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Knee and Hip together?

Discussion in 'Knee Replacement Pre-Op Area' started by 3dogmom, Jun 10, 2012.

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  1. 3dogmom

    3dogmom Member

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    Hello, again,

    I started a new post for this because I searched and couldn't find a related thread. I started a new thread yesterday after I learned that my 2nd knee was bone on bone, and another TKR is in my future. However, I have been dealing with what they "think" is bursitis in my hip on the same side. It's not getting better, PT helped for a while but stopped helping. Cortisone did not hep. I am worried. Has anyone ever had a hip replacement and a knee replacement on the same side? Do they ever do them at the same time?

    3dogmom
    RTKR 6/1/10

    LTKR ?
  2. bottomshollow

    bottomshollow Moderator

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    This is a really interesting question. I had my right knee done 9 months after my right hip was done, but that is a pretty long time in between.

    I'm not sure about doing them at the same time--but maybe no more than 3 months apart with the hip being done first; and, of course, providing the hip recovery is uneventful. I think I could have had the right knee done three months after my hip was done with no problem---but I have hindsight and am a fairly fast healer and have no other health problems.

    I'm sure someone with more expertise will be along with additional info on this.
  3. lh25

    lh25 Member

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    I can't speak to a hip replacement, but I had been having hip issues on the same side as my knee, they also suspected bursitis. But my OS thinks that it was caused by my knee issues, because I was limping a lot to compensate for the knee pain. In my case, the X-rays also showed that my hip joint was fine. My hip is getting better with PT now, something that didn't happen with PT before the surgery.

    So, I guess my point is that fixing the knee may help your hip, if they in fact rule out joint issues(assuming they haven't yet).

    Does that make any sense?
  4. Phoenixx29

    Phoenixx29 Senior

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    I can't speak from personal experience, but my mum had a knee replacement at the end of January. As she was still in a lot of pain she eventually saw a different specialist, and it was found that she actually also needed a hip replacement (same side). In fact, it was a critical situation (long story) so she was put on the emergency list, and had the hip done the week after Easter, so around 3 months after the knee. She is doing really well now, although she is a bit behind on the knee recovery due to the original hip pain (that is ROM and extension and all that). She is glad it's all done and has no regrets. In hindsight, it probably would have been more sensible to do the hip first, but the problem wasn't spotted until about 2 months after the surgery.

    So it can be done, but perhaps the timing of the 2 surgeries would need to be given careful consideration.
  5. Josephine

    Josephine Administrator

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    Not possible. Much too much trauma at once to one leg. Beside which there aren't so many surgeons nowadays who do hips and knees.

    But what makes you suppose that you need a THR? Bursitis can be the very devil to resolve and sometimes the doctor may not just get the first jab in the right place. Have you had the hip properly diagnosed, preferably with an xray?
  6. BJ Mac

    BJ Mac Sr Bonesmartie

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    I had horrible hip pain in my left hip before having my right knee replaced. I was afraid that I would need to have both replaced and had begun to worry about that. My doc said that it was bursitis and gave me a cortisone shot which did not help at all. He also told me that once I had the knee replaced that the hip would resolve. I am happy to say that my hip is not hurting. I am still working through the long slow process of knee replacement recovery, but the hip feels good. :yay:

    So, definitely get those exrays and get a proper diagnosis before you get too anxious about needing both replaced. Hang in there! :friends:
  7. redbedhead

    redbedhead Member

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    Totally not possible to have both done at the same time. I know because I asked!. The recovery is different with only 50% weight bearing allowed on a new hip in the begining, but a new knee is 100% weight bearing, al tolerated. Plus there are bending precautions for hips depending on approach, but no bending precations for knees.

    I had both hips replaced then both knees, which made it 6 months between hip and knee on the same side. yet 3 months (or slightly less) between each surgery.
  8. Jamie

    Jamie Administrator

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    You will still find a number of surgeons in the US that do both hips and knees. In my research, I have been surprised there is not more specialization for one or the other, but there are good surgeons that do both still....just not at the same time!
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  9. cotton1958

    cotton1958 Supremo

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    Certainly understandable a surgeon would have more than one specialty I guess concerning orthopedics. Mine does knees and shoulders.

    Can certainly agree having a knee and hip done at the same time would be quite unwise. I saw a bilateral hip guy in PT although he was doing very well, I was like, 'wow'. But then sometimes I wonder how I did two knees together.:skeptical: But looking back almost 3 years, would do it again.
  10. Orthodoc

    Orthodoc Forum Advisor

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    Sorry to hear that both you hip and knee are hurting. In this situation it is important to find out the cause of your hip pain. As others have pointed out, it is common for knee arthritis to cause hip bursitis. In this case the bursitis is secondarily caused from the altered gait because of your knee. Hip bursitis shows as pain on the outside (lateral aspect) of your hip. Knee replacement may indeed help this pain in your hip. You should have an x-ray (preferably standing) to evaluate for hip arthritis.

    Hip arthritis will usually manifest as groin pain which sometimes will radiate down the thigh or even to the inside of the knee. Rarely, hip arthritis can present solely as knee pain.

    I would not recommend having both a knee and hip replaced at one time.

    Orthodoc
  11. 1ELISEA

    1ELISEA Forum Advisor

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    "3dogmom, post: Hello, again,... I learned that my 2nd knee was bone on bone, and another TKR is in my future.

    Sorry to hear that you are due for another, but it is good that you are on top of it and know what to expect. All the best to you!
  12. GrandyGirl

    GrandyGirl Graduate

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    Yes, I've had a hip replacement and a knee replacement on the same side...but not at the same time. Did you have a specific question about that?

    Dori
    aka GrandyGirl
  13. tashia

    tashia Sr Bonesmartie

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    Dori, I am like you .I have had hip and a knee done but not at the same time. I think doing both together would really be hard. I do know you want to get it over with and out of pain. But would some of the exercises that you do for each one cause conflict as so make it harder? I had the same question and when I asked it I don't even remember the doctor answering it but he sure changed the subject fast. Or maybe he did and the answer was NO. Everyone take care and remember we all are working for the same goal and that is full recovery. :puppysmooze:Tashia:friends:
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