Become an Insider

Best practices for OS to diagnose and recommend a THR

Hi @Barbaraj and @Layla , my approach will be posterior and I am somewhat confused about the risk of dislocation and the 3 precautions I have to follow for 6 weeks. On one hand I have read that as you approach the 3 positions that break one of the precautions you will feel pain and body resistance, I remember reading, let pain and your body be your guide, but on the other hand I read of hip dislocations when person is awake, lying in bed and adjusting their position in bed, this is a controlled situation, no sudden movements or fall involved. It shouldn't be that easy to dislocate a new hip. Or is it?
 
Hi SelfHelp,
I fully understand it's common to worry about post op complications while waiting for surgery, I did it myself.
My surgeon didn't impose any restrictions, but I was advised to move slowly and if anything hurt, stop.
It worked well for me. Once you're in recovery and busy trying to get through your days, most of the concerns that we seem to obsess about pre-op recede into the shadows. Truly.

Following are a couple articles you may find interesting -
https://bonesmart.org/forum/threads/dislocation-risk-and-90-degree-rule.10181/
https://bonesmart.org/forum/threads/dislocations-what-are-the-risks.8759/

Wishing you a wonderful Wednesday! :wave:
@SelfHelp
 
Morning @SelfHelp. I also will have posterior approach as was my right hip. I was told the restrictions are necessary due to everything has just been set in place and your body needs some time to fix on to the new parts. I did roll over on to my operated side while sleeping early in recovery and panicked. I called the doctor's office and spoke to his nurse. She reassured me if everything still felt good not to worry. Slow steady movements is always best and besides, your body won't let you till it's ready to move quicker. No worries you've got this!
 
Thanks @julesglass and @Layla. I like to get a feeling for how easily a new hip can dislocate? Can it happen on a new hip without any warning? No pain or resistance? One bad move and it is out? If all movements are controlled , no accidents or falling involved, do you get warning signs before the hip dislocates?
 
Hello @SelfHelp. Hope your day is going well for you as it is for me. I don't know about any warning signs, I just know you will be paying attention to how you are moving because of the surgery trauma your body has been through. I know as I moved the first three weeks it was a conscious awareness of how I moved and speed I moved. As recovery continued I realized how much easier my body responded to my movements. Let your healing body guide you and you will be fine. It's all good in the end.:friends:
 
Agree with all the above, but I think (no medical basis, just my own instincts) that dislocation probably doesn't happen that often, and I agree with @julesglass that you'll be hyperaware of your hip for some time after surgery, @SelfHelp. In fact, I felt it was a sign that I'd really begun recovering when I STOPPED thinking about my hips all the time. They say that the opposite of love is not hate, but merely indifference--and for hips, it's not that your hips will feel "great" at some point down the road, but that you'll stop thinking about them at all--that's when you know that true healing has occurred!
 
I forgot to mention above that I also experienced posterior approach. With no restrictions.
And (julesglass) who is also experiencing posterior was given an explanation as to why the restrictions are necessary. Puzzling isn't it? So much of recovery protocol varies from surgeon to surgeon. It's crazy.
I would definitely recommend you follow your surgeon's advice but keep in mind, many of us weren't given restrictions and did perfectly fine. I feel if I were you, knowing that would ease a little of the pressure.
At least I hope it does.
Have a good one!
@SelfHelp
 
@Layla , agree, it is confusing, seems like medical community is finding that precautions are not necessary.
Hip replacement patients can skip hip precautions, study suggests
https://www.sciencedaily.com/releases/2019/03/190312170818.htm
Regardless, I plan to follow the posterior approach precautions. I was asking because I wanted to understand if I can expect some pain or resistance as warning before dislocation, but I guess there are none.
 
I had a posterior and had precautions for 6wks. My thought was better safe than sorry. I worked in healthcare and saw patients come in with dislocations (not always right after surgery) and I do not relish any more pain or time in hospital so followed precautions and listened to my hip and how it felt at 6 wks. Now, I do not even think of my hip 99% of the time. Not usually a compliant person but my overriding wish was to recover and get on with life without pain. Now, can't wait for the other hip to be done so I can return to living without pain.

Best wishes for your surgery and hope to see you on the recovery pages progressing to a pain free life.
 
@leeja , thanks for your reassurance, that once you are past the recovery the new hip can be all but forgotten. I need to hear that reassurance. If I can get there a year after surgery then it will be all worth it. But as my surgery day is closing in my anxiety is increasing.
 
Last edited:
I know you are nervous
Really, we all were.
You will do great and the waiting is the hardest part.
I knows you have a few delays and lots of time to overanalyze it all....but you deserve a life doing the things you need to and want to... without hip pain!
Two hips at once for me...double the "risks" and all went very well.:egypdance:
 
Last edited:
@julesglass , its a deal! If I remember correctly you are also getting posterior approach. I report to the hospital at 10:15AM, expect surgery will be 2 hours after that. I expect to be discharged the same day unless there are complications. I wonder, why the hurry? I am a little concerned about the first few days at home, I hope I can handle moving around, stay steady on my feet. My wife will be at my side, but I am a big guy, 6'3" 250 lb and not sure she can physically support me in case I loose my balance.
 
Last edited:
Morning @SelfHelp. Doctors are releasing same day alot, however that also depends on your ability to move and your confidence going home. The rehab staff came in and I had difficulty the first round with them, I was unsure of myself. My surgeon suggested I stay another night, I was grateful. It gave me time to get more confident about going home. I suggest letting your doctor know your concerns. They won't release you if you are unsteady. Your concern of your wife not able to help you if you get in a bind is real and I think your doctor would take that concern seriously. Heads up big guy, here we go:walking:
 
Before they release you, you will have an assessment by PT to make sure you are steady and can walk with walker and do stairs and get in and out of car. Considering your surgery is not bright and early, this might not occur that day but definitely speak with your doctor as well as hospital staff if you are not sure about going home. They want to make sure you are safe after the surgery.
 
I was given the possibility of same day release but the option to stay overnight
My surgery was delayed a little, and I ended up staying overnight, with PT walking me the first day and doing steps and some extra PT day of discharge.
So---surgery at 9:30am may 1 and out the door 230 pm may 2.
BTW I was posterior approach and did great, and my second surgery for the other hip is 8/21 wish I could trade dates with you and get on the road with my other one but was required to wait 12 weeks at least between.
You'll do great! My new hip is already showing up the one that is waiting for sure!:thumb:
 
Thanks @ahipgma , concerned if I'll be steady on my feet after surgery, due to pain or dizziness from low blood pressure, I read here of cases people passing out. Last thing I want is to fall! BTW, did you strictly follow the 3 precautions after your posterior surgery?
 
Last edited:
You must log in or register to reply here.
Active Antimicrobial Hydrogel
Corganics CBD

Staff online

  • Layla
    Layla
    Staff member since November 20, 2017

Members online

Total: 2,358 (members: 3, guests: 2,355)

Latest posts

Back
Top Bottom