Opinion on THR -cement vs cementless - German Shepherd Dog Forums
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post #1 of 31 (permalink) Old 08-14-2008, 09:55 AM Thread Starter
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Opinion on THR -cement vs cementless

Most clinics are still doing the procedure with cement to hold the prosthesis in place. The Kyon method is cementless. There are 4 doctors in the PNW doing this, 1 is in Sun VAlley ID, Dr Randy Ackerman. Another memher her recommended him. The other 3 are in OR, and 2 of them are in the Portland area which is an easy 3 hour drive for me. Same distance as WSU (they do cement).

http://www.kyon.ch/

Opinions on this anyone???

Kathy

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post #2 of 31 (permalink) Old 08-14-2008, 10:23 AM
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Re: Opinion on THR -cement vs cementless

Rudy has a cementless. The surgeon decided on the operating table which to do.
Cemented is a very good alternative. The pro is that the first few weeks of recovery has more 'give'. Not as fragile. The cons are that some dogs have allergic reactions to the cement, and years down the road the cement can come loose and they have to remove the implant and do a modified FHO.
Cementless: Pros--no allergic reaction. Also, bone fills in the implant so there is no chance it will come loose years down the road. Con: The hip is more fragile the first few weeks. After 6 weeks the bone fills in there, and after 8 it is pretty solid.

I cheated on recovery after about week 4. I gave Rudy a lot more freedom than was recommended.

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post #3 of 31 (permalink) Old 08-14-2008, 10:36 AM
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Re: Opinion on THR -cement vs cementless

my Lando had cemented steel THR (one side). she got it at 7 yo and all was still well at almost 14 when she went to the bridge.

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post #4 of 31 (permalink) Old 08-14-2008, 10:56 AM Thread Starter
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Re: Opinion on THR -cement vs cementless

Mary I thought I remember someone mentioning the cementless that last year when I was kind of exploring surgery for Kayos. It was you!!! Thanks for the input.


Last year kayos went subclinical after taking some weight off her, about 7 pounds. Now she is back in the same boat and on Rimadyl at 5 years of age.

She is actually doing okay today, actually wanted to chase her ball for the first time last night.

Kathy

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post #5 of 31 (permalink) Old 08-14-2008, 11:15 AM
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Re: Opinion on THR -cement vs cementless

Really, if you can afford it, it is worth not having to worry whether Kayos is in pain or not, whether the supplements are working etc.
I was worried about the recovery period, but it was very easy.
I also did not want Rudy on pain management drugs for the rest of his life. In addition to the health concerns with those, the cost of a THR over time is less than all those drugs and supplements---that may or not be healthy or even working.

I'm sure you will do the right thing and what is best for both of you. But I can attest that THR was the way to go with Rudy. He will be even better once I get these extra thirteen pounds off him.
My other dog has mild to moderate HD and if she ever needs surgery, I will rob a bank and have it done for her.

I had Rudy's surgery done in early spring so he wouldn't be recovering with snow ont he ground, and would be all healed for the summer.

Mary
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post #6 of 31 (permalink) Old 08-14-2008, 11:41 AM
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Re: Opinion on THR -cement vs cementless

Kathy, no experience or words of advice in this area. Have been following your thread and just wanted to say I wish Kayos and you the best.

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post #7 of 31 (permalink) Old 08-14-2008, 11:45 AM
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Re: Opinion on THR -cement vs cementless

What's the price difference on the two options?

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post #8 of 31 (permalink) Old 08-14-2008, 12:46 PM
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Re: Opinion on THR -cement vs cementless

I paid $3800. It would have been the same with the cemented version.
My surgeon charges $1800 for an FHO but I know others who do it for well below that price.

Mary
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post #9 of 31 (permalink) Old 08-14-2008, 12:58 PM
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Re: Opinion on THR -cement vs cementless

Wow! The price has really gone up. I paid $2000 for Massie's THR 15 years ago. But back then they were said to last only 4-5 years. I think the material has improved.

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post #10 of 31 (permalink) Old 08-14-2008, 12:59 PM Thread Starter
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Re: Opinion on THR -cement vs cementless

I do not know if there is a difference and it would not matter to me anyway. I plan on calling a couple clinics that do the cementless at lunch time today. I want to get and idea of cost and recovery and infection chance and stuff like that.

Kathy

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