This is fantastic news! I'm 51 and had my left hip replaced 5 years ago. Wear has been a concern for me because I'm a martial artist/kickboxer, runner and I do a lot of hiking. I was told at the time that the new HXPE inserts were so good that they didn't know how long they would last. But knowing that even at a high impact and activity level, it will likely last the rest of my life definitely allows me more confidence.
@danmcarthur8077 how is your range of motion, are you able to tie your shoes, can you squat down, can you bring your knees close to your chest? I'm 45 and I need my left hip replaced, I have almost no hip rangeof motion, my right hip is completely fine
@arturobarroso78 I'm 28 and I had a hip replacement on Dec 13th 2023 and as of today I can walk(with some soreness) for over a mile without much issue. Already much better than before surgery
Thank you for uploading this video. I'm 40, active in impact sports, and in need of a THA. This gives me hope that my life as I've known it isn't over.
Thank you so much Dr. Yun. I live in Japan and had hip replacement done here in 2019. Before the surgery I was told it would last 15 years. After that, sharing experiences with an American friend who had the same surgery, was surprised to hear that he was told his would last a lifetime. I was 65 in 2019 and my friend had his surgery a couple years before mine. I recently came across your video by chance, after which I started to look into the reason why my friend was told a lifetime and I was told 15 years. My artificial hip is made in USA and I discovered that its liner too is cross-linked polyethylene. But surgeons here in Japan are still advising patients according to pre-XLPE times. You can imagine what a relief it is to know my hip too will likely last as long as I do.
@ My surgery was performed at Orthoindy which is a hospital in central Indiana. The people there are great. I feel I was told positive things about the operation because a patient should go into an operation feeling things will be better afterward. I have had additional issues not common to most. I experienced a much greater infection. I am 5 weeks post-op. I still have a lot of pain and stiffness in the muscle. I am just today able to walk with one cane. I do exercise daily and go to physical therapy twice a week. I feel I will still have stiffness and some pain for another 5 weeks or more. I do see the light at the end of the tunnel. I would do it all over again but would have a more realistic expectation of healing time.
2 ปีที่แล้ว +1
@@Smartiebob317 great to hear that you are healing. You may find the FAI Fix, hope that will help your heal faster
The best of the best. Thank you Dr Yun. I am 3 months recovered from my hip replacement. If I had known how effortless your procedure was to recover from I would have had this surgery years ago. Thank you for the gift of your big brain and skilled hands.
Good info. Had TRH in 2007 poly cup ceramic ball titanium stem. Was surprised back then some of the Dr were still wanting to put metal on metal I said no thanks. So today 2023 need my left hip done the X-ray's show the right hip implant looks great still 16years later. Now I am 80yo and plan on living another 20years. Choice o f surgeon is number one choice of implant number two.
Thank you for this presentation Dr Yun. I'm very young to be facing a hip replacement and it's some comfort to hear (with studies to prove it) that the materials are much better these days. I'm sure it's routine for you (which is an amazing thing in itself), but this is a pretty major life decision that those of us with hip issues must face.
So I am 57 and i have stage 1 osteo in both hips , a combination of weight gain unequal leg lengths, genetics .... was scared shitless of having to face this procedure with revision surgery in 15 years time... this video on cross linked pe bas given me hope I dont want surgery in my 70's!!
Hii… can you please advise what happens to the microplastics in the body that get released from the Polyethylene wear and tear over the years. Thank you
What is the likelihood of a highly cross-linked polyethylene cup cracking or breaking due to impact from the ball joint? Curious. I'm a 60 year old active guy with a brand new hip that feels amazing!
A plastic part for a hip implant should work too. My kitchen mixer has food grade plastic gear or two inside and its going strong after 13 years. A few automobiles had plastic or nylon timing gears as well. It wasn't great but they functioned awhile.
A very important question. cross linked Polyethylene particles will still wear in the body, is this harmful as it wears onto the bone?. shame there is no answer by the above surgeon to your question a year ago.
Nice Video , i recieved a Stryker Hip implant in 2009 at UM MIAMI HOSPITA the surgeon was Dr scully good Surgeon ,now after 14 years walking funny with a Limp this 11/15/2023 I Heard a POP from the back ,i went to the E.R Saint Vincent Hospital in Jacksonville after 6 hours they did a x-ray /cat scam and they saw no Fracture but what i have is a Dislocations and lots of ''Pain from getting up to going to bed , sadly no Orthopedic came down to examine me , SOS .
I had my hip replaced 4.5 years ago October 2019 with the anterior approach in Toronto. After two years in May 2022 I started running again every other day running no more than 5k at a 5 minute or so k pace… no issues 🏃♂️
I had my hip replaced in April of 2019. I was running and practicing martial arts again by September of that year. It's a beautiful thing. Especially when I think back to how painful it was to even stand up when my hip went bone-on-bone .
@@justabill5780 Hey, are you still able to run and practice martial arts? any side-effects after surgery, with time? I`m asking because I`m an ex athlete and started to feel some pain. Thanks!
@@artbydub : I still run (did 5 miles this morning). I do martial arts 5 days a week. I go to the gym 5-6 days a week. I also lift at the gym. I'm doing weighted bridges with 600lbs. 3 sets of 12. Sometimes it get tendon inflammation in the left hip and some mild muscle spasms. But I can live with that.
@@justabill5780 you’re doing great there! Happy to know your feedback, makes me not to worry about it. Hard to find athletes with hip surgeries to talk with.
This was so well explained. I've been resesrching extensively for my hip repair and this is ghe first time I ran across such a detailed explanation. Now, if I could only find the best surgeon for this in NJ I might find the nerve to become a bionic man.
@@jimconrey9802 Thank you so.much! I'm right here in Toms River so that's pretty close to me. His name sounds familiar as I do my research. I think he may have had hip resurfacing surgery by one of the experts in the procedure himself. In fact, I think he has now had both his done. Thanks again, Jim. Hope you are doing well with your recovery.
So do you recommend any specific prosthetic supplier? Smith and Nephew, Depuy, United Orthopedics, Zimmer Biomet. X-nov. Do you see anyone better than another? I looked at the ODEP rating but did not clearly understand how it works.
Fascinating. I’m a former dancer and was wondering if there is an engineering solution that avoids metal on metal technology, that is in development that embraces the current successful practices of a total hip replacement but with a design feature of the metal component in the hip joint that allows a greater range of movement in the limb that enables dancers to continue their careers as choreographers on a low impact basis?
Just a prospective patient myself, but have you looked at hip resurfacing? A more involved surgery, I think, but appears to allow the patient to do more extensive physical activity.
If you have a dual head that works within the shell can that extend the life of a hip ? I’m having my right hip replaced soon and I’m 70, so I’m not concerned with how long it lasts.
Thank you. I'm 63 and scheduled for surgery next week. I walk and hike and was told my hardware should last the rest of my lifetime. However, cross-linked poly wasn't explained to me.
Im 50 & having both done Dec and Jan. Im extremely active. My question is do all doctors use this new polyethylene?? Either way im in so much pain they could last a year and I'd be happy😂 I cannot wait to have my hip replaced
dear dr.Yun. I am 54 year old.Soon I am expecting total hip replacement of my left hip by Zimmer Biomet double stem.What is your opinion about recommended prothese? Any estimated lifetime for this kind of prothese?thanks in advance.
I really doubt the stem could last properly fixed half that time, not taking into account possible complications and changes in overall health conditions (bone quality, density...)
Hi there doctor Yun, I have CRPS and need a new hip. What kind of risk do I have in making my CRPS worse by getting a new hip . As you are aware RSD/CRPS is a non curable disorder which can be triggered very easily. I await your reply. Thanks for your explanation.
One of the biggest questions I have is the the possibility of leaching from these materials into the bloodstream.I recently had hip surgery done and got a chromally ball and titanium stem that goes into the femur.A steel socket and polyethylene insert to receive the ball.So with that said is there any truth to this idea
There was limited data on metal on metal replacements and shards of metal entering the blood and causing issues. As you do not have metal on metal there will be no problems...
Thanks Dr. Yun for this helpful information, if I may ask what will be the cost of Total Hip Arthroplasty in your hospital, by the way I’m from the Philippines I was operated partial hip last Nov2020 and now my orhto doctor here told me that my prosthesis is loosening that’s why I feel pain in my groin, knee and whenever I’m making a wrong move there’s pain
And in your operating procedure are using mako robotics? And are the prosthesis that your using for each patient are pre- manufacture or fabricated base on my actual size? Thanks
Resurfacing IS metal -metal and the friction releases ions... The ones who say that resurfacing IS the solution must keep it in mind. Even if you are Young ...well i felt a must and i had to say it
I’m 2.5 weeks post-op. My surgeon told me that mine would last 60 years. It was hard to believe, considering everything I’d read that said they have a 20-25 year lifespan. It makes me feel better hearing it from another source. At 32 y/o, 60 years should be plenty.
@@Sam-wl3fkThe joint is doing great. I’ve even taken up CrossFit, modified, of course. I still have some muscle tightness and soreness in the front around the scar, though. When it flares up, I walk with a slight limp. But stretching helps.
This is what the excellent Mr Yun has described in the video ,that the old polyurethane liner lasted 10_15 yrs but with the new cross linked polyurethane liner it has the potential to last for 75yrs.
Mr Yun has described about the advancements with the new crosslinked polyurethane liner,also he said it has the potential to last 75 years after being tested for 20 yrs,he never said for definite it would last for 75 years he said it had the potential.
@@viccatala88 Speculation?the man is a expert in his field,and if you look at any recent information on crosslinked polyurethane liner's from most orthopaedic surgeons they say the same,why would they lie about it after studying the newer material and testing it after 20 yrs ?have some faith and stop being negative about it.
@@nickshields7258 use it, and we'll see. I have 10 years without prothesis, less pain, I can walk, run, and ride bicycle, because I change my nutrition. People like me, exist...!
This is fantastic news! I'm 51 and had my left hip replaced 5 years ago. Wear has been a concern for me because I'm a martial artist/kickboxer, runner and I do a lot of hiking. I was told at the time that the new HXPE inserts were so good that they didn't know how long they would last. But knowing that even at a high impact and activity level, it will likely last the rest of my life definitely allows me more confidence.
Thanks for the video. I had total left hip replacement 2 months ago. lateral, side procedure. No more hip pain .
Hi could you please tell me a bit about how you walk these days ?
Thank you for this. I am 27 right now and this really provided me hope for my future with my hip.
Hi! Did you did a surgery?
Could you share experience?
I just went through this 2 months ago, doing great. hope you're well I am 37
@danmcarthur8077 how is your range of motion, are you able to tie your shoes, can you squat down, can you bring your knees close to your chest? I'm 45 and I need my left hip replaced, I have almost no hip rangeof motion, my right hip is completely fine
@arturobarroso78 I'm 28 and I had a hip replacement on Dec 13th 2023 and as of today I can walk(with some soreness) for over a mile without much issue. Already much better than before surgery
Thank you for uploading this video. I'm 40, active in impact sports, and in need of a THA. This gives me hope that my life as I've known it isn't over.
Thank you so much Dr. Yun. I live in Japan and had hip replacement done here in 2019. Before the surgery I was told it would last 15 years. After that, sharing experiences with an American friend who had the same surgery, was surprised to hear that he was told his would last a lifetime. I was 65 in 2019 and my friend had his surgery a couple years before mine. I recently came across your video by chance, after which I started to look into the reason why my friend was told a lifetime and I was told 15 years. My artificial hip is made in USA and I discovered that its liner too is cross-linked polyethylene. But surgeons here in Japan are still advising patients according to pre-XLPE times. You can imagine what a relief it is to know my hip too will likely last as long as I do.
Great info. Thanks for commenting. 👍🏻👍🏻
Could you share the hospital name? How do you fell right now after surgery? Is it good as your expectation?
@ My surgery was performed at Orthoindy which is a hospital in central Indiana. The people there are great. I feel I was told positive things about the operation because a patient should go into an operation feeling things will be better afterward. I have had additional issues not common to most. I experienced a much greater infection. I am 5 weeks post-op. I still have a lot of pain and stiffness in the muscle. I am just today able to walk with one cane. I do exercise daily and go to physical therapy twice a week. I feel I will still have stiffness and some pain for another 5 weeks or more. I do see the light at the end of the tunnel. I would do it all over again but would have a more realistic expectation of healing time.
@@Smartiebob317 great to hear that you are healing. You may find the FAI Fix, hope that will help your heal faster
What about TITANIUM?
The best of the best. Thank you Dr Yun. I am 3 months recovered from my hip replacement. If I had known how effortless your procedure was to recover from I would have had this surgery years ago. Thank you for the gift of your big brain and skilled hands.
Oh that means young patient of 27 yrs will never gone hip revesion with this implant??
Thank you Dr. Yun. This and your video on LCP THA were very informative and have given me a lot of confidence.
Good info. Had TRH in 2007 poly cup ceramic ball titanium stem. Was surprised back then some of the Dr were still wanting to put metal on metal I said no thanks. So today 2023 need my left hip done the X-ray's show the right hip implant looks great still 16years later. Now I am 80yo and plan on living another 20years. Choice o f surgeon is number one choice of implant number two.
Where did you have your's done, Anita, and with what doctor, if you don't mind? My hip is crying for repair.
Thank you ... i needed what you provided here.
Thank you for this presentation Dr Yun. I'm very young to be facing a hip replacement and it's some comfort to hear (with studies to prove it) that the materials are much better these days. I'm sure it's routine for you (which is an amazing thing in itself), but this is a pretty major life decision that those of us with hip issues must face.
Had mine done at 52, mine was the result of an accident, but good to know this will last my life time, I'm one year out and it feels great
Excellently presented! Thanks for sharing!
Thank you
Dr.
I am 29. I have gone with surgery 4 months ago. Left THR with ceramic on poly
In which hospital bro?? And how much cost??
@@debajitnafang Shalby hospital Ahmedabad . 4 Lac
@@ashishvala265 thanks
Hello doctor, which brand has that advance polymer and how is it called, can you name it???
I’m 42 and just had an anterior hip replacement feeling much better
I'm 42, and had bilateral hip replacements in 2019. How are you feeling? It must be a relief to have the surgery done with.
@@mjblcmichael it feels great moving without assisted devices in less than a month feeling stronger well worth it
So I am 57 and i have stage 1 osteo in both hips , a combination of weight gain unequal leg lengths, genetics .... was scared shitless of having to face this procedure with revision surgery in 15 years time... this video on cross linked pe bas given me hope I dont want surgery in my 70's!!
Excellent video. I just had a hip replacement surgery 8 weeks ago. 🇿🇦🇿🇦🇿🇦
can you walk now noramlly
Great video Dr. Two months post hip replacement. Very informative.
And what about femoral head? How long can last?
Hii… can you please advise what happens to the microplastics in the body that get released from the Polyethylene wear and tear over the years. Thank you
What is the likelihood of a highly cross-linked polyethylene cup cracking or breaking due to impact from the ball joint? Curious. I'm a 60 year old active guy with a brand new hip that feels amazing!
A plastic part for a hip implant should work too. My kitchen mixer has food grade plastic gear or two inside and its going strong after 13 years. A few automobiles had plastic or nylon timing gears as well. It wasn't great but they functioned awhile.
My husband got a hip replacement then two weeks later they had to redo it cause he was in pain and now i think he needs it done again
Sorry to hear that, that sounds so awful
Please explain why this happened to your husband. We need more specifics.
Couldn’t they use this technology for the hand as well? For wrist replacements?
What about the reaction of polyethylene in the body and cup dislodgement ?
A very important question. cross linked Polyethylene particles will still wear in the body, is this harmful as it wears onto the bone?. shame there is no answer by the above surgeon to your question a year ago.
@@chrissystar8897 Yes it annoying that you do not get an answer from a legitimate question .
Nice Video , i recieved a Stryker Hip implant in 2009 at UM MIAMI HOSPITA the surgeon was Dr scully good Surgeon ,now after 14 years walking funny with a Limp this 11/15/2023 I Heard a POP from the back ,i went to the E.R Saint Vincent Hospital in Jacksonville after 6 hours they did a x-ray /cat scam and they saw no Fracture but what i have is a Dislocations and lots of ''Pain from getting up to going to bed , sadly no Orthopedic came down to examine me , SOS .
I had my hip replaced 4.5 years ago October 2019 with the anterior approach in Toronto. After two years in May 2022 I started running again every other day running no more than 5k at a 5 minute or so k pace… no issues 🏃♂️
I had my hip replaced in April of 2019. I was running and practicing martial arts again by September of that year. It's a beautiful thing. Especially when I think back to how painful it was to even stand up when my hip went bone-on-bone .
@@justabill5780 Hey, are you still able to run and practice martial arts? any side-effects after surgery, with time? I`m asking because I`m an ex athlete and started to feel some pain. Thanks!
@@artbydub : I still run (did 5 miles this morning). I do martial arts 5 days a week. I go to the gym 5-6 days a week. I also lift at the gym. I'm doing weighted bridges with 600lbs. 3 sets of 12.
Sometimes it get tendon inflammation in the left hip and some mild muscle spasms. But I can live with that.
@@justabill5780 you’re doing great there! Happy to know your feedback, makes me not to worry about it. Hard to find athletes with hip surgeries to talk with.
This was so well explained.
I've been resesrching extensively for my hip repair and this is ghe first time I ran across such a detailed explanation.
Now, if I could only find the best surgeon for this in NJ I might find the nerve to become a bionic man.
DR. Baione. You can find him at UOA ..Did mine 2 weeks ago, going thru rehab now. He is very well known, Located in Wall Township, NJ
@@jimconrey9802
Thank you so.much! I'm right here in Toms River so that's pretty close to me.
His name sounds familiar as I do my research. I think he may have had hip resurfacing surgery by one of the experts in the procedure himself. In fact, I think he has now had both his done.
Thanks again, Jim. Hope you are doing well with your recovery.
PEX pipe material used in plumbing. Nice.
So do you recommend any specific prosthetic supplier? Smith and Nephew, Depuy, United Orthopedics, Zimmer Biomet. X-nov. Do you see anyone better than another? I looked at the ODEP rating but did not clearly understand how it works.
Fascinating. I’m a former dancer and was wondering if there is an engineering solution that avoids metal on metal technology, that is in development that embraces the current successful practices of a total hip replacement but with a design feature of the metal component in the hip joint that allows a greater range of movement in the limb that enables dancers to continue their careers as choreographers on a low impact basis?
Just a prospective patient myself, but have you looked at hip resurfacing?
A more involved surgery, I think, but appears to allow the patient to do more extensive physical activity.
If you have a dual head that works within the shell can that extend the life of a hip ? I’m having my right hip replaced soon and I’m 70, so I’m not concerned with how long it lasts.
So reassuring. Considering I need double hip replacements.
Thank you. I'm 63 and scheduled for surgery next week. I walk and hike and was told my hardware should last the rest of my lifetime. However, cross-linked poly wasn't explained to me.
Did you get your surgery done? if not using cross-linked poly do you know what meterial? I will go see specialist next month to discuss.thx
Im 50 & having both done Dec and Jan.
Im extremely active.
My question is do all doctors use this new polyethylene??
Either way im in so much pain they could last a year and I'd be happy😂 I cannot wait to have my hip replaced
dear dr.Yun.
I am 54 year old.Soon I am expecting total hip replacement of my left hip by Zimmer Biomet double stem.What is your opinion about recommended prothese?
Any estimated lifetime for this kind of prothese?thanks in advance.
Does implant and stem last 75 years?
I really doubt the stem could last properly fixed half that time, not taking into account possible complications and changes in overall health conditions (bone quality, density...)
Hope mine is the newer one
I have had it twice , the first one lasted 21 years the second one lasted 28 years due to be replaced next month Nov 2023 !
did u do any high impact activities?
@@suzukaziodyne9723 played football after the first one but not after the second
How long femoral stem can last? Does ever come loose?
Hi there doctor Yun, I have CRPS and need a new hip. What kind of risk do I have in making my CRPS worse by getting a new hip . As you are aware RSD/CRPS is a non curable disorder which can be triggered very easily. I await your reply. Thanks for your explanation.
One of the biggest questions I have is the the possibility of leaching from these materials into the bloodstream.I recently had hip surgery done and got a chromally ball and titanium stem that goes into the femur.A steel socket and polyethylene insert to receive the ball.So with that said is there any truth to this idea
There was limited data on metal on metal replacements and shards of metal entering the blood and causing issues. As you do not have metal on metal there will be no problems...
How long can a proximal femur replacement last?
Thanks Dr. Yun for this helpful information, if I may ask what will be the cost of Total Hip Arthroplasty in your hospital, by the way I’m from the Philippines I was operated partial hip last Nov2020 and now my orhto doctor here told me that my prosthesis is loosening that’s why I feel pain in my groin, knee and whenever I’m making a wrong move there’s pain
And in your operating procedure are using mako robotics? And are the prosthesis that your using for each patient are pre- manufacture or fabricated base on my actual size? Thanks
A brutal operation, removing the femoral head and hammering metal into the bones of the femur! Hip resurfacing is the way ahead!
Metal metal means cancer
@@miquelmolina5298do you have empirical based evidence for that statement? Also metal is rarely use any more.
Resurfacing IS metal -metal and the friction releases ions... The ones who say that resurfacing IS the solution must keep it in mind. Even if you are Young ...well i felt a must and i had to say it
Polymotion fda aproved... Resurfacing with plastic cup
How i will contact with you?
Best video 🇿🇦🇿🇦🇿🇦
Kudos to you doctor nicely explained
I’m 2.5 weeks post-op. My surgeon told me that mine would last 60 years. It was hard to believe, considering everything I’d read that said they have a 20-25 year lifespan. It makes me feel better hearing it from another source. At 32 y/o, 60 years should be plenty.
@derekmcclanahan4193 hi sir can u please share us the doctors name and address so we could also consult him thanks
how are you walking now does it feel good?
@@Sam-wl3fkThe joint is doing great. I’ve even taken up CrossFit, modified, of course. I still have some muscle tightness and soreness in the front around the scar, though. When it flares up, I walk with a slight limp. But stretching helps.
@@derekmcclanahan4193 great to hear you doing ok
yes well I was told 25 years though not happy with my right hip…had bilateral
How long can a TITANIUM replacement last?
So where is the weakest link now. Whenever you strengthen any aspect of a structure, a new weakness appears.
If polyethylene life is 75years
Then how it is broken and patient goes to revision within 15-20 years
This is what the excellent Mr Yun has described in the video ,that the old polyurethane liner lasted 10_15 yrs but with the new cross linked polyurethane liner it
has the potential to last for 75yrs.
If you are running high miles like crazy,thats what happens.Some people never learn.
Ceramic. Poly crosslink Dr said vl last 25 yrs +-
Polymotion, resurfacing technique with polyethylene cup. No necrosis no cancer....the new canon
Is everyone using the new cross-linked polyethylene??????
Yes
Yes
Ceramic liner lasts ten times more
Apparently ceramic can crack, given an accidental fall. As told to me by a surgeon. He said personally that he would not choose ceramic.
Yes, It could be true but lasts more.
...You said: " 75 years last"....How is that...? Nobody uses this implants by such time...!!!
...because You only makes speculations to the future.
Mr Yun has described about the advancements with the new crosslinked polyurethane liner,also he said it has the potential to last 75 years after being tested for 20 yrs,he never said for definite it would last for 75 years he said it had the potential.
@@nickshields7258 speculation.
@@viccatala88 Speculation?the man is a expert in his field,and if you look at any recent information on crosslinked polyurethane liner's from most orthopaedic surgeons they say the same,why would they lie about it after studying the newer material and testing it after 20 yrs ?have some faith and stop being negative about it.
@@nickshields7258 use it, and we'll see.
I have 10 years without prothesis, less pain, I can walk, run, and ride bicycle, because I change my nutrition. People like me, exist...!
@@nickshields7258 the man HAS ARTROSIS...? Do You have...A..?
I have.
Has he a prothesis the last 75 years...?
Dam Koto