What do you attribute your hips wearing out to? Sports? Genes? Old age? Would there have been a way to have avoided damaging your hips? People with good hips will find the answers to these questions helpful.
OR - Total Hip Replacement
- Thread starter Roy_Faulker
- Start date
Consider resurfacing which preserves the femur and reduces the chances for revision and allows greater mobility for active younger people.
My wife had hers done 8 years ago, in South Carolina, by one of the nation's specialists for this procedure . No problems since.
If you have any questions you can contact me at coralknight at yahoo dot com
http://surfacehippy.info/
My wife had hers done 8 years ago, in South Carolina, by one of the nation's specialists for this procedure . No problems since.
If you have any questions you can contact me at coralknight at yahoo dot com
http://surfacehippy.info/
There is information in the literature - here's one paper presenting a literature review - http://bjj.boneandjoint.org.uk/content/90-B/8/1005
- but it is difficult to be convinced that a population of bilateral THR candidates is going to be precisely comparable to conventional one-hip-at-a-time candidates - since any concerning /potentially complicating factors will likely take the patient out of bilateral consideration - - not convinced that this paper provides the definitive answer not ... so, as is often said - further study is required...
Also for those interested in history - according to this article - "Bilateral simultaneous total hip replacement (THR) was first reported by Jaffe and Charnley in 1971"
Ultimately - find a surgeon you trust - and ask them to do what they do best.
My brother-in-law (when he was in his fourties) had both hips replaced at once. That was about 10 years ago. I think he just wanted to go through surgery and rehab once. It seems to have worked out fine. (There were some complications in surgery which he got through but I don't believe had anything to do with doing both at once)
I tore my labrum at 30 and the doctor said I had 50 year old hips thanks to genetics and playing hockey. Hoping to make it to 50 before needing a replacement!
answering in-line with my brothers info
anyone here have their hip(s) done? I'm scheduled for bilateral this fall and am curious what your experience was?
Found the best surgeon... Dr. David Maymane at HSS (NYC).. titanium hip, Smith and Nephew brand
Did you pursue for pain relief or lifestyle?
PAIN RELIEF
How old were you?
53
Have you had a revision?
Nope.. it was 3 years ago
Painful recovery? Was it worth it for you? What did you get out of it?
Not really.. quit pain meds early.. never filled oxy Rx.. WORTH IT... pain free and totally mobile.. the replaced hip doesn't open as much as the natural.. but whatchagonna do?
What was the one or two things you wish you had known prior to undergoing the surgery?
being the youngest and healthiest patient scheduled that day.. they delayed my surgery until end of day.. waited a long time... got a massage table to do the exercises.. easier than getting onto the floor.. safer...
go to the class before your surgery where they tell you everything about what to expect.. pay attention.. they demonstrate how to get on and off beds, etc. Bought grabber to reach stuff.. tool to put socks on after.. sturdy cane.. raised seat for toilets.. etc.
anyone here have their hip(s) done? I'm scheduled for bilateral this fall and am curious what your experience was?
Found the best surgeon... Dr. David Maymane at HSS (NYC).. titanium hip, Smith and Nephew brand
Did you pursue for pain relief or lifestyle?
PAIN RELIEF
How old were you?
53
Have you had a revision?
Nope.. it was 3 years ago
Painful recovery? Was it worth it for you? What did you get out of it?
Not really.. quit pain meds early.. never filled oxy Rx.. WORTH IT... pain free and totally mobile.. the replaced hip doesn't open as much as the natural.. but whatchagonna do?
What was the one or two things you wish you had known prior to undergoing the surgery?
being the youngest and healthiest patient scheduled that day.. they delayed my surgery until end of day.. waited a long time... got a massage table to do the exercises.. easier than getting onto the floor.. safer...
go to the class before your surgery where they tell you everything about what to expect.. pay attention.. they demonstrate how to get on and off beds, etc. Bought grabber to reach stuff.. tool to put socks on after.. sturdy cane.. raised seat for toilets.. etc.
My MD was trained at Oxford and routinely does the procedure.
If you google the subject there are tons of articles in favor.
I was diagnosed over 8 yeas ago with osteoarthritis in both hips. Was very active until 2nd knee surgery and stopped running etc. been slowly getting worse.
My challenge is that the less active I am the less it hurts which means I don't pop pills at all - in fact I am typicall to free.
So my question for you that did have your hip(s) replaced and wish you didn't wait so long – when would you have pulled the trigger? When your activity level diminished so considerably that you stop doing things you love/ were able to muddle through slow and with pain? If not when?
I have always heard that you should avoid back surgery until the pain is in bearable. Trying to determine if the same applies for my hips.
My challenge is that the less active I am the less it hurts which means I don't pop pills at all - in fact I am typicall to free.
So my question for you that did have your hip(s) replaced and wish you didn't wait so long – when would you have pulled the trigger? When your activity level diminished so considerably that you stop doing things you love/ were able to muddle through slow and with pain? If not when?
I have always heard that you should avoid back surgery until the pain is in bearable. Trying to determine if the same applies for my hips.
OK, I have worked with orthopedic surgeons trained at Harvard, Penn, Duke, Emory, Michigan, Northwestern, Wash U, Stanford, etc. and none of them have ever done a bilateral hip. I asked one about yesterday and he laughed.
Knowing how beneficial it can be I would have done it 2 years ago upon first diagnosis...the surgery at post op day 7 is amazing...today some soreness ...no real pain...listen to what the rehab specialists tell you and be thankful what this part of medicine and science is now able to do for severe arthritis and injury.
a few more thoughts - for what they are worth -
Often in the past have heard it said "operate on patients - not on X-rays" -meaning the ultimate deciding factor is mostly how the patient dealing / functioning. Yes there may be essentially no joint space on x-ray - it may be bone on bone - but as long as the patient is not in constant /highly frequent pain & daily activity is not adversely impacted (and as long as there is not some horrendous destruction of the joint that will make the ultimate arthroplasty dramatically more complex) then continue on. This is consistent with the traditional long range strategy of stretching out the process and thinking about trying to reduce the number of revisions ... but there are other perspectives - for example some will say - If I have to have a revision in 12-15 years - there will be even more fantastic options then.
- taking the running out of your range of activities was a prudent - but - as much as you might feel that they suck - finding some 'minimal impact' highly invigorating activities would be good - yeah they are unappealing & this is like 'eat your vegetables' - but sustaining your level of conditioning will be a huge help when you ultimately have the procedures done.
- would encourage you to
(1.) If you are feeling that, even with activity refinements & alternatives, your hips are now genuinely depriving you of essential aspects of your life - then begin (or continue) to be focused on taking action
(2.) Think about what you want out of this - what activities you you see as critical to your quality of life - and have a very frank & objective discussion with your surgeon - discuss your expectations - and your activity plans - few surgeons will recommend extraordinary physically stressful activity - but they will discuss it - and hey, in today's world there are people who do Ironman competitions, run marathons, and all kinds of stuff that is just nuts - with total hips. When Bo Jackson decided to come back & play baseball with a total hip, he said to his surgeon "Doc, If I tear this up - can you fix it again?" - when told (cautiously) "yes" - Jackson came back... of course his phenomenal muscular structure made all of it possible & he is at least now on #2 or #3.
(3.) Consider obtaining a second opinion - not saying change surgeons - but seek additional insight & possibly a different perspective to provide you with greater assurance - you are addressing your quality of life & you are entitled to gather up what ever information you need.
After reading this thread, I feel lucky that all I have is a little aches and pain that goes away after a little stretching. I will cut back my jogging from. 2 miles to 1 mile a day.
In my opinion jogging is great under age 40 ...after 40 you should do less mileage ... walk , bike , swim ...continue with free weights ( lite weight more reps)... stretch... sex is good if u have a willing partner...do those things which don't put great stress on joints... for me seeing my new Calloways sitting there in a corner is sad... my ortho doc claims with a bit of luck within 2 years I will be able to resume golf ... I will have to tone down the torque of my swing from 90-100 to 80's... Hell I would be happy at pitch and putt... There are surely great things in orthopedics coming in the near future.
Got the right hip done today.
Was an outpatient procedure and got home this afternoon. Thanks to my beautiful and the tenant wife not miss a dose of medication nor an opportunity to PT…
Thank you all for your honest comments in this thread – it helped me in my decision-making for sure.
Was an outpatient procedure and got home this afternoon. Thanks to my beautiful and the tenant wife not miss a dose of medication nor an opportunity to PT…
Thank you all for your honest comments in this thread – it helped me in my decision-making for sure.
I had bilateral with HSS. They are awesome. A joint replacement factory. The average surgeon around the country does about 50 surgeries a year. HSS surgeons do anywhere from 150 to 250 per year and they have the best infection rate in the country which is 3%. Pain was managed well. I was there for three days and then a rehab center for a week before I went home. Take rehab exercises very seriously and do them and your recovery will be speedy.
If you have an athletic lifestyle and want to maintain it, can't do better than HSS, IMO.
RU4ever, who was your surgeon?
I've had 2 total knee replacements and am scheduled for a hip replacement. Knee replacements are far more painful because there is more cutting into tissue, bone etc than the hip. I live in the Boston area and went to New England Baptist hospital , one of the finest orthopedic specialty hospitals in the country. Key for you is going to an orthopedist who specializes in knee and hip replacements at a hospital with a very low infection rate. That's very important. I'm familiar with the Akron/ Cleveland area having gone to law school at Case Western Reserve Univ. and would recommend someone affiliated with University Hospitals Case Medical center. Excellent hospital and their orthopedics group is rated 17th best in the US, by USNWR.
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The HSS is similar to the New England Baptist Hospital in Boston. Both are outstanding orthopedic hospitals with extremely low infection rates , among the best in the country. It so happens my surgeon ( I had 2 total knee replacements) was Dr David Mattingly , Don Mattingly's brother. He's among the best orthopedic surgeons in New England.
