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HR - soft tissue trauma

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It doesn't matter what the question is. Choosing THR over Resurfacing would

be like choosing a donkey over a Kentucky Derby race horse. Movement, range of

motion, and ability to absorb impact is far superior.

I am a tournament tennis player who had double hip surgery at once

(simultaneous bilateral) and my movement and speed is so good my partners can't

believe

it.

As you do more and more research, you will agree.

Best of luck,

Saeed

7-2-02---- Dr. K. DeSmet, Ghent, Belgium

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Hi,

I am a 51 year old tennis player, water skier, and snow skier. I use to surf

but I can get my legs around the board anymore or pop up on the take off.

Both of my hips are bad. Having gone through this, do you think having both

done at once is the way to go? I believe resurfacing is the only way to go.

Thanks for your help,

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Hi,

I am a 51 year old tennis player, water skier, and snow skier. I use to surf

but I can get my legs around the board anymore or pop up on the take off.

Both of my hips are bad. Having gone through this, do you think having both

done at once is the way to go? I believe resurfacing is the only way to go.

Thanks for your help,

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Hello - My name is (dancer/actress-43 years old) and this is my second

post.

Although I think resurfacing is the way I'll go, I haven't ruled out THR.

My current Question is - Is there a difference in the trauma (damage - short or

long term) to the surrounding soft tissue

between THR and HR?

I await your reply.

muchas gracias,

elizabeth

elimoze@...

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> Hi,

>

> I am a 51 year old tennis player, water skier, and snow skier. I

use to surf

> but I can get my legs around the board anymore or pop up on the take

off.

> Both of my hips are bad. Having gone through this, do you think

having both

> done at once is the way to go?

Well, it depends. Are your hips equally bad? Mine were and I had a

simultaneous bilateral 34 days ago. I definitely think this was the

right thing to do for me, but your mileage may vary. It's a bit harder

getting around, particularly the first week or two, and the recovery

takes a bit longer, but it doesn't take twice as long as a single

resurface and once you're done with it, you're *done* and can get on

with your life.

Steve (bilat C+ 4/20/04, Amstutz)

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> Hi,

>

> I am a 51 year old tennis player, water skier, and snow skier. I

use to surf

> but I can get my legs around the board anymore or pop up on the take

off.

> Both of my hips are bad. Having gone through this, do you think

having both

> done at once is the way to go?

Well, it depends. Are your hips equally bad? Mine were and I had a

simultaneous bilateral 34 days ago. I definitely think this was the

right thing to do for me, but your mileage may vary. It's a bit harder

getting around, particularly the first week or two, and the recovery

takes a bit longer, but it doesn't take twice as long as a single

resurface and once you're done with it, you're *done* and can get on

with your life.

Steve (bilat C+ 4/20/04, Amstutz)

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Steve...I've been inquiring on these boards for a while now about

bilateral as well...and although I don't usually say much here...I

always read your posts and keep up with you bilateral people...I'm 51

and trying to get myself into the best shape I can...I'm a little

cautious by now about having both hips done at once after following

your recovery....I think you must have had a greater level of fitness

before your surgery than I and I think that is probably pretty

important for rehab...Susie in Memphis

> > Hi,

> >

> > I am a 51 year old tennis player, water skier, and snow skier. I

> use to surf

> > but I can get my legs around the board anymore or pop up on the

take

> off.

> > Both of my hips are bad. Having gone through this, do you think

> having both

> > done at once is the way to go?

>

> Well, it depends. Are your hips equally bad? Mine were and I had a

> simultaneous bilateral 34 days ago. I definitely think this was the

> right thing to do for me, but your mileage may vary. It's a bit

harder

> getting around, particularly the first week or two, and the recovery

> takes a bit longer, but it doesn't take twice as long as a single

> resurface and once you're done with it, you're *done* and can get on

> with your life.

>

>

> Steve (bilat C+ 4/20/04, Amstutz)

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Hi ,

I suspect the answer to your question depends very much upon the surgeon you

get to do either operation and the state of your own hips and

muscles............. From my understanding of both operations various

doctors have their favourite manner of cutting through to the hip

bone..........so there exists potential differences even with the same

operation outcome....... The state of our own bones will also play a role

for some people require bone grafts etc. Thus extra room etc.

Many people who have a Resurface in Australia are up and wandering around

with only a cane within days of the operation........one doctor in Sydney

lets them up 4 hrs after the operation. That doesn't suggest that there is

too much trauma to the surrounding tissues or I would think it would be far

too traumatic to walk with and do too much damage if one did.......... I

couldn't answer how fast people are off and walking after a THR on

average.......... A visit to Totallyhip would give you a good broad section

report on different varieties.........

It is my opinion however none of that can cover the situation of marked

differences in bone stress.......... To me there is a great deal of

difference between a THR where the femur head is cut off and a shaft pushed

into a major bone marrow factory and a Resurface where the femur head is

reamed and the bone left to resume life basically as it is meant to be

naturally............. This fact alone is important to keeping the femur

healthy and helping to keep osteoporosis at bay............. But I am biased

I have a Resurface.........smile.

Edith LBHR Dr. L Walter Syd Aust 8/02

> Hello - My name is (dancer/actress-43 years old) and this is my

second post.

> Although I think resurfacing is the way I'll go, I haven't ruled out THR.

> My current Question is - Is there a difference in the trauma (damage -

short or long term) to the surrounding soft tissue

> between THR and HR?

> I await your reply.

> muchas gracias,

> elizabeth

> elimoze@...

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,

It is my understanding that the trauma is quite similar in

either procedure. And even if they had told me that my Resurf would

be more truamatic than a THR I would have gone the way of the

resurf. What good is it to have slightly less traumatized muscles if

you have to worry about dislocation and fracture issues? At your age

you have a lot of livin' to do, dear. I want what ever puts me in

the best position to live like I want to. I have a very close friend

who is a long time physical therapist, he helped me do alot of my

research. He was quite satisfied that I would make a full recovery

based on the operation description from Dr. Amstutz at JRI. (I can

send you a copy if you'd like.) My buddy the PT has rehabbed

hundreds of THR patients, (albeit mostly older than my age, 44) and

I have already surpassed the " norm " for recovery from a THR time

frame.

C+ Amstutz 4-15-04

No hay de que.

> Hello - My name is (dancer/actress-43 years old) and this

is my second post.

> Although I think resurfacing is the way I'll go, I haven't ruled

out THR.

> My current Question is - Is there a difference in the trauma

(damage - short or long term) to the surrounding soft tissue

> between THR and HR?

> I await your reply.

> muchas gracias,

> elizabeth

> elimoze@a...

>

>

>

>

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,

It is my understanding that the trauma is quite similar in

either procedure. And even if they had told me that my Resurf would

be more truamatic than a THR I would have gone the way of the

resurf. What good is it to have slightly less traumatized muscles if

you have to worry about dislocation and fracture issues? At your age

you have a lot of livin' to do, dear. I want what ever puts me in

the best position to live like I want to. I have a very close friend

who is a long time physical therapist, he helped me do alot of my

research. He was quite satisfied that I would make a full recovery

based on the operation description from Dr. Amstutz at JRI. (I can

send you a copy if you'd like.) My buddy the PT has rehabbed

hundreds of THR patients, (albeit mostly older than my age, 44) and

I have already surpassed the " norm " for recovery from a THR time

frame.

C+ Amstutz 4-15-04

No hay de que.

> Hello - My name is (dancer/actress-43 years old) and this

is my second post.

> Although I think resurfacing is the way I'll go, I haven't ruled

out THR.

> My current Question is - Is there a difference in the trauma

(damage - short or long term) to the surrounding soft tissue

> between THR and HR?

> I await your reply.

> muchas gracias,

> elizabeth

> elimoze@a...

>

>

>

>

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>

> Steve...I've been inquiring on these boards for a while now about

> bilateral as well...and although I don't usually say much here...I

> always read your posts and keep up with you bilateral people...I'm 51

> and trying to get myself into the best shape I can...I'm a little

> cautious by now about having both hips done at once after following

> your recovery....I think you must have had a greater level of fitness

> before your surgery than I and I think that is probably pretty

> important for rehab..

I think it certainly helped. It's kind of a vicious circle, though -

your ability to get yourself ready for the surgery is hampered by the

disability produced by the hip condition. All you ca really do is prep

yourself to the best of your ability and then handle things as they

come up during recovery. You can expect to have a somewhat more

difficult time with a bilateral, simply because both your hips will be

weak and subject to bending restrictions. Just comparing myself to

(who had a unilateral 5 days before me and was in really good

shape for the operation), it seems to be taking me about a week longer

to hit the same post-op milestones as he is. I think that was a better

deal from the standpoint of total recovery time than doing the

procedures seperately: one trip to LA, one anesthesia, one

recovery/rehab cycle, etc. .

Steve (bilat C+ 4/20/04, Amstutz)

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>

> Steve...I've been inquiring on these boards for a while now about

> bilateral as well...and although I don't usually say much here...I

> always read your posts and keep up with you bilateral people...I'm 51

> and trying to get myself into the best shape I can...I'm a little

> cautious by now about having both hips done at once after following

> your recovery....I think you must have had a greater level of fitness

> before your surgery than I and I think that is probably pretty

> important for rehab..

I think it certainly helped. It's kind of a vicious circle, though -

your ability to get yourself ready for the surgery is hampered by the

disability produced by the hip condition. All you ca really do is prep

yourself to the best of your ability and then handle things as they

come up during recovery. You can expect to have a somewhat more

difficult time with a bilateral, simply because both your hips will be

weak and subject to bending restrictions. Just comparing myself to

(who had a unilateral 5 days before me and was in really good

shape for the operation), it seems to be taking me about a week longer

to hit the same post-op milestones as he is. I think that was a better

deal from the standpoint of total recovery time than doing the

procedures seperately: one trip to LA, one anesthesia, one

recovery/rehab cycle, etc. .

Steve (bilat C+ 4/20/04, Amstutz)

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Some dancers who have THR's - Villia, Suzanne Ferrell, Suki Shurr have

all had revision surgery. Suki had hers at at 8 years. Alan Ingels was her

original surgeon.

Do some calling & checking around. Starrett Columbia City Ballet had

bi-lateral resurfacing with Dr Amstutz. As far as I now he is doing very

well.

Looking at anatomy and stress the resurfacing prosthetic is much more similar

to one's own natural weight bearing lines. A THR with the shaft =down the

femoral canal has a different set of stresses in the body.

Now I do not know. . . but I heard. . .Peggy Lyman who had both hips THR back

around '94 teaches full Graham floor work at the Hartford Ballet. I do not

know if she still is . . .but that would be incredible.

Good Luck

Alyce

LC2K Kennedy 5-23-03

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Some dancers who have THR's - Villia, Suzanne Ferrell, Suki Shurr have

all had revision surgery. Suki had hers at at 8 years. Alan Ingels was her

original surgeon.

Do some calling & checking around. Starrett Columbia City Ballet had

bi-lateral resurfacing with Dr Amstutz. As far as I now he is doing very

well.

Looking at anatomy and stress the resurfacing prosthetic is much more similar

to one's own natural weight bearing lines. A THR with the shaft =down the

femoral canal has a different set of stresses in the body.

Now I do not know. . . but I heard. . .Peggy Lyman who had both hips THR back

around '94 teaches full Graham floor work at the Hartford Ballet. I do not

know if she still is . . .but that would be incredible.

Good Luck

Alyce

LC2K Kennedy 5-23-03

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