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Core decompression recovery?

Discussion in 'Hip Replacement Pre-Op Area' started by im4everyoung, May 2, 2011.

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  1. im4everyoung

    im4everyoung New Member

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    Hello,
    I was recently diagnosed with AVN, and have opted for the core decompresson surgery. I'm scheduled to have this done in a week and a half. I've tried to research this proceedure on the internet and have found very little information.

    Can anyone tell me about their recovery experience after this proceedure? On several websites, I've seen that it's protocol to be off your feet for at least 6 weeks. My doctor said it's a simple proceedure and I'll be on crutches only for a few days.

    I'm so confused. Who do I believe??? I don't want to get back on my feet too quickly and cause further injury, but at the same time I don't want to stay on crutches if it's not necessary.

    I can't seem to get any detailed information on the topic. I would love to hear what other people have been told by their doctors. I feel like I'm totatally in the dark here.

    Any help would be greatly appreciated!

    Thank you...I'm running out of time.
     
  2. Jaycey

    Jaycey Moderator

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    Hello and welcome to BoneSmart! Glad you joined us.

    Jo our forum nurse would be the best person to answer your question so I'll tag her @Josephine:

    We have had several members who had this procedure. In general I think it is not a straight forward a recovery as THR. I am basing this on just what you said - there are more restrictions.

    One of our members had THR on one hip and decompression on the other in July last year. Look for threads by Lindawalms in the hip pre and post op area, Or PM her - I am sure she would be happy to give you her first hand experience.

    All the best!
     
  3. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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  4. im4everyoung

    im4everyoung New Member

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    Hi Josephine,
    Thank you for your reply. My Core decompression proceedure isn't like the one you've posted. My doctor is not grafting bone into the hole he's drilling, he's just drilling the hole.

    Could this be the reason he's suggesting that I only need to be off my feet for a few days, instead of weeks? I'm just afraid that walking on it too soon may cause a fracture.

    I'm sorry if my question seems pretty basic...this is all so new for me.

    Kathy
     
  5. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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    We have a saying on here "there's no such thing as a silly question"! So to answer your perfectly valid question with a question, why is he doing that? He's drilling the hole as illustrated? And he's really not putting anything in the hole? That's not a core decompression as I know it.

    "does not compute" :skeptical:
     
  6. im4everyoung

    im4everyoung New Member

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    Thank you....I really appreciate the support.

    My doctor explained core decompression as a proceedure in which they drill a hole through the dead tissue, with the idea that new bone tissue would grow and hopefully provide it's own blood supply.

    He's not incredibly optimistic about a positive outcome, but I'm willing to try anything rather than skipping right to THR.

    It was explained to me, that there were two different proceedures: the core decompression option, or the bone graft option.

    Again...this is all new to me!

    Thank you
     
  7. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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    Well, I know what I would opt for. Why have two surgical procedures, two anaesthetics and two recoveries instead of one? Likelihood is that you will end up having the THR in about 10-18 months - that's the general picture. CDs don't last much longer than that. And it's not like you are very young - 50-ish is about the average age for a THR.
     
  8. im4everyoung

    im4everyoung New Member

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    I know that CD is only 50/50 at best. I'm just hoping to get as much time out of this hip as possible.

    I'm very active. Currently playing competitive volleyball and do not want to give that up. It's strange...bending over to pick weeds, walking up stairs, standing up from a sitting position, kill my hip, but for some reason jumping and running while playing volleyball does not hurt (with pain meds).

    My OS told me that once I have a hip replacement, that I will not be able to play any high impact sports. I may be pushing 50, but I'm just not ready to give up!
     
  9. Jaycey

    Jaycey Moderator

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    You might want the get a second opinion! There are very few limitations after THR. My OS said my only prohibited activities were bungee jumping and parachuting!

    I agree with Jo, why have a procedure knowing fairly soon you will need another one? Have a read in the hip recovery area. Recovery from THR is not all that bad.
     
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  10. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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    I have no idea why some surgeons insist on telling their patients this because it's just not true.
    I think maybe because they want to protect themselves against litigation in case, if they didn't tell patients that, there might be comeback about it.

    If this is why you are opting for a CD then I suggest you think again. It's not a good trade-off.

    You should read these threads in Stories of amazing hip recoveries

    Stories of great hip recoveries
    4 months pics THR
    Three months post op - awesome recovery report
    Wayne sleep's THR - Back in the Royal Ballet after 12 weeks!
    Gymnast - Mary Lou Retton and other celeb THRs
    45 years life span for a hip replacement!!

    And this one is about a resurfacing not a total hip but much the same
    Weightlifting 1 year after BHR
     
  11. im4everyoung

    im4everyoung New Member

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    Wow! Thank you for the information.
    I think I've been researching the CD so much (as the preferred option)that I didn't think to research the truths my OS was telling me about THR. I just believed him.
    I'm also still coming to grips with the AVN and all that comes with it.
    Thank you for listening and passing along such great information. I appreciate it.
     
  12. Jamie

    Jamie Administrator

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    Hi, im4everyoung.....welcome to BoneSmart! Although my joint replacement was a knee and not a hip, I also had an unexpected diagnosis of AVN. It scared the daylights out of me and so I can completely relate to your feelings of needing to come to grips with it. Heck, I pictured it spreading to all my bones and me being in a wheelchair! SO NOT TRUE!!!

    However, once I got over the initial idea of a small area of "dead bone," I went on to know that it really is no big deal when coupled with the joint replacement. The dead parts of the bone are simply removed and the new bionic joint takes over all the function of the joint for you. You are able to do pretty much anything you did before all the problems started.

    So unless you have a reason to be concerned about the AVN increasing (maybe because you were taking steroids for an extended period of time), it really shouldn't have anything else to "come along with it" other than it's there right now. Try not to let it worry you needlessly.

    I think it's a good idea for you to rethink all of this before you make your final decision.
     
  13. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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    You don't need to be scared of AVN. It's just a slightly different form of osteoarthritis that affects younger people, usually caused by congenital or juvenile problems like dysplasia or slipped upper femoral epiphyses. But essentially it's just the same as arthritis with the same effects and prognosis. Attempts to get the deteriorating bone and/or cartilage to regenerate have been under research for years and few procedures have much long lasting effects. Were you in your 20s or 30s I'd say maybe give it a go, but only maybe! At 47 what's the difference? The 45-55 age group have the greatest number of hip replacements and resurfacings.

    Which brings me to another thought - have you ever looked at resurfacing? It's another option if you want a lesser approach. We've had a number of members in here in the past that were very happy with their resurfacing. This one for starters
    Weightlifting 1 year after BHR (BHR = Birmingham Hip Resurfacing)
     
  14. im4everyoung

    im4everyoung New Member

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    Josephine,
    I asked my doctor about resurfacing, because I'd seen that talked about on the internet for people like me. He told me that resurfacing was out of the question because the dead bone tissue would make it impossible. He also told me that because I'm a woman, my ball joint was too big for this proceedure to work well. Again...I took him at his word.
    I see I have a lot of research to do!
    Thank you so much.
    Kathy
     
  15. Josephine

    Josephine Forum Admin and Mother Hen Administrator

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    Indeed you have! But he's partly right and partly wrong. HR is very often used for AVN cases but it depends upon the degree and the position of the damage. You really need to see an HR specialist for a correct opinion. Tis said in the medical world that a surgeon needs to be a specialist in THR before he can start doing HRs.

    And I've never heard of anyone's femoral head being too big, particularly a woman! Women's femoral heads are generally much smaller than average - about 40-50mms. It's the men's that are sometimes huge, 45-55mm. That would be the same for either THR or HR. And the cups go to the most phenomenal size these days anyway, up as far as 68mm. So that argument really doesn't hold water.
     
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