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THR Bens THR advice and accountability thread

B3nzaah

new member
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Jan 24, 2020
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Hi all, I Just found this forum after searching Reddit for information .

I’m male 43 Adelaide South Australia. Currently weigh 128kgs With right hip issues. I’ve got severe oesteo and a bad femoral head growth( bad genes from my Irish nana). This resulted in a Severe cam impingement and about 40% bone on bone with minimal space everywhere else. My Left hip isn’t too bad and only has mild oesteo and minimal impingement as the left has no growth.

I’ve Had this pain in my right hip since childhood. Never able to sit with my legs crossed for extended periods I would often get detention for being ‘inattentive‘ during assembly. Played little sports due to sore hips when running but I never saw a specialist back then and just adapted my life. Working in liquor stores then delivering hot water units at work degenerated it over time. It’s been severe for the last 3 years since trying to get on a ride at japan Disney where a ride attendant manoeuvred my leg in a way it would just not go. I then averaged 20k steps for 10 days after that incident drugged up on anti inflammatory and did irreparable damage.

june 2018 After said holiday I went to see a specialist at sportsmed who said in the most brutal way ‘at172kgs the only way youl have a hip replacement would be to 1st see a bariatric surgeon to lose weight’. I had a cortisone injection every 6 months and started my weight loss journey.
I went low carb diet and gave up sugar instead and I’ve lost 50kgs in the last 18 months which sees me finally under the bmi range required for surgery without needing a hospital with a intensive care facility.

Friday just gone I had the pleasure of meeting a fantastic surgeon, Dr David Campbell and was told I’ll be having a mini posterior procedure at the Glenelg hospital on the 26th of February. I’ve spent the last 2/3 months in excruciating pain but finally there’s a light at the end of the tunnel. David only does posterior procedures and I have no issue with this but some of my family members are shocked I’m not trying to find a new school robotic surgeon. Reason being my 88yo grandfather had a successful anterior robotic surgery late last year and they think I’m crazy for Not going this route.

I’m very comfortable with what’s going to happen although during my 45 minute consultation I had tons of questions I forgot to ask. Somehow I ended up saying I wanted to be able to bodyboard again but was told this is not going to happen. I was surprised he said snow skiing would be possible although it’s been 15 years since I’ve been due to said sore hip.

David said minimum 6 weeks till I can drive so Any advice on the time back to driving after a right hip replacement?

Any links to resources on sleeping positions post surgery as this is something I forgot to ask about. Having been overweight for a long time I can’t sleep well on my back and I’m worried being a side sleeper that I’m going to dislocate in my sleep.

I’m going to use this thread as an accountability thread for my recovery and post some progress photos post surgery.

Any advice In general is appreciated. I’m looking forward to being part of the community here.

Regards Benzaah.
 

VSlowLife

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Welcome and congratulations on your weight loss!

I’ve got severe oesteo and a bad femoral head growth( bad genes from my Irish nana). This resulted in a Severe cam impingement and about 40% bone on bone with minimal space everywhere else.
I have this too and more in my right hip. I never could sit with my legs crossed. I always sat like an inverted “W” which amazed others who could not, but sitting like this never gave me pain.

I am scheduled for surgery in six days with a robot, but that is because of another issue. Robots are not a necessity.

An excellent surgeon is the necessity, from what I have learned here. Glad you found one you like. The posterior approach, in general, is tried and true. Other forum members have had mini-posteriors and can comment.

I think many people are side sleepers. I bought an appropriate recliner to teach myself to sleep on my back. It did not come naturally but I figured it out over time.

The staff has great information to share with you. I am going back to sleep.

Have a good day.
 

Mojo333

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Hi @B3nzaah
:welome:to Bonesmart!
First please let me say...Congratulations on your weight loss...very inspiring. Tough thing to do in general and with a terrible hip, even harder.
Having a surgeon that is skilled in the approach he prefers,and that you have confidence in, is very important.
Some of the newer techniques tout quicker recoveries and indeed may show some short term advantages...but these intersect very quickly at about 6 weeks so I would think of the endgame.
I found a recliner very important to rest as I was uncomfortable on my back but with double trouble (I had bilateral) it was definitely helpful.
Not sure why your surgeon mentioned no snow skiing, except of course the potential for injury, but we have many members go back to their passions in time including skiing.
I can certainly sympathize with your increasing pain...I was thoroughly miserable by the time I had my surgery and sleep deprived!
Not much longer :egypdance:and you can start getting your life back again.
 

Celle

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Here's some pre-op information for you, to help you prepare for surgery:
If you are at the stage where you have joint pain but don't know for sure if you are ready to have surgery, these links may help:
Score Chart: How bad is my arthritic hip?
Choosing a surgeon and a prosthesis
BMI Calculator - What to do if your surgeon says you're too heavy for joint replacement surgery
Longevity of implants and revisions: How long will my new joint last?

If you are at the stage where you are planning to have surgery but are looking for information so you can be better prepared for what is to come, take a look at these links:
Recovery Aids: A comprehensive list for hospital and home
Recliner Chairs: Things you need to know if buying one for your recovery
Pre-Op Interviews: What's involved?

And if you want to picture what your life might be like with a replaced hip, take a look at the posts and threads from other BoneSmarties provided in this link:
Stories of amazing hip recoveries
 

leejaa

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Congratulations on your weight loss and more importantly on getting a good surgeon that you like and a surgical date. I have had two posterior replacements -no robots. Great results of getting back to life and no pain which is wonderful. Just because it is the latest and greatest does not mean it is the only way to have something done.

I used the recliner for sleeping most of the first week and then moved up to the bed. Mainly I did this so I did not turn but for me so that I had an easier time getting up without waking up my husband. He slept in bed upstairs and I stayed downstairs in recliner. I could stay up, turn on lights, watch TV when I could not sleep and get more ice easily. Icing and elevation are vv important. Sleeping on your side can be done with a pillow between your legs. I also slept on a twin bed in recovery with it against the wall so I had less spaced to move around and put a long body pillow next to me so that it would remind me not to turn without the pillow. Many people are just fine in other beds but I was being extra cautious since I was on my 4th joint and wanted to make sure I did nothing to screw myself up or slow down progress. The best part in all this was the awful preop pain was gone. There is post op discomfort but can be treated with pain meds and Tylenol and is very tolerable.

Read a lot on here on how to prep the house and yourself for surgery (I did especially with the first) and what to expect in recovery.
 

BruceH

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I got a wedge shaped body pillow for back sleeping. Like you I'm not a back sleeper but it's the only way I can sleep post surgery. It's large enough to elevate me like a hospital bed would. I also picked up a recliner prior to surgery. It is in use most of the time I'm not in bed. It's been a great investment.
 

Eman85

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Congrats on the weight loss. I've had bad hips since I was a kid, could never sit crosslegged on the floor.
As far as driving I had posterior on both hips and drove at 2 weeks with my left and sbout 3 weeks with my right. With my right driving was a little uncomfortable at first just the way the seats in the car are.
As far as posterior approach and no robot that's how mine were done. If you do research you'll find that the quality of the surgeon is more important than the approach and or the robot. Another thing about posterior is allowing more room to work and the approach not dictating the size of the replacement.
 
OP
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B3nzaah

B3nzaah

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Firstly Thank you all for the responses. Yes the weight loss was hard but it’s amazing how good you feel when you don’t eat processed sugar. It does have its pitfalls like going out for dinner last night, having pizza and putting on 1.5kgs overnight and feeling like mess today. But life doesn’t stop just like living with hip pain.

I also didn’t expect to get so much useful information and I’ve saved a heap of links you have provided and started dissecting the forum further.
I went to the physio this morning and while there was chatting to him as he is also due for a THR at some point. We did the Harris Hip score test and got I 39 :/ funnily enough we tested the physio and he scored 60 :(

I’ve started reading up on some of the material about sleeping. I’m already making arrangements to modify one of the recliners i have at home and will start getting used to sleeping in it some nights before surgery as this is my biggest fear. I’ll look into the big wedge pillows and body pillow as I don’t have access to a smaller bed(I have a king size).
im also realising I need a lot more supplies like ice packs and Some compression pants. I’ve also realise d how important it is to stock up on food etc as I’m not going to be able to go shopping for a while. My partner doesnt drive and you can only rely on family so much when you are out of action. I’m going to be on the front foot setting up some support network with my family in the coming weeks as well.

once again thanks for your contribution regards Benzaah.
 

Eman85

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Sleeping is just what it is, you'll sleep one way or another as you will be tired. The more you worry about it the worse it will be. I never wore compression anything but every OS has different requirements. Stocking up on food is a good idea and since you were very nutrition conscious already you should be good on what to eat.
 

CricketHip

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@B3nzaah Hello! You are very determined with your weight loss, good for you! So happy you were able to set a surgery date and soon you will be on to recovery.

Glad you found us, enjoy the reading- I know I read everything I could find on here, it was so helpful.
 

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