Re: Is there any reason to get a Bone Density scan before resurfacing?

[Guest guest]

Hi Marie

My surgeon requested a bone density scan before he would recommend resurfacing

as he said that resurfacing required good bone stock. Fortunately mine was

exceptionally good. The bone scan was done on both hips, although we were only

looking at resurfacing one hip.

good luck,

regards

Kay L BHR 23/ 4/ 04 Melb Australia ( McMahon)

hipcnm hipcnm@...> wrote:

I have AVN and OA on one side only. I was wondering if it would be

useful to see how the density is in my femoral neck. Might this be an

indicator of how good the bone stock is? Will it give me any sense of

how likely or unlikely I am to have the resurfacing " fail " ?

I'm probably going to have a bone density done on my good side as a

peri-menopausal baseline. I was thinking of having one done

bilaterally to compare. Does anyone have experience or info about this?

Marie

[Guest guest]

Hi Marie,

It is now a pretty well accepted fact that bones work on a use it or lose it

principal. Your surgeon may well need a bone density to decide on a

Resurface (many do), but I am not sure what you feel it may tell you about

your future attitudes towards exercise............ i.e. regardless of what

the bone scan says now, the critical issue is going to be what you do

exercise wise to increase and/or maintain your femur bone density...........

My left side femur which was resurfaced was a lot less denser than the

'normal' right side but started to pick up as soon as I got weight

bearing 6 weeks later............. so my preop density test didn't really

tell much about what happened within 6 months, let alone what I will do with

it 10 yrs down the track. Though I can tell you that I will be exercising

with determination in order to keep my body and bones as healthy as possible

and my Resurface is a crucial element in that plan..........

Edith LBHR Dr. L Walter Aust 8/02

> I have AVN and OA on one side only. I was wondering if it would be

> useful to see how the density is in my femoral neck. Might this be an

> indicator of how good the bone stock is? Will it give me any sense of

> how likely or unlikely I am to have the resurfacing " fail " ?

>

> I'm probably going to have a bone density done on my good side as a

> peri-menopausal baseline. I was thinking of having one done

> bilaterally to compare. Does anyone have experience or info about this?

>

> Marie

>

[Guest guest]

Dear Marie,

My OS (in England) insisted on a bone scan before the op. This is

because he said there were recent cases of woman who's BHS had failed

because of the bone crumbling under the device (if I understood

correctly). Therefore, he wouldn't go ahead unless he thought my bone

was strong enough. Having said that, as Edith says, one's bone strength

does seem to improve after surgery, as well, because of greater usage.

Eleanor

Re: Is there any reason to get a Bone Density

scan before resurfacing?

Hi Marie,

It is now a pretty well accepted fact that bones work on a use it or

lose it

principal. Your surgeon may well need a bone density to decide on a

Resurface (many do), but I am not sure what you feel it may tell you

about

your future attitudes towards exercise............ i.e. regardless of

what

the bone scan says now, the critical issue is going to be what you do

exercise wise to increase and/or maintain your femur bone

density...........

My left side femur which was resurfaced was a lot less denser than the

'normal' right side but started to pick up as soon as I got weight

bearing 6 weeks later............. so my preop density test didn't

really

tell much about what happened within 6 months, let alone what I will do

with

it 10 yrs down the track. Though I can tell you that I will be

exercising

with determination in order to keep my body and bones as healthy as

possible

and my Resurface is a crucial element in that plan..........

Edith LBHR Dr. L Walter Aust 8/02

> I have AVN and OA on one side only. I was wondering if it would be

> useful to see how the density is in my femoral neck. Might this be an

> indicator of how good the bone stock is? Will it give me any sense of

> how likely or unlikely I am to have the resurfacing " fail " ?

>

> I'm probably going to have a bone density done on my good side as a

> peri-menopausal baseline. I was thinking of having one done

> bilaterally to compare. Does anyone have experience or info about

this?

>

> Marie

>

[Guest guest]

Dear Marie,

My OS (in England) insisted on a bone scan before the op. This is

because he said there were recent cases of woman who's BHS had failed

because of the bone crumbling under the device (if I understood

correctly). Therefore, he wouldn't go ahead unless he thought my bone

was strong enough. Having said that, as Edith says, one's bone strength

does seem to improve after surgery, as well, because of greater usage.

Eleanor

Re: Is there any reason to get a Bone Density

scan before resurfacing?

Hi Marie,

It is now a pretty well accepted fact that bones work on a use it or

lose it

principal. Your surgeon may well need a bone density to decide on a

Resurface (many do), but I am not sure what you feel it may tell you

about

your future attitudes towards exercise............ i.e. regardless of

what

the bone scan says now, the critical issue is going to be what you do

exercise wise to increase and/or maintain your femur bone

density...........

My left side femur which was resurfaced was a lot less denser than the

'normal' right side but started to pick up as soon as I got weight

bearing 6 weeks later............. so my preop density test didn't

really

tell much about what happened within 6 months, let alone what I will do

with

it 10 yrs down the track. Though I can tell you that I will be

exercising

with determination in order to keep my body and bones as healthy as

possible

and my Resurface is a crucial element in that plan..........

Edith LBHR Dr. L Walter Aust 8/02

> I have AVN and OA on one side only. I was wondering if it would be

> useful to see how the density is in my femoral neck. Might this be an

> indicator of how good the bone stock is? Will it give me any sense of

> how likely or unlikely I am to have the resurfacing " fail " ?

>

> I'm probably going to have a bone density done on my good side as a

> peri-menopausal baseline. I was thinking of having one done

> bilaterally to compare. Does anyone have experience or info about

this?

>

> Marie

>

[Guest guest]

Without overcomplicating the reply, make sure the imaging request

directs your radiologist to separately report the bone mineral

densities of the femoral head, neck, Wards and intertrochanteric

regions of both hips if DEXA and head and neck if QCT in addition to

total BMD. Make sure he/she knows that your exam is to help determine

whether to resurface or replace your hip and be prepared to explain to

everyone involved what the difference is.

Good luck!

Steve Vince

Bilat BHR De Smet Jan 6, 2004

> I have AVN and OA on one side only. I was wondering if it would be

> useful to see how the density is in my femoral neck. Might this be an

> indicator of how good the bone stock is? Will it give me any sense of

> how likely or unlikely I am to have the resurfacing " fail " ?

>

> I'm probably going to have a bone density done on my good side as a

> peri-menopausal baseline. I was thinking of having one done

> bilaterally to compare. Does anyone have experience or info about this?

>

> Marie