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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Best of luck with your surgery! You are in good hands!
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Hi, how did your surgery go? I am waiting to see Dr Murnaghan for similar problem. Can you share your post surgery experience? Thanks
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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Thanks Hutch for the quick reply. I am glad you are getting better without setbacks. I am also 41 years old. I am nervous about the surgery. I probably need resurfacing in the future, hopefully many years from now. I heard with resurfacing you can do all sports. Who are you seeing for post rehab? Can you recommend him/her? Who else did you see other than Dr Murnaghan? Thanks again.
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Re: Any Canadians with/had a hip labral tear here? [soya] [ In reply to ]
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Hi,

I worked with Dr Mike Gilbart a few years ago as a medical student.
He works out of ubc hospital in Vancouver.

Great guy and one of the few who does hip arthroscopy.
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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What is the name of the resident who had a fellowship under Marc Phillippon in Colorado?

I need to find some new hip orthopods in Ontario that can fix my hip. I got FAI that needs a revision, as well as a labral repair.
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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I already had 1 surgery done by Dr. Murnaghan. 1 year post, he tells me that the FAI came back and I also found out that he didn't do anything to my labral tear. Studies have shown that people who had labral repair had better long-term outcomes than those with labral debridements. My labrum is inn bad shape so I'd rather find someone who knows how to do both a repair and a labral reconstruction via IT band graft like the article Dr. Phillippon posted this year. Therefore, I need to find the fresh hip orthopods that have had their fellowship done with Dr. Phillippon.
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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I wasn't aware that FAI can come back either. But the MRI confirmed it on my femur.

I just turned 26 years old and I am fairly active playing basketball, volleyball, and strength training. I only have issues when I play 2-3 days in a row or whenever I go heavy lower-body training (e.g. squats, lunges). I also had microfracture surgery in the scope secondary to an articular cartilage lesion so I know I could get arthritis earlier than expected. But if I get my labrum debrided, I know that would really mess up the long-term health of my hip joint, which is probably why Dr. Murnaghan didn't know anything with the labral tear.

So I'm willing to wait a few years for Canadian surgeons to learn this new labral repair/reconstruction technique that Dr. Phillippon has published this year. I'm just getting a little anxious... heh
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Re: Any Canadians with/had a hip labral tear here? [hip_guy] [ In reply to ]
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hutch and hip guy, I've had both hips scoped this year, and one of the first questions I asked prior to surgery was if the FAI could grow back ? Answer was yes. My surgeon in So. California, Dr. Snibbe, gives his patients a 1 month dose of Naproxen a week after surgery to combat this problem (hope it works). I also had the pleasure of getting the IT Band graft that you are referring to on the second hip surgery. Not fun at all. My labrum was basically not there anymore- it had calcified- turned into the bone on the hip socket. So, they harvested a 2cm x 4cm piece from my IT Band out of my thigh in an open operation during the scope surgery. I have had a much more difficult time healing from the harvesting than the FAI/ labural repair. Its been 4 weeks and just starting to feel normal and the swelling has finally gone away. As for the graft itself, the surgeon said it was the best new procedure available and should be better than ever. They stitch each end of the graft to what is left of healthy tissue, then used 4 anchors to pull it back to the bone. They are also able to do this w/ a cadaver graft if they know in advance (how they know this is very difficult i imagine). So far my Surgeon has only preformed 30 or so of these grafts and learned it from Dr. Phillipon also. Otherwise, if they cannot do a reattachment and only do a debridement I believe the patient will be looking at a hip resurface / replacement a lot sooner than planned. In my case I had no knowledge of this new procedure (and was asleep when the decision was made) but it was the best available plan for my long term recovery. My Surgeon is one of the best in the country and at the forefront of any new technology. I feel very fortunate to have found him (through Slowtwitch) in my home here in Los Angeles. Anthony
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Re: Any Canadians with/had a hip labral tear here? [MAGGBO] [ In reply to ]
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Hi Anthony,

Thanks for the detailed description on your surgeries because that's exactly what I'm looking for in Canada. At first, I was contemplating about going to the States, but I just started my career and I don't want to take an extended break due to surgery until I need to since I have no hip problems with work activities. If you know Canadian surgeons who have done this type of surgery, please let me know. I'd appreciate it greatly!

If anyone asks why I'm so eagered to try this, it's because I'm all about hip preservation. Not short-term fixes.

My 1st MRI showed degenerative tearing of the anterior-superior labrum with CAM type FAI.
My surgery consisted of osteoplasty for the CAM type FAI, microfracture for the articular cartilage lesion, and debridement of a "large actebular rim fracture"
My 2nd MRI 1 year post showed "anterior superior labral tearing" and CAM type FAI again :(

I wonder if anyone in Canada is also in this situation :/
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Re: Any Canadians with/had a hip labral tear here? [hip_guy] [ In reply to ]
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Hello there everyone!

I have a few questions for all you with hip labral tear(s). How big are your tears? What is said about your tear(s) Do you guys use crutches/cane(s)?

About me. Im 26 yrs young female. I have had extreme hip pain since a fall I had when i was 9 months pregnant. ..days away from my due date :( The fall has brought on the worse time of my life. I have just found out that i do have a tear on both left and right hip plus tons of soft tissue damage .. It has been 2 yrs since the fall and i have just gotten answers, however I'm kind of lost. I saw Dr Brain who told me i was severely disabled which wasn't what I was thinking. . .i know i have major problems with movement (walking, running. .etc) however i dont consider myself that bad off. Anyways he said he couldnt help me and that he would send me to Dr Gilbart. I have seen Dr gilbart but he suggested that surgery isn't for me as i have too much soft tissue damage that could become worse. . .if he was me he wouldnt do surgery. However at that point i only knew for sure I had the one tear but now i have both tears and i would like to be fixed. . . i am limited to what I can and can not do. . . .which at 26 with 3 children isnt what I ever had never dreamed off in my life. My one Dr who is not a surgeon but a

Physical Medicine and Rehabilitation said that for my soft tissue to even start to get better is to have the surgery. . .so Now im waiting to

hear back from Dr Gilbarts office. I want

to be normal again. . . i use a cane or crutches when needed. . . i should be using a cane 100 % of the time but its a hard with young

kids. . . Anywho I have found this all vary helpful. . .thank you everyone for posting. Please let me know how big are your tears im just

wondering as im not getting much about sizes of tears.
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Re: Any Canadians with/had a hip labral tear here? [soya] [ In reply to ]
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OK so I'm just creeping this thread. As many of you may know, I'm a knee specialist in the GTA. Couldn't help but comment on hip arthroscopy. The real reason very few Canadians do the surgery (and the reason Marc Phillipon, a Canadian, went to the US) is that the payment here is horrible. We used to get $300 to do the surgery while Marc charges $12,000. Welcome to socialized healthcare!
The pay schedule just changed and Ontario surgeons are now getting up to $1000 for the surgery so more guys are doing it.
The guys with the most experience with hip scopes in southern Ontario are Doug Naudie in London, Femi Ayeni in Hamilton and Mark Ginty in Oakville. I don't know about Dr Murnaghans hip scope training, but he is an overall superb surgeon technically (and he is a nice guy too).
Hope that helps somewhat.
Last edited by: Deak: Jan 25, 12 13:17
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Re: Any Canadians with/had a hip labral tear here? [Deak] [ In reply to ]
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Deak - Thank you very much for the information. Now I understand why there are very few surgeons in Canada that offer hip arthroscopy. If my previous posts seemed like I was bashing Dr. Murnaghan, I didn't mean to. He is a very nice person and even offered to refer me to other hip specialists if I felt that I wanted a 2nd opinion because he proposed to another hip scope to fix my CAM impingement again. Based on the follow-up, he didn't say much about my labrum so I got the impression he had no plans to treat it. I plan to look up and potentially book an appointment to see the other hip orthopods that you mentioned. Do you know if any of them have done hip labral reconstructions too? Thanks again!
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Re: Any Canadians with/had a hip labral tear here? [soya] [ In reply to ]
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soya wrote:
Hi, in order to get a MRI with contrast, only an orthopedic surgeon can order this. So before I wait another 2-3 months for an ortho surgeon that doesn't have a lot of experience with this, I'd rather get it right the first time. Thanks for the info though, good to know UVic has a med school, at least it's close to home!
Thanks

Not true, my wife was referred by her chiro who is a medical doctor for a contrast mri last week, got mri two days ago (where she does indeed have a labral tear) and has an appointment with Jack Taunton this week..............we are lucky we know the right people. Will know a little more after her appointment as to what procedure is and how long recovery.

sean
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Re: Any Canadians with/had a hip labral tear here? [canwi] [ In reply to ]
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There is an MRI machine called the T3. This is a very high resolution machine which is an alternative to an MRI with dye (arthrogram). My daughter reacted to the dye for her first MRI, so for the second one, a T3 was used and it yielded an excellent and clear result. A GP can order an MRI as well (at least in Ottawa that is the case).
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Re: Any Canadians with/had a hip labral tear here? [Hutch] [ In reply to ]
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A few things here...I had a FAI with a shredded labrum. My first surgery was done in 05, a debrisment and microfracture. I then had another debrisment and a osteotomy in 09, where my FAI came back, with osteophytes. In 10 i had a fairly large graft/transplant that didn't work one bit. I am not blamming the surgeon, he did the best he could but once you start working on the hip, it never seems to go back to normal. The longest I was pain free was 1.5 years. I was able to do Louisville but it hurt. Now I am scheduled to have a resurfacing done. My current Dr stated that once you start tearing down the integrity of the hip, it doesn't really work the same. He does both Arthroscopic surgeries and open hip resurfacing and total hips. He has warned me off doing triathlons any more, but say's its my hip and i can do what i want after one year's time. From what I gather, a torn labrum is usually a good fix, and a debrisment and FAI is eventually going to need more surgery or lifestyle change.
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Re: Any Canadians with/had a hip labral tear here? [rgjhrf73] [ In reply to ]
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Wow, I just came across this thread and it's filled with all kinds of helpful tips.

I have been diagnosed with Femoroacetabular Impingement with a pincer lesion and labral tear or degeneration.


I am a Canadian citizen based out of Montreal working overseas, and thus, will need to be treated privately.

One of the members here was kind enough to compile a list of doctors who can repair labral tears, which is an important part of treating Femoroacetabular Impingement:


Dr. Douglas Naudie, London, Ontario
Dr. Dan Whalen, St. Michaels, Toronto
Dr Gavin Wood, Kingston, ON
Dr. Lucas Murnaghan, Sick Kids/Womans College Hospital
Dr Olufemi Ayeni, McMaster, Hamilton
Dr Rajev Gandhi, Toronto
Dr. Ginty, Oakville
Dr. Veillette or Dr. Ogilvie-Harris, Toronto (same clinic).
Dr. Paul Beaule, Ottawa



This list is good for me as it is in the Quebec/Ontario region, unlike Dr Gilbart who does treat patients privately, but is at the other end of the country.


Does anyone know of any doctors I can contact from Eastern or central Canada who treat Femoroacetabular Impingement privately? I need to re-enter Canada, pay for the treatment, get operated on, recover, and then leave the country as soon as possible.


Many thanks...
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Re: Any Canadians with/had a hip labral tear here? [skatemomrose4] [ In reply to ]
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Thank you for your input.

I just received a reply from Dr Wood, and he told me that private practice is not allowed in Ontario.

He also told me that he thinks Dr. Paul Beaule has a clinic in Quebec, so that would be ideal for me. I have Googled his name and only come up with what seems to be a personal website, but nothing about a clinic here or anywhere else:

http://www.conservativehipsolutions.com

Thanks again, and I will surely ask anyone I do decide to go with if they actually do the repair.
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