Day Acheson

Bi-lat  THRs  Corin Minihip Dr. Snyder 2010/2011

Day's Personal Story and Blog

March 9, 2011

In my case, my femoral head was quite deteriorated and the resurfacing cap would not adhere so Dr. Snyder installed the minihip. I have seen the details of this prothesis and I am very satisfied.

I am six months post-op and my recovery was quick and my new hip feels seamless. The femoral neck is cut just below the femoral head so this is a bone conserving method as compared to a full THR although not as much as a resurfacing.

There is a metal cup, bone growth, with a large diameter ball and a small stem that seats into the femoral neck and a small part of the shaft with bone growth.

 I understand this is a new device. I found a report of one installed in Johnny Bench, of the Cinncinnatti Reds baseball fame early last year and he is acting as a spokesperson for this device.

May 30, 2011

Prior to this I had thought that hip replacement was to be avoided for as long as possible. I had not thought that a solution of renewed hip joints without any restriction to range of motion of activity existed. I now know better. I also now know what most of you know, that hip resurfacing needs to be done sooner than later.

Although hip resurfacing was my choice, my first surgery (09-2010) found my femoral head was too necrotic to accept the Cormet cap and Dr. Snyder’s backup plan of the new Styker/Corin minihip was used (FDA approved early 2010). Although little track record yet exists, my research into this design showed me it is based on proven ideas and promised me a solution comparable to resurfacing. I still feel that resurfacing is a better choice regarding bone conserving -- the minihip is a total hip replacement with a small stem inserted into the femor, yet it is much more bone conserving than a traditional total hip. Further, as I research these short stem minihip designs, I find they are designed to get their strength from the “medial curve of the calcar (femoral profile)” and they therefore have less risk of revision than other traditional designs and may prove longer lasting than resurfacing. They are also bone growth at both ends, cup and stem, so no cement is involved, plus being a large-ball device there is no dislocation risk. There are large ball THR designs of two types it seems in vogue today, either metal or poly. The wear of this new cross-linked poly in my minihip is much improved based on testing and the metal ion issue is absent yet only time will tell which is better. I look forward to a peek at the future statistics of wear and durability, and likely I will be one of those numbers!

My research on this minihip has mostly shown me how new this is. Because of this I have included my expereinces for all to read on a personal website as others may be looking for a solution to their hip problems and this minihip may be it. I have loved what it has done for me. I particularly love the ease of the rehab. I now have two as April 2011 and the recovery from the second was blazingly fast compared to the first. In my case, I feel this is due the direct anterior approach that cuts no muscles and gives me confidence in my mind that stretch and exercise will do no harm. My post-op precautions were “weight-bearing as tolerated” with no restriction to range or motion or activity from day 1. This surprised several of the PTs that have served me so it is clear that in some circles this is unusual. I can now report that both of my rehabs were easy and fabulously successful. I loved the skill that Dr. Snyder presented to me in both cases. I loved the care at the Newton-Wellesley Hospital both times.

If you are interested in more details, including x-rays, recovery milestones, etc. please check out my site at www.dayacheson.info and click on the minihip page uptop. This story has been a significant one for me and I love how it turned out so I put up the details for others to see along with some of my decisions along the way to get me through. Perhaps it will be of help to others in similar situations.

I am forever grateful to those on this site that shared all of their experiences and support. This is a fabulous resource and I wish it a long life. I am still watching my recovery and I am still rehabilitating my muscles to rid myself of twenty years of stuck-state protective habits and memory. It is a complete joy to be out and about again and active with my sports and family. For me and for all of you hippies out there, I say “Yahoo!”. Time for me to sign off now and get in some exercising before the kids wake up

I may have worn out my hips with a life of climbing, however, I have many climbing friends that are still going. Well, whatever the cause, my hips wore out and my climbing suffered to the point that I walked on stilts (that's what it felt like) as I approached the cliffs, and I climbed one pitch and I was done for a couple of days. Even so I still loved it! Climbing has been my life joy.

My research on this minihip has mostly shown me how new this is. Because of this I have included my experiences for all to read on a personal website as others may be looking for a solution to their hip problems and this minihip may be it. I have loved what it has done for me. I particularly love the ease of the rehab. I now have two as of April 2011 and the recovery from the second was blazingly fast compared to the first. In my case, I feel this is due to the direct anterior approach that cuts no muscles and gives me confidence in my mind that stretch and exercise will do no harm. My post-op precautions were “weight-bearing as tolerated” with no restriction to range or motion or activity from day 1. This surprised several of the PTs that have served me so it is clear that in some circles this is unusual. I can now report that both of my rehabs were easy and fabulously successful.

I was back at the climbing wall in week 5 for my first hip and out at the cliffs again feeling great by week 12. For my second surgery I was actually playing carefully at the indoor wall after seven days (!) then outdoors on the cliff at day 25 (!). I was climbing easy things and carefully as my muscles were clearly still weak, especially the hip flexion for high stepping. With caution I felt safe and I could see fast improvement every day.
 

August 25, 2012 -- Shawangunks Cliffs, New Paltz, NY

I am 18 months post-op on this right hip, ... everything feels good, I continue with the weight shift, I commit to it, I begin the muscle contraction, I begin to stand, I watch and feel it all in action, it begins slowly, the muscles are strong and the movement begins, it feels smooth, very slow, ... will it make it?,

Indeed, this is the most and biggest I have yet asked of this new hip and it remains completely seamless, all feelings are completely natural, is there really an artificial hip in here? I have no indication that this is the case, yet I know it to be so, and I feel huge satisfaction and gracious compassion for what my body has managed to survive. I am back to climbing at high levels again, back to my skill level of 15 to 20 years ago, and even more so as I do more...