eighteen, on 23 October 2016 - 11:58 AM, said:
Lots of great words, thanks for taking the time to respond/debate/give your two cents.
I have yet to see the doc I have been referred to, but saw the Ortho doc who has referred me today.
Realizing I am not a doctor, I know enough to ask questions so I feel informed and comfortable with the whole thing, without trying to sound as if I should be deciding on how it all goes;-)
I did ask the Ortho guy who is referring me, and who will most likely be assisting, some stuff today.
The head doc doesn't do anterior approach, based on the discussion above regarding nerves and vessels... fair enough, I don't want some doc practicing a new approach on me. It would mist likely be an un-cemented THA, with ceramic on poly joint. He only does hips and knee replacements and of these around 10 to 12 hips a week- so has supposedly done over a thousand. I will be asking him how many revisions have been needed, as well as the question about my specific parameters (age, weight, reason for replacement etc) and how many of his previous surgeries would fit in that category.
I would love to say I am the perfect candidate, but with the level of pain and 32 months of it being difficult to do anything exercise wise, I have gained like 30 pounds in the time. I can only really golf because of carts.
I am living overseas, so it is a bit different than being back in Canada or the US, but I do have full international medical, so if I don't feel comfortable with him when I met him, I can basically go anywhere that will take the insurance, which we have been assured is top notch by our employer. I have yet to use it in the US, but have had colleagues get a couple of different major treatments at some top US hospitals. There is a small chance I can get it done the first week of November, if not then, I will probably need to wait until after Xmas, as the family and I will be traveling to Canada for the break.
In the end, I hear and get that I need to do PT properly and religiously, listen to the doc orders, not rush into stuff after as this is to set my hip up for the rest of my life, and be comfortable with the experience and skill of the surgeon.
On another note, someone mentioned no more hockey after THA, is that true? Even no-hit is off the table?
Whomever mentioned no hockey was basing that off of opinion, and if it was a pod's opinion, saying that without seeing the prospective patient, I'd find another surgeon immediately, because that is bulls***. Again, depending on your age, physical condition along with your specific THA procedure and the doc doin it, there is absolutely no reason why you will not be able to resume playing hockey. Look at 6-9 months before you're ready to go full-bore, though again, this is an individual thing. You will most likely be able to resume lower stress "public" skating(WTF, that's what this former NHLer called it and I don't play the game so I'm goin with his word, lol) about a month before that, say, 5-8 months.
Hip Resurfacing is another animal as we've discussed, and there is in fact an NHLer who resumed his career following the resurfacing surgery. Florida Panter D Ed Jovanoski, who's surgeon was Dr. Edwin Su, out of HSS(Hospital for Special Surgery), NYC, did the procedure and he was the first Professional athlete to resume his career if you do not count The Undertaker, of WWE Fame, who had the same doc and procedure done and returned to the squared circle.
I have been fortunate to have been able to scrub in with Dr. Su, and while I myself would not have the procedure done, just because we do not have 15-20 year follow-up to see what my hip would look like when that prosthesis eventually fails, unless of course I die first, however Dr. Su is up there with Dr. Gross. Neither one is God obviously, however they are as close as you'll find orthopedically surgeon wise.
Oh, one other thing Bro. I wouldn't ask the revision question for a few reasons. One, in and of itself, that means nothing because a man/woman that has been cutting for 20-40 years is going to have thousands to tens of thousands of joints/patients out there and eventually, again, unless they die early, they are going to need a re-do.
If you can get 12-15 years out of it, and any more is pure God sent Karma, you've had a phenomenal outcome.
The other thing is raw revision numbers don't tell me anything.
Why did the primary fail?
Was it the implant?
Unfortunate tumble down the stairs or an unlucky stumble, slide and fall on an icy sloped driveway?
Does he/she do a lot of fat obese peeps that most docs won't touch but they need someone to take a chance, if only to give them 5, 6 or 8+ years of a somewhat normal pain free life?
Does he do heavy smokers or drinkers, again, a patient demographic that quiet a few of the Big Dogs won't touch?
Ya see what I'm saying?
I've never asked that one nor do I care.
If the guy is doing 400+ a year, he's a Hitter and most likely a Player, lol
I have these warped classification but its funny cuz will picked it up and will describe another doc by one of my classifications and even Dr. Su refers to himself as a "Icon" and he had to ask me what it meant the first time I introduced him to a younger pod who he was not familiar with though the guy was from the Midwest and was doin 400-450 hips(and about 300-325 knees) and when he walked away after our conversation, I said "He's a Player but he'll be a Player by 50yo(he was mid-40's) and an Icon by early 50's," LMAO. I then explained my Joint Classification System(JCS) TO Dr. Su.
He looked at me, smiled and chirped, "I'm an Icon" proudly, lol. My system goes chop(dangerous), grinder(average), Hitter(good), Player(Excellent), Icon(Magician).
Sorry to deviate, lmao, though I tend to do that.
Anyhoo, you should be good to go provided you are pre-operatively in decent shape, you have a typical primary THA, and a non-eventful THA with you busting your a**!
Oh, about revisions and the numbers.
I know a number of exceptional surgeons, quite a few Iconic in stature, who happened to use a few of the Stryker components recalled. Through absolutely no fault if their own(I don't really believe this because the surgeons who chose not to go with these systems asked the same questions that I did however money has a way of shading a man's judgement, I don't give a s*** what oath he swore to, lol.
But a few of these guys I'd let do me tomorrow with the right system(instrumentation & components).
The joint components themselves are like blades in golf...
A Blake's a blade-
A titanium or chrome cobalt stem is a titanium or chrome cobalt stem.
Don't make a damn bit of difference in em.
Now instrumentation is a different story, however the Hitters, Players and Icons could use a hammer, small saw & drill and industrial rasps and get it done in fine fashion.
However for the mass majority of pods, the chops and the grinders, instrumentation is critical and for the Hitters, Players & Icons, it just makes their masterpieces that much more precise, no difference than Tiger(healthy) hittin a Nike blade or a Mizzy, Cally, TBaG or Titleist. Hed own em all.
Is just ask him, "what is your ratio of press-fit primaries(cementless, the femoral component is "press-fit" into the medulary canal vs. using bone cement to fixate the component) versus cemented?"
Usually younger, healthier patients with good bone stock are prime candidates for a press-fit stem while older patients or anyone with lesser or compromised bone stock(ex:osteoporotic bone) are best served with a cemented stem.
Based on what to be posted, it say that you Boy's a Hitter so just concentrate on lining up you PT and while most do not do this, I would find out who he uses for PT as the Big Dogs are very careful who they refer their patients to for post-op PT for obvious reasons. I, myself woukd ask for two names, just as I woukd for a golf Pro.
This initial meeting is for a myriad of reasons, first, to see if ya click, and if for any reason you don't, nicely conclude it and go to your second name. If ya click, just like with your golf Pro, tell him about yourself, your pre-surgery lifestyle and your post-OP goals once your rehab is over. Ask him for some pre-op stretching routines if you are not presently doing any and I am obviously taking your bad hip into consideration, as will he/she(My PT after my last three major knee surgeries and last two shoulders was a female, and my father had the same for bi-lateral knee replacements).
This pre-op will just get everyone on the same page and get you off to a quicker start post-operatively.
If you're lucky, ya get a Pro like Jim, though there aren't that many like him in the country, so ya might talk to him about some virtual lessons if he does them.
Again, The Best to ya & God Speed
Fairways & Greens 4ever My Friend⛳
Edited by Forged4ever, 23 October 2016 - 07:03 PM.