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@nat0430

Thank you very much, Sue. The information you provided is very helpful. I briefly read about the higher ion levels and it concerned me. I also have a nickel allergy and am also concerned about any chromium cobalt in my body. I wonder if there are any titanium/titanium modular components? My surgeon is careful, which I appreciate, so I will have a lot of follow-up questions regarding the specific implant. I am in my 50s and am (well was) very active so I think he thinks it would work best for me because increased range of motion and a lesser probability of dislocating. I also have what feels like stretched tissue and a lot of pain behind my greater trochanter, so I think he is trying to provide stability without lengthening me and also bringing my greater troach a little closer to my pelvis. I know revisions usually result in lengthening. When you had your revisions, did they have to lengthen you/stretch tissue for stability? I have bought a little time - I have had two radio frequency ablation procedures to help with the pain because it is unrelenting - never stops, even at rest. So, with this extra time I want to use it to make the best decisions I can and I really appreciate your response.

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Replies to "Thank you very much, Sue. The information you provided is very helpful. I briefly read about..."

When I asked about 2 titanium surfaces, my excellent ortho explained that it hasn't been successful because it doesn't "glide" well against itself, but that was 10 years ago, so something may have changed.

I had a slightly different experience as far as length. I had always had a 1/2" difference, my new surgeon tried to reduce it to 1/4" and it dislocated within one week. So I live with the 1/2' difference. But I can tell you that with gait training and an orthotic, the body adapts well.

My biggest concern regarding the ions would be that the study covered a post surgical of up to 9 years - what happens over the longer time?

I'm glad you are doing your research, involved patients can often avoid problems.
Sue