Best prosthetic material and Parkinson’s considerations

Hi, I’m Charlie, new to the group and anticipating a hip replacement next month.

I imagine this has been much discussed but is there a best material for the femoral head if you intend to run post surgery?  My doctor uses oxinium which seems to be metal with a surface that is like ceramic. Any experience with this material? My brother-in-law is an orthopedic surgeon and feels that ceramic is preferred.

Second, I’ve recently been diagnosed with Parkinson’s. Any idea whether that has implications relative to the hip replacement surgery. My doctor recommended to not put off the surgery since the Parkinsons will bring muscle weakness over time which will make recovery more difficult. Also he thought there might be increased risk of dislocation over time, probably also due to muscle weakness.

Any thoughts on these two questions would be much appreciated!

….Charlie

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    • #19852
      cfmuse
      Participant

      Hi, I’m Charlie, new to the group and anticipating a hip replacement next month. I imagine this has been much discussed but is there a best material f
      [See the full post at: Best prosthetic material and Parkinson’s considerations]

    • #19856
      Petemeads
      Participant

      Hi Charlie, welcome!

      I have a Zimmer ceramic/ceramic THR, supposedly the Rolls-Royce of hip replacements, and I am confident that it will outlast me (I’m 70). I also have a metal/metal resurfacing and I get checked for chromium and cobalt levels every 3 years because metal bearings do wear. From the Smith and Nephew website, the oxinium coating with cross-linked polyethylene would be expected to both remove the risk of metal poisoning and the risk of ceramic shattering so I would vengure to suggest that your surgeon is probably right on the money.
      Not sure how the oxinium bearing is sized but the ball/socket combination ought to be bigger than a ceramic equivalent as the socket could be thinner, allowing a bigger ball and making dislocation less likely – and it’s not likely anyway.
      Sorry to hear about your Parkinson’s, I don’t think either a ceramic or oxinium device will affect it.

      Good Luck,
      Pete

    • #19857
      Coddfish
      Participant

      Hi Charlie

      I am 4 weeks on from THR of my right hip. I have to say I didn’t spend time researching hip implants, but I did spend time researching surgeons. I took into account 3 things. One was the recommendation from my physiotherapist, knowing he had had patients have good outcomes with this particular surgeon. The second was looking at the surgeon’s profile on the National joint registry – noting that he does a lot of hip replacements and also that his client profile was younger than average, fewer comorbidities than average and hence fitted a pattern of people who were likely to want to be more active after surgery. The third was meeting him and seeing how he reacted to a discussion of my goals.

      Having done this, I then felt it was for him to decide the best implant and method of surgery for my needs / goals. I wasn’t going to try to influence the choice of implant A versus implant B, as I don’t have any actual experience to go on. I did however engage in a conversation about cement. I didn’t want to be cemented, but was well aware it was normal to cement post menopausal women. The result was he looked at the health of my bones and muscles during surgery and decided not to cement me.

    • #19859
      AKrunner907
      Participant

      Hey Charlie, Best of luck on the hip replacement firstly. Are you getting anterior or posterior surgery? I had my left hip replaced last February, it was an anterior surgery with titanium post, ceramic ball and polyurethane socket. Healing was rough the first couple of weeks but the healing process speeds up super fast! I had 3 months of physical therapy focused on returning to competitive running next year, I’m an ultra runner. Since returning to running in May (13th) I’ve logged 800 miles of running and the hip feels amazing! I’ve been gradually building up my distance and speed having ran multiple trail runs at 20 miles now and have mile splits in the 6:30’s. I plan on returning to races next year with ultras ranging from 50k to 100 miles. I’m 57 years old and my running has never been stronger. The first month is going to be hard, take your time, be patient and don’t let all the little bumps get you down, you’re going to be fine and better than before! Best of luck on your new hip and recovery!
      Chris

    • #19872
      cfmuse
      Participant

      Thanks for the input everyone!

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