I seem to be able to hike just fine up hill and down but not always on the flat. But I am now in chronic low grade pain thats getting worse and dont know what I should do. Since 1995, there has been an extremely low dislocation rate and an infection rate of zero percent. When done well, your body does well with this technology. If possible, try to get in writing any verbal promises made. more nutritious, too. You helped me tremendously in my research of the track record of my HMO, now I have one more quick question to run by you. As a result of the interventions, the surgeon has a better view of the hip joint. I exhausted all other non-surgical options, such as physical therapy and meds but to no avail, so now plan to have a THR in March. Dear Jo Anna, What are your thoughts on the use of robotics? My problem isnt from a worn-down joint with no cartilage. There is a chance that the hip will fall out of the socket, or that it will be levered out by twisting it. When a patient feels better, they can return to work almost immediately, though it usually takes two weeks or longer. I am just under 5 ft and weigh 185. The second most-common injury is to the femoral nerve. Im sorry to learn that you are so disappointed with your hip replacement. I think its vitally important that you go into surgery truly believing in your heart that you are going to do well, and that you are with the best surgeon and team who will help you. Ultimately, you and your surgeon should discuss all procedures and technologies available and then trust that your surgeon will choose the best course of treatment and surgical procedure for you. Dear Dr. Leone, In my experience, after four to six months most patients simply return to normal activity. Ill be 60 at the time and Im 54 and weight about 130 lbs in fairly good shape. This most often leaves the patient with an area of decreased or uncomfortable sensation or numbness over the anterolateral thigh (top, outside area of the thigh), not the entire thigh. Although, personally I would feel strongly about reconstructing the hip through the mini posterior approach (there tends to be considerably less bleeding with this approach), other very caring and competent surgeons might feel just as strongly about using a different approach. Sometimes the pain goes away as I walk and sometimes it doesnt. I definitely didnt have any tendons or muscle cut and was cycling on the road from day 12 and back running at week 4 . If your X-rays reveal that you already have bone on bone due to osteoarthritis, then you typically dont need either an MRI or Pet Scan, unless another diagnosis is suspected. Im pleased that you will be coming in for an appointment. Risks associated with hip replacement surgery can include: Blood clots. Procedures Having a THR is a major undertaking and it is reasonable to expect the hip construct to function optimally for twenty and more years. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. Thru X-rays Ive been told both hips are bone on bone! I was so against doing this surgery but groin pain was very bad and crushed bone in the groin. Glad that after lots of PT and massage and medial branch block for back issues with NO!!! Depending on the stability and range of motion observed at time of surgery, some doctors dont advise their patients to avoid any positions. You should keep in mind that the vast majority of hip replacement pain reduction surgery patients are satisfied with their final results. Kenneth, You saw me in your office yesterday (I am 48 years old) as I had complications following a THR of right hip anterior approach with revision 4 days later for a slipped acetabular and then last week I had a dislocated hip. Its Inosine and Sphingolin. I wish you a full and speedy recovery. People undergoing traditional hip replacement surgery, for example, are advised not to bend at the hip more than 90 degrees for approximately six weeks after the procedure. Complications Back then my surgeon advised me to perform a posterior surgery as opposed to anterior saying that I was overweight, short and a very muscular person and it would be easier and safer to do so. Dr. Leone, I am coming in to see you for an appointment for a THR to my left hip. It does sound as if proceeding with a THR is appropriate, since your attempt to repair the joint arthroscopically did not pan out. As a result of this precaution, it is difficult to sit on low chairs, sofas, or toilets. Thank you for this! Fortunately, many folks who experience back symptoms before THR report improvement or resolution after. Personally, I would not gamble with my health. What do you consider to be the most important factors in choosing a surgeon? The idea is it should be a little less painful if the muscle, tendons and nerves are not disturbed. The most important decision you must make is choosing your surgeon. It was also observed to be associated with longer surgery times. I wish you a full and satisfactory recovery. There is no definitive answer to this question as different people will have different opinions and preferences. Fax: 954-489-4584 I suggest you discuss your concerns with your surgeon. Also, after an accident, I had 12 screw and an L shaped plate in my heel. Six weeks or longer is the exception. It's what compelled me to seek out different methods and post here.. You will find the surgeons will all give the pros but never the cons what ever the method. Im getting close to needing my left hip done. If you feel confident in your surgeon, I would discuss it frankly follow his or her guidance as to which approach and prosthesis are most appropriate to give you the best result. Studying a hospital and physicians track record before you commit is important. A shorter hospital stay and faster recovery are typical of this because there is less damage to the muscles. Pain is almost gone and I am beginning to get back to my life. There are potential drawbacks to anterior hip replacement. I also think its reasonable to look forward to returning to all of the listed activities that you enjoy. I would encourage you to discuss your expected recuperation time and specific restrictions with your surgeon. respect of any healthcare matters. Between your legs, you should sleep with a pillow for the next six weeks. Being discharged to a rehab unit is now the exception. The surgeon accesses the hip joint from the front of the hip, rather than from the back or side. I weigh 185 and am 54 and realize its ideal to lose weight prior to surgery (working on it as always). Ive done PT and plan to continue working on strengthening my core and flexibility of those large muscles. A hip replacement is the most common cause of complication in about 20% of cases. An anterior approach hip replacement is one of the most minimally invasive surgical options for replacing a hip. I sit on a cushion in the car to lift me up. I did have numerous blood tests, MRI of knee and hip, total body scan with radio active injection, X-ray knee and hip etc. It is important to consider the SuperpathTM technique if you are considering a hip replacement. No feeling in my leg and no movement The posterior approach, then, is less inherently stable but may or may not require precautions. Click to enable/disable _gat_* - Google Analytics Cookie. Most patients decide not to wait as long to have their contralateral hips or knees replaced after having undergone a successful surgery on the first side. In comparison to traditional methods, anterior approaches to the hip joint are more effective. but it was more torn than they thought and they had to cut out about 1/4 of it. If a patient has abnormal anatomy (such as dysplasia, posttraumatic arthritis, or morbid obesity), or if their body mass index is higher than 35, it may be impossible for them to be considered for direct anterior surgery. I would encourage you to discuss your concerns with you surgeon. Thank you, Lisa Blumthal. Honestly, most 59-year-old active women do best with a well done THR. What is SuperPath Hip Replacement? Patient is a UK registered trade mark. It requires surgical insight and skill to accomplish. I think it perfectly ok to discuss different approaches and ask for an opinion. I very rarely transfuse any patients now. Will meet with doctor soon but when I was finally able to really exercise after surgery I overdid it and developed plantar fasciitis. As long as you do the necessary surgeries, you will eventually break your femur, but only if you do enough. Having physio This often leads to a less than optimal component position. She never though mentioned an increased risk of damaging femoral cutaneous nerve or possible muscle damage that would turn into improperly heeled muscle as a result. Posterior approach. If you are minimally handicapped with discomfort from the non-operated hip and the leg length difference is tolerable or easily managed with a shoe lift or modification, I would consider waiting. The big difference in anterior vs posterior hip replacement is primarily where the incision is made and how long it is. In general, people who are older, heavier, or more active may not be good candidates for this type of surgery. Had a total hip replacement aug 2013. I play in the 50s age group. Reconstructing the opposite hip hopefully will result in legs that feel more equal. I would not anticipate them improving with time, but rather worsening, and I cant imagine you being able to resume the activities you described without having surgery to treat this. This technique avoids cutting muscles and tendons, minimizing surgical trauma and improving the post-operative experience. Specific protocols, therapy and what positions you will be asked to avoid after surgery and for how long will be directed by your surgeon. What you can do is keep as good an attitude as possible and keep rehabilitating your leg. Optimal component positioning also is critically important for the best stability and longevity. I am a 55 year old with a labral tear and moderate arthritis. I am deciding that my quality of life is in the toilet and need to get the THR done. My surgeon mentioned also cutting something to free me up at the same time he will be doing the posterior approach surgery. You can check these in your browser security settings. 2021 May 20;16(1):324 . This procedure differs from traditional hip replacements in the following ways: There is no surgical dislocation of the hip. Also on MRI there was a cyst (good size). I would look at the published track record of the hospital where the surgery is scheduled to be sure its performance record is good and its incidence of infection is low. These stems are a new design, and therefore do not have an established track record. I wish you the best of luck, The impingement can lead to a levering out of the ball from the socket. Patients can also have as little as a 3-inch incision. I wish you only the best, Having diabetes and two organ transplants does significantly increase your risk for post-op infection as well as other complications. Would not make eye contact. Some people also tend to form scar tissue and contracture more readily than others.