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THR With BKA

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OldPSUfan

new member
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Apr 7, 2011
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Hi all. I am scheduled for a TLHR in June, but first a little about me so that you all can see what I'm up against.
I am 73 years old, and up until age 62 I have always worked out, and have been in great shape. At that point in time I had a nasty motorcycle accident that totally messed up my left side from the hip down. I had to have my lower leg amputated at about mid calf, my knee has 3 screws in it and does not have much strength or flexibility. My femur was broken and had a rod inserted to repair the break. My left hip had some damage although I really did not know the extent other than a lack of mobility. I have a prosthetic lower leg and walk with a cane if I have to walk too much.
I've been able to cope with that for several years, but at age 69 I developed rheumatoid arthritis. The RA is much worse than all my previous injuries mentioned. It took about three more years and lots of medication to get the RA under control so that I could function "normally" again. Now I'm faced with a hip joint that has got so bad that I could hardly walk with the aid of two canes, so I decided it was time.
I had the rod removed from my femur on the 17th of March in preparation for the up coming THR. In order to do the rod removal surgery I had to stop taking my RA medication two weeks before and two weeks after, and every joint in my body is stiff and painful. It's an effort to even move, and I'm dreading going through this all over again in June.

Enough of that. My questions are not so much about recovery time and such as they are all pretty well documented here. My biggest question is the 90 degree rule. Just exactly what is it ? Is it bending at the waist in a seated position, standing position ? Is putting on a sock in the normal manner a no no ? This is my biggest concern because of my artificial leg. It requires that I first put on a rubberized locking pin liner on my stump before I can slip into my leg. This liner is turned inside out and is then rolled onto the stump and it has to be positioned exact so that the locking pin is dead center on the stump. As you can imagine it requires a pretty good stretch and the use of both hands to roll it onto the stump. I might add that I have short arms which does not help.

Could someone please clarify what this 90 degree bending entails.
 
Hello Oldfan and welcome to BoneSmart!

You can find an in-depth explanation of the 90 degree rule here This 90 degree rule and risk of dislocation but it has to be said that some surgeons don't require this. And under the circumstances, it might be that your surgeon won't. You should talk to him about it ASAP.
 
Thank you for the information and thread directions, I'm sure I'll be reading a lot of those threads. Some rules I will not have a problem with such as a squat, I have not been able to do that in eleven years.
I would be curious if anyone here has my situation, ie: THR on same side as lower leg prosthetic.
Thanks again.
 
We did have another member that was in the exact same situation but it was a while ago. It was his wife that was the member, seeking advice on what she should expect in caring for him. But she never hung around long and we never heard about his surgery.
 
Welcome, OldPSUfan.....I'm glad you joined us. You sound like a fighter and I have no doubt that you'll approach this next challenge in your life head-on! Good for you! A positive attitude really helps.

We'll be here to provide whatever information and support you may need as you go through your surgery and recovery. Hang in there and here's a toast to better days ahead for you.....:beer2:
 
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