similar situation.

> > General info is that I'm 47 years & led an active (running 3

> > marathons)life up until about a year ago. My xray seems to show

an

> > irregular shape to the 'ball' part of my leg bone with almost no

> > cartlidge left in one area. Specialist informs me that I'm 'just

> > right' for the op. Suppose I am!

> >

> > Another question: I've recently seen articles about non invasive

> > surgery for total hip replacement surgery. Is this not possible

> for

> > hip resurfacing?

> >

> > Any comments or suggestion welcome.

> > Thanks in advance.

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Guest guest

Hi

I have spoken with patients of Mr Chana at the Birmingham Royal Orthopaedic.

It was 3 years ago & I can't remember much detail other than his patients

spoke well of him.

Rog both hips BHR 2001 Ronan Treacy

Re: Hesitant hippy!

> Thanks for the information. Its been a help. I'd like to hear from

> anyone in UK who has been with Dr. G in Harley St.

> One report I've had had been very good but always a good idea to

> hear more!

> I've also visited the site www.hip-suregry.co.uk & was impressed by

> the work of G Chana described there. Anyone with any experiences of

> this?

> Thanks in advance

>

>

>

> > > I've been reading at this board for a short while, as I'm

> probably

> > > going for a hip resurface. My question is to do with etiquette!

> My

> > > location is London & my specialist is in Harley St. Is it

> > permitted

> > > to ask/pose questions about specialists & their history? To

> > canvass

> > > information from other of their patients? Previous posts seem to

> > > avoid mentioning the specialist by name!

> > >

> > > I'm quite nervous about the prospect of the operation & would

> like

> > > to hear from others in a similar situation.

> > > General info is that I'm 47 years & led an active (running 3

> > > marathons)life up until about a year ago. My xray seems to show

> an

> > > irregular shape to the 'ball' part of my leg bone with almost no

> > > cartlidge left in one area. Specialist informs me that I'm 'just

> > > right' for the op. Suppose I am!

> > >

> > > Another question: I've recently seen articles about non

> invasive

> > > surgery for total hip replacement surgery. Is this not possible

> > for

> > > hip resurfacing?

> > >

> > > Any comments or suggestion welcome.

> > > Thanks in advance.

>

>

>

>

>

>

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Guest guest

Hello,

Are you havingyour surgery done privately? have you had to wait long?

I am in need of a hip re-surfacing and would like the surgery via the

minimally invasive (MIS) method. There are surgeons out there who undertake

re-surfacing via MIS although the general consensus seems to be that more room

is needed for this procedure than a smaller incision allows. Personally, I do

not care whether the incision is 5cms or 30cms long, a scar is a scar and given

a choice I would actually rather not have a scar at all. What concerns me is

internal scar tissue and the length and rate of recuperation and both of these

are greatly reduced using MIS. So my theory, for what it's worth is, that I

would be happy to have a longer external scar if that meant the OS would have a

larger area to work in, by pushing the muscle aside (instead of cutting into it)

and then re-surfacing my hip.

Sue - still researching!

Hesitant hippy!

I've been reading at this board for a short while, as I'm probably

going for a hip resurface. My question is to do with etiquette! My

location is London & my specialist is in Harley St. Is it permitted

to ask/pose questions about specialists & their history? To canvass

information from other of their patients? Previous posts seem to

avoid mentioning the specialist by name!

I'm quite nervous about the prospect of the operation & would like

to hear from others in a similar situation.

General info is that I'm 47 years & led an active (running 3

marathons)life up until about a year ago. My xray seems to show an

irregular shape to the 'ball' part of my leg bone with almost no

cartlidge left in one area. Specialist informs me that I'm 'just

right' for the op. Suppose I am!

Another question: I've recently seen articles about non invasive

surgery for total hip replacement surgery. Is this not possible for

hip resurfacing?

Any comments or suggestion welcome.

Thanks in advance.

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Guest guest

Hi Sue,

I think you may well find that most surgeons doing Resurface are pretty good

on preserving muscles etc.......... In Australia some Os have their patients

up walking within hours of their operation which doesn't suggest that they

have much damage done to muscles or they simply wouldn't be able to support

such activity........... I never see it referred to as minimally invasive,

just how it is done with Resurfacing.

And of course how fit and able you are entering the op so often has far more

to do with it than anything else when it comes to recovery time.........

i.e. If you are pretty worn down from years of pain and misery and don't

have good functioning muscles around the hip you will have a much harder and

longer time recovering from just that rather than what the surgeon may do to

the muscles. My surgeon even cut off a bit of the femur where

ligaments/tendons attach and re bone grafted it back rather than damage the

rather fragile fine muscle strands left. So they are pretty sensitive to

needs etc if you find a good one.

Edith LBHR Dr. L Walter Syd Aust 8/02

> Hello,

> Are you havingyour surgery done privately? have you had to wait long?

> I am in need of a hip re-surfacing and would like the surgery via the

minimally invasive (MIS) method. There are surgeons out there who undertake

re-surfacing via MIS although the general consensus seems to be that more

room is needed for this procedure than a smaller incision allows.

Personally, I do not care whether the incision is 5cms or 30cms long, a scar

is a scar and given a choice I would actually rather not have a scar at all.

What concerns me is internal scar tissue and the length and rate of

recuperation and both of these are greatly reduced using MIS. So my theory,

for what it's worth is, that I would be happy to have a longer external scar

if that meant the OS would have a larger area to work in, by pushing the

muscle aside (instead of cutting into it) and then re-surfacing my hip.

> Sue - still researching!

> ----- Original Message -----

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Hi Sue,

I think you may well find that most surgeons doing Resurface are pretty good

on preserving muscles etc.......... In Australia some Os have their patients

up walking within hours of their operation which doesn't suggest that they

have much damage done to muscles or they simply wouldn't be able to support

such activity........... I never see it referred to as minimally invasive,

just how it is done with Resurfacing.

And of course how fit and able you are entering the op so often has far more

to do with it than anything else when it comes to recovery time.........

i.e. If you are pretty worn down from years of pain and misery and don't

have good functioning muscles around the hip you will have a much harder and

longer time recovering from just that rather than what the surgeon may do to

the muscles. My surgeon even cut off a bit of the femur where

ligaments/tendons attach and re bone grafted it back rather than damage the

rather fragile fine muscle strands left. So they are pretty sensitive to

needs etc if you find a good one.

Edith LBHR Dr. L Walter Syd Aust 8/02

> Hello,

> Are you havingyour surgery done privately? have you had to wait long?

> I am in need of a hip re-surfacing and would like the surgery via the

minimally invasive (MIS) method. There are surgeons out there who undertake

re-surfacing via MIS although the general consensus seems to be that more

room is needed for this procedure than a smaller incision allows.

Personally, I do not care whether the incision is 5cms or 30cms long, a scar

is a scar and given a choice I would actually rather not have a scar at all.

What concerns me is internal scar tissue and the length and rate of

recuperation and both of these are greatly reduced using MIS. So my theory,

for what it's worth is, that I would be happy to have a longer external scar

if that meant the OS would have a larger area to work in, by pushing the

muscle aside (instead of cutting into it) and then re-surfacing my hip.

> Sue - still researching!

> ----- Original Message -----

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Hi,

Thanks for your thoughful and thought provoking reply. I had Perthes as a kid

and through the years have always been 'aware' of my left hip but had few

symptoms until two years ago. I have been a heavy (obsessive) exerciser (3 hours

a day) since 1986. Two years ago I found I couldn't physically run anymore,

cannot ride my bike or walk for more than 50m without discomfort, however, I am

not in constant pain, am not woken up with pain and can manage a gym workout

4/7. I have a leg shortening of about 3cm causing a bad limp which is what I

hate the most. I am thinking of going to Belgium for my surgery as the waiting

times here even for private surgery are too long as I want to get on with my

life as a physically fitter person. I have taken on board your information and

feel much more confident now about regular surgery as opposed to MIS. Thank you

Sue

Re: Hesitant hippy!

Hi Sue,

I think you may well find that most surgeons doing Resurface are pretty good

on preserving muscles etc.......... In Australia some Os have their patients

up walking within hours of their operation which doesn't suggest that they

have much damage done to muscles or they simply wouldn't be able to support

such activity........... I never see it referred to as minimally invasive,

just how it is done with Resurfacing.

And of course how fit and able you are entering the op so often has far more

to do with it than anything else when it comes to recovery time.........

i.e. If you are pretty worn down from years of pain and misery and don't

have good functioning muscles around the hip you will have a much harder and

longer time recovering from just that rather than what the surgeon may do to

the muscles. My surgeon even cut off a bit of the femur where

ligaments/tendons attach and re bone grafted it back rather than damage the

rather fragile fine muscle strands left. So they are pretty sensitive to

needs etc if you find a good one.

Edith LBHR Dr. L Walter Syd Aust 8/02

> Hello,

> Are you havingyour surgery done privately? have you had to wait long?

> I am in need of a hip re-surfacing and would like the surgery via the

minimally invasive (MIS) method. There are surgeons out there who undertake

re-surfacing via MIS although the general consensus seems to be that more

room is needed for this procedure than a smaller incision allows.

Personally, I do not care whether the incision is 5cms or 30cms long, a scar

is a scar and given a choice I would actually rather not have a scar at all.

What concerns me is internal scar tissue and the length and rate of

recuperation and both of these are greatly reduced using MIS. So my theory,

for what it's worth is, that I would be happy to have a longer external scar

if that meant the OS would have a larger area to work in, by pushing the

muscle aside (instead of cutting into it) and then re-surfacing my hip.

> Sue - still researching!

> ----- Original Message -----

----------------------------------------------------------------------------

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Hi Sue,

Interesting....... people so often write............ " I used to do this and

that, now I do so little - BUT I have no constant pain, don't wake at night

etc........ " And then slowly there is this grim realisation that there is

a heavy price for the NO constant pain............ and little chance of

things getting better without intervention of some form.............

Guess it is all a process that many need to go through on the path of

returning to a more happy/able life................ glad to be of assistance

in understanding more about the operation etc. and look forward to hearing

of your progress in the future.

Edith LBHR Dr. L Walter Syd Aust 8/02

> Hi,

> Thanks for your thoughful and thought provoking reply. I had Perthes as

a kid and through the years have always been 'aware' of my left hip but had

few symptoms until two years ago. I have been a heavy (obsessive) exerciser

(3 hours a day) since 1986. Two years ago I found I couldn't physically run

anymore, cannot ride my bike or walk for more than 50m without discomfort,

however, I am not in constant pain, am not woken up with pain and can manage

a gym workout 4/7. I have a leg shortening of about 3cm causing a bad limp

which is what I hate the most. I am thinking of going to Belgium for my

surgery as the waiting times here even for private surgery are too long as I

want to get on with my life as a physically fitter person. I have taken on

board your information and feel much more confident now about regular

surgery as opposed to MIS. Thank you Sue

> Re: Hesitant hippy!

>

>

> Hi Sue,

>

> I think you may well find that most surgeons doing Resurface are

pretty good

> on preserving muscles etc.......... In Australia some Os have their

patients

> up walking within hours of their operation which doesn't suggest that

they

> have much damage done to muscles or they simply wouldn't be able to

support

> such activity........... I never see it referred to as minimally

invasive,

> just how it is done with Resurfacing.

>

> And of course how fit and able you are entering the op so often has

far more

> to do with it than anything else when it comes to recovery

time.........

> i.e. If you are pretty worn down from years of pain and misery and

don't

> have good functioning muscles around the hip you will have a much

harder and

> longer time recovering from just that rather than what the surgeon may

do to

> the muscles. My surgeon even cut off a bit of the femur where

> ligaments/tendons attach and re bone grafted it back rather than

damage the

> rather fragile fine muscle strands left. So they are pretty sensitive

to

> needs etc if you find a good one.

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

>

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