- Oct 17, 2017
- United States
Age 47 male born 1970 over weight. Diagnosed with ankylosing spondolitis 1984. Diagnosed with diabetes type 2 in 2015. First left hip replacement due to cartlidge degeneration in 1986 at age 16. In1989 I shattered steel hip up through my pelvic bone while wrestling. Pelvis was reconstructed with metal plates an screws and cadaver bone. In 1992 the pelvic reconstruction came lose. It was reconstructed again with metal plates and screws and coral. 2011 I fell off ladder and shattered top half my femur. It was repaired with metal plates and wires and a new hip was cemented in place. This was done at cedars sinai in Los Angeles. 4 months after surgery their was a small portion of scar that did not heal and became infected. Immediately surgeon opened me up and made sure there was no infection deep enough to reach prosthesis or hardware. E cleaned infection and closed me back up. No problems until 2015 when a portion of scar opened again and there was son drainage. It quickly healed and did not appear for about 5 months then healed. Then opened again in beginning of 2017 and would not heal. There was more discharge from the wound. It was a clear slightly milky color with no infection smell but would not heal. July 2017 I went to ortho surgeon. He stated that the sinus tract went all the wY to prosthesis. He figured this out by putting long tip into open wound. He stated I needed a two stage surgery immediately and set me up to have surgery the next week. He took 1 X-ray but never tested my blood for signs of infection and did not do an aspiration. He saw the severity of my femur repair and did warn me that when they removed the cemented prosthesis it could cause more damage which may make the final repair very difficult if there was not enough femur left for the prosthesis to slide into. I asked about any possible treatment for the infection that we could try before the surgery since repair after might be so difficult. Could we try and fight infection before moving directly to surgery. I was told no I had to hve surgery ASAP. Even though the components were not lose an I was not feeling any pain in hip and was walking fine he stated surgery was only option. At this time he never did any testing of the drainage or blood test or a hip aspiration beforehand to possibly see extent of infection. August 2017 I had first stage of two stage surgery. They implanted antibiotic spacers non weight bearing. When removing the hip prosthesis he did extensive damage to my already damaged femur. My femur is now shattered to just above my knee. I was on pic line for six weeks after surgery then oral antibiotics for two weeks. Nothing since. Still waiting to make sure infection is cleared before reconstruction. I have been told I willl need a full femoral prosthesis due to damage when hip prosthesis was removed. I have been bed ridden for six months at this point. I recently was reading a paper titled "Diagnosis and Management of Prosthetic Joint Infection: Clinical Practice Guidelines by the Infectious Diseases Society of America". In this paper it seemed to go through the process a doctor should follow when confronted with my situation and it does not seem to me as he was anywhere near following protocol. Can a doctor let me know if what he did with rushing me for surgery without any testing was normal or okay. By the way this last surgery was done at a county hospital. Here is a link to the paper. I just feel the surgeon rushed me into the surgery without looking at any other options first. It I sad to say but he has a god complex and he can never admit to making a mistake which scares me a bit. I just want to make sure he did what he should have or if he should have done more or tried more before putting me on table and cutting me up. I feel as though he is medically negligent. Am I right?