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[THR] Femur hardware sensitivity^

Discussion in 'Hip Replacement Recovery Area' started by Cathysan, Feb 6, 2019.

  1. Cathysan

    Cathysan new member
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    Hi. I’ve had bilateral hip replacements and revisions but 2 years ago I underwent a femoral osteotomy. I’ve been in pain since and after many diagnostic tests as to why I continued to experience pain and discomfort, it was determined that the hardware was the culprit of my chronic pain.

    My physician is recommending removal of the hardware. I’m curious to know if anyone has had this issue and if so, was there any improvement after removing it. Also interested in the recovery process. Thank you.
     
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  2. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    Hi @Cathysan and :welome:
    Sounds like you have had alot to deal with in the hip department.
    I'm sorry that you are facing more surgery...I am not sure if I remember if there is a member who has undergone femur osteotomy.
    Could you please supply us with the dates of your hip surgeries?
    We can tag Josephine our nurse guru...she has decades of experience in all things hip and knee.
    Do you have date for hardware removal?
     
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  3. Cathysan

    Cathysan new member
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    Hi @Mojo333 and thank you for your reply.

    I was diagnosed with hip dysplasia at age one and have had several corrected surgeries since then. My first hip replacement was in 2004, first revision in 2010 and second revision in 2012 on my right hip. In 2014 I had a left hip replacement. I have custom made prosthesis on both sides.

    In 2016, a femoral osteotomy was performed causing significant pain and discomfort. I have cables around the femur that may be causing irritation and inflammation. My surgery will take place sometime this summer. It appears that it’s uncommon to have this problem. I’m hoping to find similar cases on this forum.
    Thank you.
     
  4. Layla

    Layla FORUM ADVISOR Forum Advisor

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    You've had a long journey. You've experienced a lot of hip related surgeries.
    I'm sorry you're looking at another round, also sorry I have nothing to offer other than support.
    Hopefully someone will stop by who can better relate to your current situation.
    I hope your next surgery is your last, resolves your issues and brings you the relief you deserve.
    We're here for you, we care. Wishing you comfort as you move forward.
    @Cathysan
     
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  5. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    We have had several members who have had fractures to the femur during their THRs and ties as you are describing. At least 2 had surgery to remove the cables after experiencing pain. I'm sure they will stop by soon to chat.
     
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  6. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Hi @Cathysan
    Jaycey's post just jogged my sluggish memory.
    The two I'm thinking of offhand are @NanaKP and @BionicButt
    Both are super friendly, encouraging and supportive. I've tagged them for you. I'm sure they'll stop by at some point. I know NanaKP shared here that she would be away for a time visiting her mom but I'm sure she'll be checking in again soon. In the meantime you may want to peruse their threads.
    https://bonesmart.org/forum/threads/hitch-get-along.48703/
    https://bonesmart.org/forum/threads/relief-after-removing-cerclage-cable.49633/

    Wishing you comfort. I hope you have a pleasant weekend.
     
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  7. sansabosa

    sansabosa senior

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    @Cathysan
    Hi there
    I also had congenital dysplasia diagnosed at the age of one and gone through many osteotomies in my childhood. I do understand what you have gone through. Recently gone through revision surgery and still under recovery phase...both hips have been replaced...
    I did not understand why you’ve had osteotomy after THR? Did you break any part of the femur?
    Is there any chance to schedule your surgery for an earlier date if you are so much in pain?
    I wish your next surgery will be the last one and will be the end to your pain
     
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  8. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    @Cathysan First I need more detail about your femoral osteotomy. Do you have an xray of it to post here so I can see what it is? There are so many types of femoral osteotomy, you see!

    I'm also puzzled as to how you could have an osteotomy when you also have a hip replacement.
     
  9. Cathysan

    Cathysan new member
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    @Layla thank you for your input and I appreciate your support. Very kind of you!

    @Josephine I had a leg length discrepancy, so my Dr performed the femur osteotomy to correct the leg length.
    Thanks everyone.
    Here’s my xrays for your review.

    cathy.jpeg
     
  10. Cathysan

    Cathysan new member
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    @sansabosa sounds like we’ve been through a similar journey. I think I’ve had around 10 surgeries already and I also need bilateral knee replacements in the near future. My husband started a new job, so I need to wait until he’s able to take time off to care for me. My pain is managed with medications at this time. Some days are worse than others, but I do tend to have a high pain tolerance. It’s emotionally difficult to undergo another procedure and go through the recovery period. Just so DONE! I’m sure you can relate. Thanks for listening.
     
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  11. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Wow, that's a lot of hardware. I can't imagine that it wouldn't cause discomfort / pain at some point.
    Have you used the same surgeon throughout? If so, will it be the same surgeon removing hardware.
    If that's the case, I'd be tempted to seek a second opinion. I will look forward to Josephine's opinion on all. She's experienced a lot in her 50+ yrs in Orthopedics. Wishing you comfort and relief as you move forward.
    @Cathysan
     
  12. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Who told you that? I've known many patients have surgeries similar to yours and just as many have problems with pain after.

    However, just to satisfy my curiosity, two more questions
    1. how much of a leg length discrepancy did you have?
    2. can you show me where the pain was using this chart?
    aa hip-references-horz.jpg
     
  13. NanaKP

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    Hi @Cathysan - Welcome to the BS forum. I found it to be very helpful and supportive through my journey. It sounds like you have had a very difficult and lengthy journey - wow, that Xray makes me shudder. After my first THR, a GT fracture was discovered so approximately 3 months after the hip replacement, they put in a cerclage claw and wire system. I had quite a lot of discomfort after that any time I lifted my left leg and I found it nearly impossible to go up stairs leading with that leg. My surgeon agreed that it was the hardware causing me the discomfort so December 14, 2018 I had it removed.

    I had my second hip replaced November 5 with no problems, no fractures (thank goodness). I am recovering from all of the surgeries and presently, am feeling quite well. I can't say that the discomfort went away immediately but it was pretty quick. I now go up and down stairs leading with either leg and I'm fine (the left leg is still pretty weak but I'm confident that it's getting stronger). I have been back on the treadmill (walking) since January 1 and it feels amazing.

    I do recommend that you go to @BionicButt and read her posts. When I discovered her thread, I cried seeing that I wasn't the only one going through this. Not sure if I can offer much sound advice but please feel free to ask any questions you might have. I'm pulling for you!
     
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  14. Cathysan

    Cathysan new member
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    @NanaKP thanks for sharing your journey. It gives me hope that I’ll get some relief after hardware removal. I couldn’t find anyone with my similar issue until this forum. And still feel not many people experience issues with their hardware.

    My physician has 30 years of experience and only encountered 2 with similar hardware sensitivity. He’s very knowledgeable and skilled with hips, knees and shoulders. In fact, he gets many referrals from patients/doctors wth complex Orthopaedic issues.

    I have high grade/severe hip dysplasia and a few ortho docs refused to see me due to my complex case. I’m very comfortable with my surgeons and if it wasn’t for him to take my case, I would’ve been wheelchair bound.

    He created my prosthesis because he knows my inside so well. So far, my new hips are doing well. My leg feels heavy and it’s hard to walk without a cane for support. My pain is primarily on my thigh and lateral side where the incision is located. Sometimes, I feel a stinging and sharp pain, and also a pulsating feeling. My leg is weak despite exercising 3x a week in the pool. I have never experienced this kind of discomfort.

    Thanks again, for the support. Much appreciated!
     
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  15. Hippielife

    Hippielife member

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    Cathysan... I have read about your journey it has been long and complicated. I am very sorry you have been thru so much. Your confidence in your surgeon is very important and with the courage you have shown through the many years I know that you will heal and be back to a pain free mobile life.I hope that you will have complete healing and peace soon and find the end to your journey . In my experience and with time you will get the strength back in your hip as muscles heal and all the in between struggles lead to a road of less pain, more strength, recovery and mobility. Sending healing and walking angels :angel::angel: to guide and comfort you on your healing journey.
     
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    Last edited: Feb 8, 2019
  16. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    I'd really like to offer you some structured advice but in order to do that, I also need to ask you some questions. Are you willing for me to do that?
     
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  17. Cathysan

    Cathysan new member
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  18. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Here y'go then!

    It would be very helpful if you would answer each one individually - numbered as I have done - in as much detail as you can then I'll come back as see where you are

    1. what approach did you have for your surgery? Anterior, posterior, lateral? You can look here to see the various types THR approaches or incisions

    2. what are your pain levels right now? (remember the 1-10 scale: 1 = no pain and 10 = the worst you can imagine. And don't forget to factor in other forms of pain such as soreness, burning, stabbing, throbbing, aching, swelling and stiffness).

    3. what pain medications have you been prescribed, how much are you taking (in mg please) and how often?

    4. are you icing your painful area at all? If so, how often and for how long?

    5. are you elevating your leg. If so how often and for how long?

    6. what is your activity level? What do you do in the way of housework, cooking, cleaning, shopping, etc., and

    7. are you doing any exercises at home? If so what and how often?
    This is the most crucial question so please help me by using the format I have left as an example
    (which means please make a list and not an essay!)

    Exercises done at home
    - how many sessions you do each day
    - enter exercise by name then number of repetitions of each
    etc., etc.

    Anything done at PT
    - how many times a week
    - enter exercise by name then number of repetitions of each
    etc., etc.
     
  19. Cathysan

    Cathysan new member
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    My THR approach is lateral.

    1. My pain level average is about a 7 from a 1-10 scale. I have swelling, stiffness, sensitivity, weakness, dull achy discomfort and occasional burning and stabbing pain. Also have felt a pulsating sensation near the lateral incision site and thigh area.

    2. Celebrex 200mg twice a day, Tramadol 100mg 3x a day, Tylenol with Codeine #3 2-3x a day

    3. I only use heating pad throughout the day and night. Icing makes my pain feel worse.

    4. I elevate my leg every time I’m at rest. Changing position every 2-3 hours by standing, walking, sitting .. of note sitting upright is uncomfortable and I feel much better in a recline position.

    5. Depending on my pain level, I go grocery shopping with my husband 1-2x a week and I cook 3x a week.

    6. I’m in the pool 3x a week. ½ hour of a combination of stretching, walking and swimming and 1 hour of water aerobics, 30 minutes of walking 4x a week. I pre-medicate before activities otherwise I will struggle more. Pain also increases after any activity.

    @Josephine
     
  20. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Some extra detail required please
    What TIMES are you taking these meds?

    The question was
    please make a list and not an essay
    how many sessions you do each day (at home)
    how many sessions you do at PT
    enter exercise by name then number of repetitions of each​
     

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