• Welcome to the Chronicle Forums.
    Please complete your profile. The forums and the rest of www.chronofhorse.com has single sign-in, so your log in information for one will automatically work for the other. Disclaimer: The opinions expressed here are the views of the individual and do not necessarily reflect the views and opinions of The Chronicle of the Horse.

Announcement

Collapse

Forum rules and no-advertising policy

As a participant on this forum, it is your responsibility to know and follow our rules. Please read this message in its entirety.

Board Rules

1. You’re responsible for what you say.
As outlined in Section 230 of the Communications Decency Act, The Chronicle of the Horse and its affiliates, as well Jelsoft Enterprises Ltd., the developers of vBulletin, are not legally responsible for statements made in the forums.

This is a public forum viewed by a wide spectrum of people, so please be mindful of what you say and who might be reading it—details of personal disputes are likely better handled privately. While posters are legally responsible for their statements, the moderators may in their discretion remove or edit posts that violate these rules. Users have the ability to modify or delete their own messages after posting, but administrators generally will not delete posts, threads or accounts upon request.

Outright inflammatory, vulgar, harassing, malicious or otherwise inappropriate statements and criminal charges unsubstantiated by a reputable news source or legal documentation will not be tolerated and will be dealt with at the discretion of the moderators.

2. Conversations in horse-related forums should be horse-related.
The forums are a wonderful source of information and support for members of the horse community. While it’s understandably tempting to share information or search for input on other topics upon which members might have a similar level of knowledge, members must maintain the focus on horses.

3. Keep conversations productive, on topic and civil.
Discussion and disagreement are inevitable and encouraged; personal insults, diatribes and sniping comments are unproductive and unacceptable. Whether a subject is light-hearted or serious, keep posts focused on the current topic and of general interest to other participants of that thread. Utilize the private message feature or personal email where appropriate to address side topics or personal issues not related to the topic at large.

4. No advertising in the discussion forums.
Posts in the discussion forums directly or indirectly advertising horses, jobs, items or services for sale or wanted will be removed at the discretion of the moderators. Use of the private messaging feature or email addresses obtained through users’ profiles for unsolicited advertising is not permitted.

Company representatives may participate in discussions and answer questions about their products or services, or suggest their products on recent threads if they fulfill the criteria of a query. False "testimonials" provided by company affiliates posing as general consumers are not appropriate, and self-promotion of sales, ad campaigns, etc. through the discussion forums is not allowed.

Paid advertising is available on our classifieds site and through the purchase of banner ads. The tightly monitored Giveaways forum permits free listings of genuinely free horses and items available or wanted (on a limited basis). Items offered for trade are not allowed.

Advertising Policy Specifics
When in doubt of whether something you want to post constitutes advertising, please contact a moderator privately in advance for further clarification. Refer to the following points for general guidelines:

Horses – Only general discussion about the buying, leasing, selling and pricing of horses is permitted. If the post contains, or links to, the type of specific information typically found in a sales or wanted ad, and it’s related to a horse for sale, regardless of who’s selling it, it doesn’t belong in the discussion forums.

Stallions – Board members may ask for suggestions on breeding stallion recommendations. Stallion owners may reply to such queries by suggesting their own stallions, only if their horse fits the specific criteria of the original poster. Excessive promotion of a stallion by its owner or related parties is not permitted and will be addressed at the discretion of the moderators.

Services – Members may use the forums to ask for general recommendations of trainers, barns, shippers, farriers, etc., and other members may answer those requests by suggesting themselves or their company, if their services fulfill the specific criteria of the original post. Members may not solicit other members for business if it is not in response to a direct, genuine query.

Products – While members may ask for general opinions and suggestions on equipment, trailers, trucks, etc., they may not list the specific attributes for which they are in the market, as such posts serve as wanted ads.

Event Announcements – Members may post one notification of an upcoming event that may be of interest to fellow members, if the original poster does not benefit financially from the event. Such threads may not be “bumped” excessively. Premium members may post their own notices in the Event Announcements forum.

Charities/Rescues – Announcements for charitable or fundraising events can only be made for 501(c)(3) tax-exempt organizations. Special exceptions may be made, at the moderators’ discretion and direction, for board-related events or fundraising activities in extraordinary circumstances.

Occasional posts regarding horses available for adoption through IRS-registered horse rescue or placement programs are permitted in the appropriate forums, but these threads may be limited at the discretion of the moderators. Individuals may not advertise or make announcements for horses in need of rescue, placement or adoption unless the horse is available through a recognized rescue or placement agency or government-run entity or the thread fits the criteria for and is located in the Giveaways forum.

5. Do not post copyrighted photographs unless you have purchased that photo and have permission to do so.

6. Respect other members.
As members are often passionate about their beliefs and intentions can easily be misinterpreted in this type of environment, try to explore or resolve the inevitable disagreements that arise in the course of threads calmly and rationally.

If you see a post that you feel violates the rules of the board, please click the “alert” button (exclamation point inside of a triangle) in the bottom left corner of the post, which will alert ONLY the moderators to the post in question. They will then take whatever action, or no action, as deemed appropriate for the situation at their discretion. Do not air grievances regarding other posters or the moderators in the discussion forums.

Please be advised that adding another user to your “Ignore” list via your User Control Panel can be a useful tactic, which blocks posts and private messages by members whose commentary you’d rather avoid reading.

7. We have the right to reproduce statements made in the forums.
The Chronicle of the Horse may copy, quote, link to or otherwise reproduce posts, or portions of posts, in print or online for advertising or editorial purposes, if attributed to their original authors, and by posting in this forum, you hereby grant to The Chronicle of the Horse a perpetual, non-exclusive license under copyright and other rights, to do so.

8. We reserve the right to enforce and amend the rules.
The moderators may delete, edit, move or close any post or thread at any time, or refrain from doing any of the foregoing, in their discretion, and may suspend or revoke a user’s membership privileges at any time to maintain adherence to the rules and the general spirit of the forum. These rules may be amended at any time to address the current needs of the board.

Please see our full Terms of Service and Privacy Policy for more information.

Thanks for being a part of the COTH forums!

(Revised 1/26/16)
See more
See less

Hip Replacement

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • #41
    Originally posted by Kyzteke View Post
    Thanks Star! I am investigating various options for THP and hip resurfacing, both here in the States and abroad.
    First quote I've gotten in $48K here in the States (N.CA) and $11K in India (includes transport to India).
    Funny, they used the anterior approach overseas for year and years,but now use something different (posterior?).
    I guess it should be a new thread, but anyone ever look into having medical procedures done overseas because of the cost factor?
    Any news here? Overseas resurf? I'm likely to head to Birmingham for some bionic upgrades. I'm hoping that my insurance will help me out but don't know where to start.

    Originally posted by MrSmith View Post
    I had the surgery in 2008, and after half a year I was fully mobile, but not pain free. Then in 2010 I had revision surgery, because my implant has failed and was the cause of my pain. But that's another story, and hopefully the implants on the market today are a lot safer. All in all I'm glad that I opted for this surgery and now I'm pain free and more mobile then ever.
    It took me about a year to gather the confidence to get back into the saddle.
    Have a fast recovery and keep us posted about your progress.
    Sorry you had trouble. It would be good to hear the rest of the story, I'm going to see a doc in DC on Monday...

    I clicked on that legal website, its good to see both sides of the coin. Quickly saw some misleading stats, though.

    for some reason i feel the need to netflix a jimmy stewart movie

    Comment


    • #42
      Originally posted by CSU92 View Post
      Any news here? Overseas resurf? I'm likely to head to Birmingham for some bionic upgrades. I'm hoping that my insurance will help me out but don't know where to start.
      Yes, actually. My friend at DePuy was promoted to International Educator for her company, so she's been doing some research for me (god, I LOVE selling horses -- you meet the coolest people!)...she said India is a BIG no-no, but recommended Canada!

      I don't know why I didn't think of that in the first place (I'm only 90 miles from the Canada border) - but because of the less than ideal health care system there, the docs are all about cash payments.

      She seemed to think I could get a hip done by a top doc WITH hospital costs for under $10K USD...she actually quoted prices like $4-6K USD, but I can't believe it's that cheap.

      I can't get mine done till breeding season is over, and, since my knee is also bad, I'm mulling over the idea of getting both done at the same time.

      If you want, I will keep you posted for those who may not have great insurance.

      BTW, she is able to recommend docs who are proficient in the anterior approach, since she is one of the educators.

      Comment


      • #43
        Good prices in canada, eh? It seems like the implant would cost $5-10K, alone. Maybe your Depuy friend could get you a "demo" or "free sample".

        I'm surprised to read that people don't know which implant they are hosting. I expect to need about 40 years out a new hip so I'm in research overload, looking at multiple options/devices/surgeons.

        I have great insurance but the device i want isn't FDA approved, so off to England i shall go. It looks like i can get a Rolls Royce hip installed by Dr. Royce himself for the price of a Toyota Camry.

        Comment


        • #44
          Originally posted by CSU92 View Post
          Good prices in canada, eh? It seems like the implant would cost $5-10K, alone. Maybe your Depuy friend could get you a "demo" or "free sample".
          Implant is only $750 (and we wonder why health care costs in AMerica are so high...)

          I asked about a "free sample" and she said DePuy DID use to do this, but the government shut down the program...calling it "advertising" or some such nonsense.

          Believe it or not, the typical doctor is only reimbursed by insurance to the tune of $750-$1800 for the surgery.

          The other costs are anesthesia and hospital costs. If you go to a country where hospital costs are regulated, you won't find these huge mark-ups. That's why "medical tourism" is booming.

          My friend has worked with this doc: http://www.uwoortho.ca/bio_macdonald.html
          and recommends him highly. And he uses the anterior approach (he's done 1000's). He used to practice in America, although he is Canadian by birth.

          She is going to contact him and see what we can do...

          I sure hope we can do something soon, 'cause between the knee & the hip, I'm in real agony...

          Comment


          • #45
            Originally posted by CSU92 View Post
            Good prices in canada, eh? It seems like the implant would cost $5-10K, alone. Maybe your Depuy friend could get you a "demo" or "free sample".

            I'm surprised to read that people don't know which implant they are hosting. I expect to need about 40 years out a new hip so I'm in research overload, looking at multiple options/devices/surgeons.

            I have great insurance but the device i want isn't FDA approved, so off to England i shall go. It looks like i can get a Rolls Royce hip installed by Dr. Royce himself for the price of a Toyota Camry.
            Maybe try Canada; they don't have an FDA AND they have close ties with England. Besides, your doc is really the one who should decide on which prosthesis is used...just because it's the one you want, maybe not be the right one for you.

            Comment


            • #46
              Originally posted by Kyzteke View Post
              Maybe try Canada; they don't have an FDA AND they have close ties with England. Besides, your doc is really the one who should decide on which prosthesis is used...just because it's the one you want, maybe not be the right one for you.
              My impression of the situation is that the doctors get trained with a handful of devices, usually by the manufacturer's reps. They then get experienced and comfortable with those devices and don't have access to others.

              If you want a specific device or approach, you have to select from those docs offering that device or approach.

              Comment


              • #47
                Originally posted by CSU92 View Post
                My impression of the situation is that the doctors get trained with a handful of devices, usually by the manufacturer's reps. They then get experienced and comfortable with those devices and don't have access to others.

                If you want a specific device or approach, you have to select from those docs offering that device or approach.
                Up to a point that is true. However when I had my first hip done, my doc selected a device that was one of 3-5 he normally used.

                Personally, I would go with a device that is well proven (as in 1000's of cases) as opposed to one that has just been used afew 100 times by one doc and has not passed the test of time...

                I know there was a question with one of the DePuy prothesis' some years ago, but mine has been GREAT since 2001, so I'm very content with my 1st doc's choice.

                And again I have to say, that it really isn't up to you to select the device...it might not be appropriate for you. Curious -- why are you so committed to this one, particular device?
                Last edited by Kyzteke; Feb. 14, 2012, 11:59 AM.

                Comment


                • #48
                  Good question. I'm trying to conserve as much of my femur as possible in case I need it down the line for a revision. I'm 45 and i expect to live to about 90.

                  I saw another surgeon yesterday who said i can expect 10-20 years out of a THR. This was without asking what i do for fun So thats a possibility of a couple revisions. I don't want to run out of options when i'm older.


                  Hip resurfacing would be a great solution for me as i could get it done in the USA. Sadly, I'm not a candidate. The doc that developed the most successful resurfacing device (the Birmingham Hip) is in, you guessed it, England. He has also developed a closely related device that spares almost as much of the femur as a resurf device. Its called a Mid Head Resection and isn't FDA approved yet.

                  http://www.mcminncentre.co.uk/birmin...resection.html

                  The BMHR has data from 7 yrs ago so maybe it might get approved here in 3 years?

                  I bet your industry friend has some interesting private data about devices and docs

                  Comment


                  • #49
                    Originally posted by CSU92 View Post
                    Good question. I'm trying to conserve as much of my femur as possible in case I need it down the line for a revision. I'm 45 and i expect to live to about 90.

                    I saw another surgeon yesterday who said i can expect 10-20 years out of a THR. This was without asking what i do for fun So thats a possibility of a couple revisions. I don't want to run out of options when i'm older.


                    Hip resurfacing would be a great solution for me as i could get it done in the USA. Sadly, I'm not a candidate. The doc that developed the most successful resurfacing device (the Birmingham Hip) is in, you guessed it, England. He has also developed a closely related device that spares almost as much of the femur as a resurf device. Its called a Mid Head Resection and isn't FDA approved yet.

                    http://www.mcminncentre.co.uk/birmin...resection.html

                    The BMHR has data from 7 yrs ago so maybe it might get approved here in 3 years?

                    I bet your industry friend has some interesting private data about devices and docs
                    Well, I feel for you, but I own the t-shirt. I had my R hip done when I was 49, and I was about 3yrs overdue.

                    At the time, 'cemented' surgery was the norm, so you could get up and walk sooner. But after interviewing 3 docs, I went with the one who recommended a NON-cemented procedure (which wasn't that common at the time). It meant a longer recovery time, because I had to observe all these phyiscal restrictions; I was not 100% weight bearing for TEN WEEKS.

                    The prosthesis the doc recommended was also relatively new, but he felt it had proven itself in the lab. As an RN, I had faith in my doc, because he had a great rep, and it proved to be true. It's been over 10 yrs now, and I have zero complaints!

                    Has this doc in England seen your rads, so you know for sure you are suitable? And you might investigate"medical tourism" -- I saw England listed on many of the plans.

                    Now, if you've told this doc you are a rich American, he might be charging you more , but then I've been quoted charges of $28-48K for the whole she-band here in the States.

                    Comment


                    • #50
                      Good to hear yours is good at 10 years. The ten weeks on crutches must have been a drag.

                      I have sent my rads and mri to England and got the thumbs up. This was after sending them to the top resurf docs here, who all said "McMinn".

                      The cost including airfare is about $25-30K

                      The price list is in these FAQ

                      http://www.mcminncentre.co.uk/faq.html

                      He does knees too

                      If i go i plan to look at some horses etc so I can write off the airfare, at least

                      Comment


                      • #51
                        Originally posted by CSU92 View Post
                        Good to hear yours is good at 10 years. The ten weeks on crutches must have been a drag.

                        I have sent my rads and mri to England and got the thumbs up. This was after sending them to the top resurf docs here, who all said "McMinn".

                        The cost including airfare is about $25-30K

                        The price list is in these FAQ

                        http://www.mcminncentre.co.uk/faq.html

                        He does knees too

                        If i go i plan to look at some horses etc so I can write off the airfare, at least
                        WOW, looking at his FAQ's it says 4-6 months efore returning to golf. Mr P was back playing golf at 6 WEEKS
                        I wasn't always a Smurf
                        Penmerryl's Sophie RIDSH
                        "I ain't as good as I once was but I'm as good once as I ever was"
                        The ignore list is my friend. It takes 2 to argue.

                        Comment


                        • #52
                          Health Insurance denial ...

                          As a point of info ... Blue Cross of NC will decline to cover you if you have a hip or knee replacement.

                          Any other insurance companies do the same ???
                          Equus makus brokus but happy

                          Comment


                          • #53
                            Originally posted by hosspuller View Post
                            As a point of info ... Blue Cross of NC will decline to cover you if you have a hip or knee replacement.

                            Any other insurance companies do the same ???
                            Well, yet another example of health care in America. Soon that will be illegal (fingers crossed).

                            Since I currently have no insurance I can't speak for others, but I DID have insurance several times after I had had my hip done and there was never an issue.

                            But then, I wasn't ready for the 2nd hip during those times, so it's possible they might have fought it if I'd tried.

                            Comment


                            • #54
                              Originally posted by CSU92 View Post
                              Good to hear yours is good at 10 years. The ten weeks on crutches must have been a drag.
                              I should have been so lucky! I was in a wheel chair when I went back to work (I had already taken 6 wks off), because I couldn't stand long.

                              I was working as a floor nurse in a nursing home, and many of my patients were also in wheel chairs, so it was pretty funny to watch me trying to chasing them down to give them their meds!!

                              No, I am very happy with the prosthesis I have and once I find the right doc I will trust their recommendations.

                              In my case, I am more concerned with #1) affordability and #2) finding a doc experienced in the anterior approach, as it's very important that I shorten recovery time this round.

                              But I would love to go to England...

                              Comment


                              • #55
                                The nerves need time to regenerate and in that I agree with. But I think you should take a second opinion.
                                Resurfacing of hip Michigan

                                Comment


                                • #56
                                  Thanks to all who posted info! I am in need of replacement due to necrotic top resulting from femoral neck fracture in October of 2005. My limp is getting worse but I am still able to ride so I keep putting off surgery. My biggest concern is amount of time out of the saddle. Six weeks I can do but not much longer! I was nonweight bearing for ten weeks with the fracture and not back riding for a total of fourteen weeks. So thats what is holding me back from surgery! What is the biggest rehab challenge you faced?

                                  Comment


                                  • #57
                                    Physical therapy was the biggest obstacle for me, I hated it!
                                    I was back riding after six weeks, but it was painful. I waited twelve weeks to really ride again.
                                    It's been almost two years and I feel great. I'm able to do anything I want, without the horrible pain I use to feel.
                                    The surgery was so worth it............

                                    Comment


                                    • #58
                                      I had minimally invasive surgery and still had to wait 4 months. Just do it during the worse time of the year, like winter.
                                      ********
                                      There is no snooze button on a cat that wants breakfast.

                                      Comment


                                      • #59
                                        Originally posted by Steepleview View Post
                                        Thanks to all who posted info! I am in need of replacement due to necrotic top resulting from femoral neck fracture in October of 2005. My limp is getting worse but I am still able to ride so I keep putting off surgery. My biggest concern is amount of time out of the saddle. Six weeks I can do but not much longer! I was nonweight bearing for ten weeks with the fracture and not back riding for a total of fourteen weeks. So thats what is holding me back from surgery! What is the biggest rehab challenge you faced?
                                        FWIW when Mr P had his THR he was told that the longer he put it off the harder the rehab because the body tries to protect the hip and avoid as much pain as possible. He's a golfer, not a rider and IIRC he was playing golf at 6 weeks.

                                        Have the surgery a few days before Thanksgiving and you can avoid all the extra work of the holiday prep
                                        I wasn't always a Smurf
                                        Penmerryl's Sophie RIDSH
                                        "I ain't as good as I once was but I'm as good once as I ever was"
                                        The ignore list is my friend. It takes 2 to argue.

                                        Comment


                                        • #60
                                          Thank you for all of the feedback! I appreciate it. I am hoping to put it off until next fall (i.e., October 2013) if possible. Your point about not waiting too long is a good one, though, carolprudm.

                                          Comment

                                          Working...
                                          X