Yeah looking at the MRI the writing is on the wall for me - looks like a hip job

Any tips on a good surgeon for that area?

Can't remember who but someone told me McKercher had one done a while back. Perhaps send him a message. He might be able to send you into the right direction.

A quick Google search dug up this: www.seabreeze.com.au/forums/Stand-Up-Paddle/SUP/Hip-Replacement-Rehab/

Resurfacing or replacement? I'm in the same boat There is much to read about the different approaches, devices, Dr's etc...
Generally you want to find the doc that has done the most procedures, there are some that have done thousands while others may have only done a dozen if that. The direct anterior approach looks the way to go to me.

+1 on the MC Kercher, also Mark Stone might be worth talking to.
Best of luck Mark.

Thanks (to the sensible people) - forgot about Scotty (don't tell him I said that)

Dunno what is needed yet, there is a labrum cleft (sounds worse than tear ), a slight tear in top end of hamstring attachment, and a bump on the ball part. Whether the latter is just a grind back n polish, or whether it will be capped, is yet to be decided.
That's why I want to find a good one - a surgeon who can make such decisions well on my behalf is a big thing I think, it's not just about the actual skills.

Mark,

I agree a good surgeon is important. However, a good surgeon without good rehab is a waste of time. Better still a good surgeon working with a really good physiotherapist is the way to go.

I had minor surgery to remove a tendon impingment on my shoulder joint. The joint was disaster after the op, untill I had intensive physio.

Good luck

Give Greg Kerr at Horizon Physiotherapy in Doubleeview a call. He is in the know. He and Scotty know each other
I'm sure all will be well for you in the long run mate
Cheers

G'day Mark,

Had knee surgery some time back (and although a different area) and from what I understand the surgeon I saw was a legend in the field. Having said that I know that the doctors that operate out of this office are all apparently very good and tend to specialise in certain areas ie. knees, shoulders and the like (check their website). The surgeons work out of Perth Orthopaedics and Sports Medicine and consistently get a good write up.

As for the hip, sorry to hear you need an op however certainly not a massive game changer. This form of surgery is very common now days and has come a long way in its time. I know a number of people having had replacements and they are back riding, surfing, sailing.....etc. My aunty had both her hips done over 20 years ago at the age of 40. Hasnt slowed her down a bit. Another friend I work with had her hip done last year and was back SUPing Yallingup 6 months later.

All the best.

As for BeanStalk where are the moderators when f#cks like this make an attempt at contributing (7 efforts is enough).

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BeanStalk said...

Mark _australia said...
[br]Yeah looking at the MRI the writing is on the wall for me - looks like a hip job

Any tips on a good surgeon for that area?

Haha.....

Sorry to hear Mark. On the upside after recovery you might gain better range of movement than you have had recently with this type of injury.

Getting the surgeons who work closely with physios make a big difference.
Make sure your surgeon is a specialist like beaglebuddy suggested.

I had my shoulder done (ac joint removed, bursa removed, acromioplasty, rotator cuff done, bicep reattached) 6 months ago. Its near 100% now.
What is 100%? i can surf, windsurf, SUP all to the same level as before. In the gym its strong. Back pressing 45 keg dumbbells, shoulder pressing 35 keg dumbells. Thats good enough...

The surgeon had the physio involved from before the surgery took place, measuring and testing started a week before surgery and was the first stop on surgery day.
The physio also attended in surgery and was there with the surgeon the next day.
During rehab I met with the surgeon and physio at each appointment.
My rehab was considered complete when surgeon, physio and I were all happy.

So heres the hard part - $$$$. I had full private health. But the surgeon charged more than the list price (all quoted before hand - no surprises).
So i was out of pocket $3-4k. Without private health, probably about $6k.
But....I am very glad i spent the bucks. I have spoken with many people since my surgery who have had similar or lesser work. My outcome has been by far the best. I dont regret the dollars one bit. Ill do it again if needed.
If there is one thing in your life you don't choose on price, its surgeons.

PMed you about the best guy for the job. or he can hook you up with the best guy for the job..

Hip arthroscope surgery, I'm looking at this right now. If my degenerative arthritic changes aren't deemed too bad I may get it done for torn labrum.
What I found out is this is a relatively newer procedure compared to hip replacement. There are fewer Doctors doing it and they have done less procedures compared to replacement. An expert Dr. who has done over 4K replacements told me to be sure to find one of the experts for hip arthoscopy because it is a complicated procedure, the leg must be dislocated, a special table is used, special tools etc... not to scare you but the biggest danger is nicking or traumatizing a nerve that runs thru the area, you can end up with a drop foot, a cripple

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Beaglebuddy said...
Hip arthroscope surgery, I'm looking at this right now. If my degenerative arthritic changes aren't deemed too bad I may get it done for torn labrum.
What I found out is this is a relatively newer procedure compared to hip replacement. There are fewer Doctors doing it and they have done less procedures compared to replacement. An expert Dr. who has done over 4K replacements told me to be sure to find one of the experts for hip arthoscopy because it is a complicated procedure, the leg must be dislocated, a special table is used, special tools etc... not to scare you but the biggest danger is nicking or traumatizing a nerve that runs thru the area, you can end up with a drop foot, a cripple

Ask the hard questions of the doctor about the cons as well as the pros Mark...

A guy I know had a hip op about six weeks ago where the "ball" was shaved and resurfaced with a pinned new surface. Everything was going well - walking and back at work in his office job - until a week and half ago when his wife heard an almighty scream of pain from him.

He had gotten up from a chair and pivoted on the hip that had been opped on. The result was a trip in an ambulance after a good dose of the peth whistle and another op to put a bigger pin etc in. The pin had broken away (I was cringing too much when his wife was telling me all this to get technical) which can happen in about 2% of cases.

Having said that I also know guys who have had similar ops and have had no issues at all....

Good luck mate.

Hi Folks,

I'm curious about this because I'm struggling to understand how hips get damaged. Are these replacements necessary because of injury, or because of wear and tear. If injury-how do you injure your hip; if wear and tear-what is is it that wears the hip joint?

Cheers, Jens

[img/photos/windsurfing/8418536.jpg






Hi Mark
After suffering osteoarthritis for some years, I had a hip replacement with a S&N birmingham hip resurfacing (www.smith-nephew.com/professional/products/all-products/bhr-birmingham-hip-resurfacing/). It didn't work out (see photos of a fat and metal accumulation that was removed). After 2 years I had a Stryker titanium hip implant with ceramic implants inserted. That was five years ago and its really good. I don't think about my hip at all.
All orthopedic surgeons want to operate. I saw a physician to get a second opinion and met a number of surgeons before I had the operations. Good luck.

I'm pretty sure I just vomited in my mouth.

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Jens said...
Hi Folks,

I'm curious about this because I'm struggling to understand how hips get damaged. Are these replacements necessary because of injury, or because of wear and tear. If injury-how do you injure your hip; if wear and tear-what is is it that wears the hip joint?

Cheers, Jens

Both, injury due to over rotation or bending too far, or impacts - same as any joint. Wears out eventually and some people wear out faster.

In my case part of the problem is a bump on the femoral neck (where the ball meets femur) so if I move it all the way it mashes the cartilage rim (on the socket part) slightly. I always was built that way so was never going to be an olympian :(


Anyway good news is surgery is off for now, see how injections go........

A hip replacement operation is a very violent procedure.

But what's the alternative ?

.... getting around in a wheelchair I suppose.

lol.

Not sure how reputable he is, but I'm sure Dr Lotofwind will take a look at it for you, Mark.

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Mark _australia said...

Both, injury due to over rotation or bending too far, or impacts - same as any joint. Wears out eventually and some people wear out faster.

In my case part of the problem is a bump on the femoral neck (where the ball meets femur) so if I move it all the way it mashes the cartilage rim (on the socket part) slightly. I always was built that way so was never going to be an olympian :(


Anyway good news is surgery is off for now, see how injections go........

That makes sense Mark. Thanks for that explanation. Hope it all goes well for you.

Cheers, Jens

Sounds like Mark has some form of FAI, www.hipfai.com/
In my case there is no impingement so the torn labrum is a mystery, the degenerative changes to the joint are osteoarthritis, we will all end up with this to some degree.

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patsken said...

Beaglebuddy said...
Hip arthroscope surgery, I'm looking at this right now. If my degenerative arthritic changes aren't deemed too bad I may get it done for torn labrum.
What I found out is this is a relatively newer procedure compared to hip replacement. There are fewer Doctors doing it and they have done less procedures compared to replacement. An expert Dr. who has done over 4K replacements told me to be sure to find one of the experts for hip arthoscopy because it is a complicated procedure, the leg must be dislocated, a special table is used, special tools etc... not to scare you but the biggest danger is nicking or traumatizing a nerve that runs thru the area, you can end up with a drop foot, a cripple

Ask the hard questions of the doctor about the cons as well as the pros Mark...

A guy I know had a hip op about six weeks ago where the "ball" was shaved and resurfaced with a pinned new surface. Everything was going well - walking and back at work in his office job - until a week and half ago when his wife heard an almighty scream of pain from him.

He had gotten up from a chair and pivoted on the hip that had been opped on. The result was a trip in an ambulance after a good dose of the peth whistle and another op to put a bigger pin etc in. The pin had broken away (I was cringing too much when his wife was telling me all this to get technical) which can happen in about 2% of cases.

Having said that I also know guys who have had similar ops and have had no issues at all....

Good luck mate.

Cripes Mark I bet your wishing you hadn't asked!

^^ actually when I read that, I was!
I was reassured a ball resurface is basic and fast recovery....

Just back from seeing the Ortho on Honolulu, he told me that a study has shown in patients over 45 years old, (I'm 50), and confirmed by his own patients experiences, is that the hip arthroscope procedure results in about 50% of patients having positive results, 25% have neither negative or positive, i.e. condition and pain level stays the same and 25% reporting negative results and usually moving straight into hip replacement.
The surgery itself actually has a longer recovery time compared to hip replacement, perhaps 4 months and lots of PT is required after.
I'm looking to have this done after our summer and fall, perhaps November, possibly coordinating it with a shoulder procedure.
Sorry this happened to you and the best of luck Mark.

Decided to have one more cortisone injection into my hip today. Had three already the first one was great for two years, each one has less effect, will post the result.
I am not walking in for an op, wheeled in on a stretcher maybe! Great thread Mark, of real interest to many of us, the quality of the replies is worthy of a medical symposium....As we all get older, maybe a special medical column should be started for the geriatrics.!!

The relief from an injection into the joint under x ray (fluoroscope) lasted a few weeks for me, hopefully indicating the pain is coming from the torn labrum not the osteoarthritis degenerated cartilage in the joint.

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Mark _australia said..

^^ actually when I read that, I was!
I was reassured a ball resurface is basic and fast recovery....

I can't believe you even asked about operations! A bit of epoxy and some filler, and you should be good to go. Maybe mix some graphite up with that to make it move a bit easier, but otherwise, an easy DIY repair. Unless you are made of polyester, which is going to be more difficult.

You could even reinforce your hip with a bit of carbon, but be careful of sudden impacts.

Couldn't be worse than the 4 corners episode on dodgy replacement hip joints

Hi there went through similar dilemma a few years ago deciding wether a resurfacing or full replacement would be better, after a lot of research and advice from a few different surgeons I had a full replacement and went with doctor Anderson who works out of Murdoch, I was 47 at the time. I am happy with the results I have given up running and taken up cycling for fitness Still sailing no problems. If I can give you any more info let me know
Cheers