Narrative of personal experience of hip resurfacing operation and outcome

1. Hip Resurfacing:
Extend Your Youth
by Fifteen Years
Presented by Richard Junker
Knights of Columbus, Nativity
August 15, 2011
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2. Agenda
 Medical options if you have a bad hip
 Where to get your surgery done
 How to pay for your hip surgery
 What to expect when you have hip
surgery
 Be your own physician
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3. Objectives
 Identify key care decisions through my own
experience with hip resurfacing surgery
 Contrast the Birmingham Resurfacing
Procedure to the classic Total Hip
Replacement surgery
 Provide tools for navigating the health care
system to get the surgery you need
 Provide online resources to help plan your
surgery.
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4. Comparison of Hardware:
Birmingham Hip Resurfacing Total Hip Replacement
xx
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5. Total Hip Replacement
Mechanics
x
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6. Getting Started
1. Begin to educate yourself about Hip
Resurfacing vs. Total Hip Replacement
(THR)
http://www.hipresurfacingsite.com
2. Find out if you are a candidate for
resurfacing
3. Connect with other surface hippies
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7. How do I know if I’m a
candidate
for hip resurfacing?
 Age under 60 ideally, mid-60s commonly
 Lifestyle—physically active
 Moderate alcohol, no drugs, no kidney
impairment
 Bone density
 No diabetes
 Male, though many women qualify as well
 No Avascular Necrosis (AVN), large areas of
dead bone 9

8. Choosing the Surgeon--A
 Any surgeon who has not done 100 or
more resurfacing surgeries per year is
unqualified
 Not many stateside surgeons have
done 100+ resurfacing surgeries
 Reason: The FDA approved
Birmingham Hip Resurfacing
Procedure in the United States only in
2006. Abroad, surgery has been
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9. Choosing the Surgeon--B
 Revision rate for surgeons who have
performed over 100 surgeries is half that of
surgeons who have done less than 25
(Australia study)
 Search long and hard for a qualified surgeon
in network
Use the Surface Hippy website’s list of
qualified surgeons. Call Vicky Marlow
directly at (510) 490-0245
Go abroad if you cannot obtain a qualified
doctor through your medical plan, or if
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10. How to Pay for Your
Surgery
If you have insurance--A…
Orthopedic Surgery Stateside
 First identify a qualified surgeon who is in the
insurer’s Preferred Provider Organization (PPO)
network
 Second, obtain an examination to determine
need for surgery, and your suitability for the Hip
Resurfacing Procedure
 Third, obtain authorization from your insurance
company’s Claims Department
 Fourth, confirm the coverage terms of the
insurance
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11. Surgery
If you have insurance--B…
Orthopedic Surgery Stateside
Typical coverage is a $500 annual deductible per insured,
another $500 hospitalization deductible, and 20%
coinsurance payment by the insured, subject to a $10,000
maximum annual amount ceiling.
Example:
Fees
Surgeon Fee: $10,000
Assistant Surgeon Fee: $ 2,000
Hospital, Joint and Rehab Fee $40,000
Total Cost of Surgery $52,000
Patient Costs
Annual Individual Deductible $ 500
Hospital Deductible $ 500
Coinsurance @20% of $10k less Dedbls $1,000
Total Cost to Patient 13 $ 2.000

12. Surgery
If you do NOT have insurance--A…
Orthopedic Surgery Abroad
The following is provided to you by WorldMed Assist, Medical
Tourism experts, and contains general information that may not
apply to you.
“We can give you access to high quality, low cost orthopedic
surgery in India, Belgium, Mexico and Turkey, such as knee
replacement, hip replacement, hip resurfacing, etc. We arrange
all of the logistics for your surgery outside of the US and
currently offer India, Belgium, Mexico and Turkey as
destinations. We have partnerships with the best hospitals in
these countries, including hospitals that have strategic
relationships with Johns Hopkins and Harvard Medical.
Medical Tourism for orthopedic 14 surgeries is commonly done,

13. Surgery
If you do NOT have insurance--B…
Orthopedic Surgery Abroad
The following is provided to you by WorldMed Assist, Medical
Tourism experts, and contains general information that may not
apply to you…
Procedure Cost in US Cost Abroad
Knee replacement $ 35,000 $ 7,000
Hip replacement $ 60,000 $ 7,100
Hip resurfacing $ 60,000 $ 8,500
Rotator Cuff surgery $ 35,000 $ 5,000
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14. Be Your Own Physician
 Question your GP and Orthopedist: Dr. F
 Challenge your insurer
 Know the costs, know the technology
 Take good care of yourself before you need hip
surgery
 Insist on being a dynamo into your seventies
 Life is pretty good to 65, then it’s patch, patch,
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15. Why Wait?
“ ...I was checking off my shopping list as I slowly pushed my
grocery cart, slightly leaning against it, trying so hard to hide the
limp that had now become so apparent. Suddenly I realized there
was an item I had missed. Oh NO! It was two aisles over, an aisle
that I already had walked past. I paused, leaning more against my
cart, hoping to take some of the weight and pain away from my
deteriorating left hip. I thought long and hard, do I really need that
item? Can I do without it? Was it worth walking back TWO long
painful aisles to get to that item? I decided no, it was not worth it,
even though I really wanted that item, the cost of that item now
equated to the amount of pain it would take to obtain it. The
thought of that excruciating hip pain brought tears to my eyes,
tears that I slowly and secretly wiped away...
--Vicky Marlow, Founder of Surface Hippy
Website 17

16. Why Wait?
I think we have all been blessed with
this wonderful new procedure and we
should all be very thankful and try to
help as many people as we can who
need this type of surgery, get it, and
with a good doctor.
--Karen McNulty –
Dancer
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17. Questions and Answers
Vicky Marlow
In 2007, Vicky began
receiving invitations to
international orthopedic
conferences. Vicky shares
her notes from these
conferences under Ask
Vicky, Ortho Conferences.
…. Vicky is personally in
contact with many Vicky with Mr. Derek McMinn
(Inventor of the BHR device) at
surgeons worldwide and AAOS 2008
hears directly from the 19

18. Questions and Answers
Kris C RBHR, 12/17/08 Dr Keggi
41 year old female, Original diagnosis was FAI (for which I was
surgically treated). Areas of bone on bone as demonstrated by a
DeGEMERIC MRI. Diagnosis is Degenerative Arthritis.
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19. Questions and Answers
Dan Shulte, Hip Resurfacing 2002
Coming up on 7 years since his Hip Resurfacing, "I
maintain my primary passion for surfing and cannot
blame a bad session on the hip!"
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20. Online Resources to Plan Your Hip Resurfacing
Surgery
Surface Hippy— Information Central for Hip Resurfacing
Research
http://www.hipresurfacingsite.com/
GETTING STARTED:
http://www.hipresurfacingsite.com/index.php?option=com_content&task=view&id=316&Itemid=59
Get back to your active lifestyle with the BIRMINGHAM HIP Resurfacing System…
http://www.birminghamhipresurfacing.com/
World Med Assist… The best-recognized organization for arranging Birmingham Hip
Resurfacing surgery abroad, primarily India, Belgium, Turkey, Mexico…
http://www.worldmedassist.com/
Mayo Clinic on Hip Resurfacing…
http://www.mayoclinic.com/health/hip-resurfacing/AN01550
Australian Joint Registry Study of Revision Rates…
http://www.orthosupersite.com/view.asp?rID=37423
WebMD…
webmd.com
Stryker, Manufacturer of Birmingham Hip Resurfacing Metal on Metal Joints
http://www.aboutstryker.com/hip/expectations
 20 Tips to Help You Prepare for Joint Replacement Surgery…
 Understand the Potential Risks and Complications…
 Day of Surgery--In Surgery…
 Recovery…
 Regaining Your Mobility…
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 Long-term…

21. Online Resources to Plan Your Hip Replacement
Surgery
Information Central for Total Hip Replacement Research
American Academy of Orthopedic Surgeons--Total Hip
Replacement
http://orthoinfo.aaos.org/topic.cfm?topic=A00377
Minimally Invasive Surgery THR Q & A
http://www.johnshopkinshealthalerts.com/alerts/arthritis/John
sHopkinsArthritisHealthAlert_275-1.html
Your Hip Surgery
http://www.zimmer.com/z/ctl/op/global/action/1/id/528/template/
PC/navid/10429
Complications…
http://www.hipresurfacingsite.com/Complications/Complicatio
ns/menu-id-84.html
WebMD…
webmd.com
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