Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Guys, I have a PDF file that Chuck sent me from JRI in which Dr. Amstutz compares the two procedures, and explains why he chooses not to do the minimal. I'll send it to anyone who wants it. Chris > Dr. Mark... > > You're the guy with the knife. So tell me it this be true. My > sports med doc (now former, because of the dismissive way he dealt > with the possibility of resurfacing) did talk about methods for THR. > I asked about minimally invasive surgery for the THR (which I still > believed then would be my only course)...and he said it's not a good > idea on hip surgeries because...the location of the sciatic nerve is > so variable person-to-person. He was concerned that such a procedure > posed greater risk of damaging...or even severing the sciatic. That, > if I read my Gray's Anatomy right, would be a fair disaster for > future locomotion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Guys, I have a PDF file that Chuck sent me from JRI in which Dr. Amstutz compares the two procedures, and explains why he chooses not to do the minimal. I'll send it to anyone who wants it. Chris > Dr. Mark... > > You're the guy with the knife. So tell me it this be true. My > sports med doc (now former, because of the dismissive way he dealt > with the possibility of resurfacing) did talk about methods for THR. > I asked about minimally invasive surgery for the THR (which I still > believed then would be my only course)...and he said it's not a good > idea on hip surgeries because...the location of the sciatic nerve is > so variable person-to-person. He was concerned that such a procedure > posed greater risk of damaging...or even severing the sciatic. That, > if I read my Gray's Anatomy right, would be a fair disaster for > future locomotion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 > Dr. Mark... > > You're the guy with the knife. So tell me it this be true. My > sports med doc (now former, because of the dismissive way he dealt > with the possibility of resurfacing) did talk about methods for THR. > I asked about minimally invasive surgery for the THR (which I still > believed then would be my only course)...and he said it's not a good > idea on hip surgeries because...the location of the sciatic nerve is > so variable person-to-person. He was concerned that such a procedure > posed greater risk of damaging...or even severing the sciatic. That, > if I read my Gray's Anatomy right, would be a fair disaster for > future locomotion. Alan, You are most certainly correct. Sometimes doing surgery through a tiny little hole for a small incision is not good judgement. Dr. Mark Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Yo quiero la fila! You have my email bro - hippylak@... Graci! In surfacehippy , " Roche " wrote: > Guys, > I have a PDF file that Chuck sent me from JRI in which Dr. > Amstutz compares the two procedures, and explains why he chooses not > to do the minimal. I'll send it to anyone who wants it. > Chris > > > > > > > Dr. Mark... > > > > You're the guy with the knife. So tell me it this be true. My > > sports med doc (now former, because of the dismissive way he dealt > > with the possibility of resurfacing) did talk about methods for > THR. > > I asked about minimally invasive surgery for the THR (which I > still > > believed then would be my only course)...and he said it's not a > good > > idea on hip surgeries because...the location of the sciatic nerve > is > > so variable person-to-person. He was concerned that such a > procedure > > posed greater risk of damaging...or even severing the sciatic. > That, > > if I read my Gray's Anatomy right, would be a fair disaster for > > future locomotion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Yo quiero la fila! You have my email bro - hippylak@... Graci! In surfacehippy , " Roche " wrote: > Guys, > I have a PDF file that Chuck sent me from JRI in which Dr. > Amstutz compares the two procedures, and explains why he chooses not > to do the minimal. I'll send it to anyone who wants it. > Chris > > > > > > > Dr. Mark... > > > > You're the guy with the knife. So tell me it this be true. My > > sports med doc (now former, because of the dismissive way he dealt > > with the possibility of resurfacing) did talk about methods for > THR. > > I asked about minimally invasive surgery for the THR (which I > still > > believed then would be my only course)...and he said it's not a > good > > idea on hip surgeries because...the location of the sciatic nerve > is > > so variable person-to-person. He was concerned that such a > procedure > > posed greater risk of damaging...or even severing the sciatic. > That, > > if I read my Gray's Anatomy right, would be a fair disaster for > > future locomotion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Very interesting, news to me. There was a big article in the NYT (NY Times) last year comparing the techniques...and it talked a lot about the " mini " incision technique , and its pros and cons - the major pro being not cutting into muscle...nada was mentioned re: damaging the sciatic nerve. DETAILS! The article, FYI, was in Tues, Oct 7th...I think in the business section (go figure)... In surfacehippy , " mattosma " wrote: > > > Dr. Mark... > > > > You're the guy with the knife. So tell me it this be true. My > > sports med doc (now former, because of the dismissive way he dealt > > with the possibility of resurfacing) did talk about methods for > THR. > > I asked about minimally invasive surgery for the THR (which I still > > believed then would be my only course)...and he said it's not a > good > > idea on hip surgeries because...the location of the sciatic nerve > is > > so variable person-to-person. He was concerned that such a > procedure > > posed greater risk of damaging...or even severing the sciatic. > That, > > if I read my Gray's Anatomy right, would be a fair disaster for > > future locomotion. > > Alan, > You are most certainly correct. Sometimes doing surgery through a > tiny little hole for a small incision is not good judgement. > Dr. Mark Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Very interesting, news to me. There was a big article in the NYT (NY Times) last year comparing the techniques...and it talked a lot about the " mini " incision technique , and its pros and cons - the major pro being not cutting into muscle...nada was mentioned re: damaging the sciatic nerve. DETAILS! The article, FYI, was in Tues, Oct 7th...I think in the business section (go figure)... In surfacehippy , " mattosma " wrote: > > > Dr. Mark... > > > > You're the guy with the knife. So tell me it this be true. My > > sports med doc (now former, because of the dismissive way he dealt > > with the possibility of resurfacing) did talk about methods for > THR. > > I asked about minimally invasive surgery for the THR (which I still > > believed then would be my only course)...and he said it's not a > good > > idea on hip surgeries because...the location of the sciatic nerve > is > > so variable person-to-person. He was concerned that such a > procedure > > posed greater risk of damaging...or even severing the sciatic. > That, > > if I read my Gray's Anatomy right, would be a fair disaster for > > future locomotion. > > Alan, > You are most certainly correct. Sometimes doing surgery through a > tiny little hole for a small incision is not good judgement. > Dr. Mark Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Yo, Chris... Please send. Regards...and " listen to your body " Alan > > > Dr. Mark... > > > > > > You're the guy with the knife. So tell me it this be true. My > > > sports med doc (now former, because of the dismissive way he > dealt > > > with the possibility of resurfacing) did talk about methods for > > THR. > > > I asked about minimally invasive surgery for the THR (which I > > still > > > believed then would be my only course)...and he said it's not a > > good > > > idea on hip surgeries because...the location of the sciatic nerve > > is > > > so variable person-to-person. He was concerned that such a > > procedure > > > posed greater risk of damaging...or even severing the sciatic. > > That, > > > if I read my Gray's Anatomy right, would be a fair disaster for > > > future locomotion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 Yo, Chris... Please send. Regards...and " listen to your body " Alan > > > Dr. Mark... > > > > > > You're the guy with the knife. So tell me it this be true. My > > > sports med doc (now former, because of the dismissive way he > dealt > > > with the possibility of resurfacing) did talk about methods for > > THR. > > > I asked about minimally invasive surgery for the THR (which I > > still > > > believed then would be my only course)...and he said it's not a > > good > > > idea on hip surgeries because...the location of the sciatic nerve > > is > > > so variable person-to-person. He was concerned that such a > > procedure > > > posed greater risk of damaging...or even severing the sciatic. > > That, > > > if I read my Gray's Anatomy right, would be a fair disaster for > > > future locomotion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2004 Report Share Posted May 17, 2004 At 01:41 AM 5/18/2004 +0000, you wrote: >Guys, > I have a PDF file that Chuck sent me from JRI in which Dr. >Amstutz compares the two procedures, and explains why he chooses not >to do the minimal. I'll send it to anyone who wants it. > Chris > > I'd love to see it. Send it to cgronbach at involved dot com. I'm curious because one of the two that started the minimally invasive procedure in the US is here in Portland. He was the one that told me that all he could do was a THR ;-). Thanks, Cindy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 18, 2004 Report Share Posted May 18, 2004 For anyone interested the followining is copied from a web site : " Mr G Chana FRCS has worked as an Orthopaedic Consultant in the city of Birmingham UK, for the past 12 years and is currently based at the Royal Orthopaedic Hospital in Birmingham. Mr Chana has a special interest in minimally invasive hip replacement and minimally invasive resurfacing surgery. He has carried out 2,500 total hip replacements using the conventional approach. He has successfully operated on patients from Africa, Asian, North America, Europe and India, as well as around the UK, from London, Ireland, Wales and Scotland. Over the past 5 years, Mr Chana has also carried out over 300 hip resurfacing operations for young, active patients with arthritic hip conditions. " The site can be viewed on http://www.minimalinvasivehip.com/hip-surgery-consult.html Rog BHR 2001 Treacy Re: incision size > Very interesting, news to me. > There was a big article in the NYT (NY Times) last year comparing the > techniques...and it talked a lot about the " mini " incision > technique , and its pros and cons - the major pro being not cutting > into muscle...nada was mentioned re: damaging the sciatic nerve. > DETAILS! The article, FYI, was in Tues, Oct 7th...I think in the > business section (go figure)... > > > In surfacehippy , " mattosma " wrote: > > > > > Dr. Mark... > > > > > > You're the guy with the knife. So tell me it this be true. My > > > sports med doc (now former, because of the dismissive way he > dealt > > > with the possibility of resurfacing) did talk about methods for > > THR. > > > I asked about minimally invasive surgery for the THR (which I > still > > > believed then would be my only course)...and he said it's not a > > good > > > idea on hip surgeries because...the location of the sciatic nerve > > is > > > so variable person-to-person. He was concerned that such a > > procedure > > > posed greater risk of damaging...or even severing the sciatic. > > That, > > > if I read my Gray's Anatomy right, would be a fair disaster for > > > future locomotion. > > > > Alan, > > You are most certainly correct. Sometimes doing surgery through a > > tiny little hole for a small incision is not good judgement. > > Dr. Mark > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 18, 2004 Report Share Posted May 18, 2004 For anyone interested the followining is copied from a web site : " Mr G Chana FRCS has worked as an Orthopaedic Consultant in the city of Birmingham UK, for the past 12 years and is currently based at the Royal Orthopaedic Hospital in Birmingham. Mr Chana has a special interest in minimally invasive hip replacement and minimally invasive resurfacing surgery. He has carried out 2,500 total hip replacements using the conventional approach. He has successfully operated on patients from Africa, Asian, North America, Europe and India, as well as around the UK, from London, Ireland, Wales and Scotland. Over the past 5 years, Mr Chana has also carried out over 300 hip resurfacing operations for young, active patients with arthritic hip conditions. " The site can be viewed on http://www.minimalinvasivehip.com/hip-surgery-consult.html Rog BHR 2001 Treacy Re: incision size > Very interesting, news to me. > There was a big article in the NYT (NY Times) last year comparing the > techniques...and it talked a lot about the " mini " incision > technique , and its pros and cons - the major pro being not cutting > into muscle...nada was mentioned re: damaging the sciatic nerve. > DETAILS! The article, FYI, was in Tues, Oct 7th...I think in the > business section (go figure)... > > > In surfacehippy , " mattosma " wrote: > > > > > Dr. Mark... > > > > > > You're the guy with the knife. So tell me it this be true. My > > > sports med doc (now former, because of the dismissive way he > dealt > > > with the possibility of resurfacing) did talk about methods for > > THR. > > > I asked about minimally invasive surgery for the THR (which I > still > > > believed then would be my only course)...and he said it's not a > > good > > > idea on hip surgeries because...the location of the sciatic nerve > > is > > > so variable person-to-person. He was concerned that such a > > procedure > > > posed greater risk of damaging...or even severing the sciatic. > > That, > > > if I read my Gray's Anatomy right, would be a fair disaster for > > > future locomotion. > > > > Alan, > > You are most certainly correct. Sometimes doing surgery through a > > tiny little hole for a small incision is not good judgement. > > Dr. Mark > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2004 Report Share Posted May 19, 2004 Hi Chris I'd really like a copy too ... please send to dwilliams at watc dot wa dot gov dot au. One of the arguments put forward by surgeons in Perth relates to the high level of intrusion required for BHR ... and they continue to advocate THR (certainly, not with me they won't) !! Thankyou. Dianne Perth, Western Australia a-grade squash player (46yrs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2004 Report Share Posted May 19, 2004 Hi Chris I'd really like a copy too ... please send to dwilliams at watc dot wa dot gov dot au. One of the arguments put forward by surgeons in Perth relates to the high level of intrusion required for BHR ... and they continue to advocate THR (certainly, not with me they won't) !! Thankyou. Dianne Perth, Western Australia a-grade squash player (46yrs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2004 Report Share Posted May 20, 2004 Personally I just wanted the internal workings to be right. I have 2 very untidy scars (one is akin to lumpy tractor tracks!) from my operations i had as a small child. What I have got this time from my BHR is amazing in comparison (and I'm still only 7 days post-op!) The scar is very long (maybe 20 cms)but runs round the curve of my hip in a neat line akin to a cat scratch. The stitches are all internal (subcutaneous) - 5 rows of them apparently (possibly cos i have such a fat arse!) I am intrigued to see what it looks like once all the scar tissue and swelling and bruising has settled down, but so far so good. My muscles are aching but i haven't got the joint stiffness i had before - thats more important to me than how big the scar is. Jen > Dr. Mark... > > You're the guy with the knife. So tell me it this be true. My > sports med doc (now former, because of the dismissive way he dealt > with the possibility of resurfacing) did talk about methods for THR. > I asked about minimally invasive surgery for the THR (which I still > believed then would be my only course)...and he said it's not a good > idea on hip surgeries because...the location of the sciatic nerve is > so variable person-to-person. He was concerned that such a procedure > posed greater risk of damaging...or even severing the sciatic. That, > if I read my Gray's Anatomy right, would be a fair disaster for > future locomotion. Quote Link to comment Share on other sites More sharing options...
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