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Jumat, 11 Januari 2008

[surfacehippy] Re: Reply from Dr. Smith regarding cementless

Yes, very positive news on cementless. I really appreciate
him taking the time to respond.
How is your recovery coming? Another month is my turn - can't

--- In, "mereminne" <mereminne@...>
> Wow Bonnie, thanks for posting that - it's great to hear that they
can actually look inside
> the cap and see the bone growth. I did not realize that would be
possible and it's very
> encouraging. I wonder what the 2 ladies did that was inappropriate
activity level?
> Lacy (45)
> Gross R Biomet uncemented 1/2/08
> --- In, "Bonnie" <pbtorre@> wrote:
> >
> > Received a reply from Dr. Smith today.
> > Best,
> > Bonnie
> >
> > "Thank you for your inquiry.
> > In answer to your questions:
> > to date I have had no failures due to cementless heads. Two
> > have cracked their femoral necks after inappropriate activity
> > within 2-3 weeks of the operation. Out of 230 resurfacing hips
> > that is a low percentage. Both were salvaged with stems and heads
> > same size as the resurfacing so they are very stable.
> > Our CT program enables us to look inside the metal cap andwe can
> > excellent bone response to theHA coating inside the head. Bone
> > is not an issue.
> > Most weight bear as tolerated immediately post op. Exceptions are
> > those with cysts in the head that require grafting. Cementless
> > grafting, cement kills graft.
> > vast majority of patients resume normal activities by a year.
> > I do require a bone density study if there is any question of
> > osteopaenia before deciding that this is an appropriate procedure.
> > I hope that answers your questions.
> > Frank C Smith MB,ChB, FRCSC"
> >

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