Published: 03 October 2013
Last Updated: 03 October 2013
Created: 03 October 2013
John W's Hip Resurfacing Revision Story 2009
Hip Resurfacing Story
December 11, 2009
I'm 1 week post op and my doc does not want me to walk too much. He is
focused more on range of motion issues so I'm doing a lot of stretching (easy
stretching not like hard yoga or anything). On the other hand, if I had one, I
could have been on a stationary bike the minute I got home from the hospital. I
could get around much easier on 1 crutch or with a cane at this point but the
doc insists on 2 crutches for at least 3 weeks.
Stairs are not an issue for me because I was doing them the same way pre-op.
I'm 10 days post op (Dr. Boettner at HSS). Have to agree that HSS is amazing
December 22, 2009
I actually waited for a year and a half before getting my resurfacing. The
first two Docs I saw when I started to have aggravated hip pain wanted me in
surgery the next day for a THR. I found this web site and then called Hospital
for Special Surgery in NYC. I was trying to get Dr. Su but he wasn't on my plan
and they referred me to Dr. Boettner. After an examination by Dr. B, his first
question was, "Why are you in such a hurry to get your hip replaced ?" He took a
conservative medical approach and we monitored my hip condition regularly. At
the end of October, this year, he stated that the window for resurfacing was
closing. 5 weeks later I had the surgery and now I'm 18 days post op. If you've
got a good doctor, trust his/her judgement. Pain is not always an accurate
indicator for when the procedure is necessary. My pain could have been
"tolerable" for quite some time but by the time it became intolerable, I would
have had no choice but THR.
May 26, 2010
I had bone on bone OA. On 12/3/09, I went in for a right BHR. Things did not
feel right afterwards. I felt like I had a softball stuck in my hip and that my
operated side leg was significantly longer than the non-surgical side. I was
told that this feeling was "normal" and that it would pass. It did not.
I was told at my 6 week follow up that due to my extreme bone density, the
acetabular cup wasn't able to be set deep enough. There was at least a 5mm
discrepancy that resulted in an uncomfortable offset and leg length discrepancy.
I was told to give it time and it might work its way in. It did not. The joint
itself became stable, however the pain and discomfort in and around the joint
was worse than it was pre-op.
At about 12-14 weeks out, I was advised that I should have the acetabular cup
revised and that there was an 80-90% probability of success. Went in on 5/21/10
and once again I drew the short stick. It was explained to my wife while I was
recovering, that they were only able to get the cup in another 2-3 mm and this
would not be enough to alleviate the problems I was having and that they were at
the point of risking nerve damage so they converted to a large head MOM total
So now I'm 4 days post-op and trying to wrap my head around this and how I can
be a victim of my own good bone health. And seeing that denial and bargaining
aren't on the table, I guess I'll be rotating through anger and depression for
quite a while before I reach acceptance. Although I had tried to prepare myself
for this potential outcome, it wasn't until after it actually happened that I
realized how totally committed I was to resurfacing and how much my future plans
were predicated on a successful outcome.
My understanding is that because the femoral component was already in place from
my first operation and needed to be preserved, this made access to the
acetabulum more difficult than a regular resurfacing. The choice of replacement
acetabular components was also limited due to having to match the size of the
existing femoral component. When the decision is made to go to THR and the
femoral head is amputated, I just have to assume that it opens up a great deal
of space (relatively) to work in and provides a wider choice in sizing of
The point of my post was not to disparage anyone but to blow off a little steam
because of my unusual situation. There are many posts on this board where people
had bones too brittle for a successful resurfacing, sometimes not discovered
until the actual surgery. We don't often consider that there could be problems
at the other extreme end of the bell curve. Outside of rboehmer's case and mine,
I had heard of no others. Pat certainly has access to way more statistical info
than I. And as she also stated (but far more eloquently) sometimes s*it just
My surgical team is highly experienced, highly successful and highly recommended
on this board, I would not hesitate to use them again.
December 3, 2010
Today is the 1 year anniversary of my short lived resurfacing. With the
benefit of 20/20 hindsight, if I had to do it over again, I would have waited
until my pain was intolerable and just gone straight to a THR. After 2 surgeries
in the last year (BHR and revision to THR-described in other posts), I am more
uncomfortable now than I was pre-op. Although I actually have a better range of
motion, I now feel every step I take, get sore after sitting or standing too
long and walk with more of a limp.
Six and a half months out from my second op and I still carry a collapsible cane
with me "just in case". I'm not "supposed" to have a leg length discrepancy but
from inside my body it sure feels like one. I can only walk comfortably with a
lift in my shoe (non-surgical side). My unnatural gait has led to back pain and
tendonitis in my heels.
And to top it off, 3 days before starting a new job, my metal hip started to
squeal. Not just squeak, but squeal like I had stepped on a cat or something.
Luckily, it settled down to squeaking like a rusty gate and was gone before my
first day at the new job.