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THR Fisaly's AVN, now THR

fisaly

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Hi there everyone. Unbelievably glad I found this site. I have been suffering from AVN in my left hip diagnosed in November with the head of my femur collapsed and the joint space all but gone.
It would be nice to get in touch with others that are needing their THR due to AVN. I'm quite nervous about it.
I am set for surgery February 7th.
Best of luck to everyone. :)
 

Jaycey

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@fisaly Welcome to BoneSmart! My first THR was due to a collapsed hip and AVN. That pain is just horrid!

And yes, I was absolutely terrified - that is until I found this site. Keep reading here and asking questions. It really does help ease the pre-op nerves.

Maybe tell us what you are most anxious about. Plenty of our members have been through this journey and will be happy to give you input.

And I can confirm that once that hip is replaced all that bone on bone pain will be GONE!
 

Prem1234

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hi @fisaly i'm 5 days post LTHR after developing AVN with partial collapse from a Neck of Femur Fracture two years ago....I can totally understand how you are feeling especially due to your age.

A lot of the time the decision has been made for us due to pain and lack of motion etc it's a case of pushing on and getting the 'fix'.

Just ask away if you've got any questions etc....

Wishing you the very best outcome.
 
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fisaly

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@Jaycey Thank you for welcoming me. As far as the anxiety/worry, I’ve had a few nightmares where the integrity of my femur has been compromised by necrotic bone and fear they will get in their during surgery only to find out the joint can not be replaced or that the prosthetic fails by bone fractures.
I’ve had to go under general anesthesia before for minor things but that doesn’t really comfort me much. I recall when I was going into labor with my son 14 years ago and while getting my epidural I was shaking with nerves so badly that the anesthesiologist stated he wasn’t going to do it unless I stopped shaking (very angrily).
So yeah, I fully admit I’m a worrier.:giggle:

Other than that, I worry about blood clots, muscle atrophy and what my range of motion might be optimally. I have been gaining weight with my limited mobility and chronic pain and am hoping I can turn that around afterwards. Those are just some of the things. I found out my actual tentative surgery date is actually the 12th if insurance approves it. I can’t imagine why they wouldn’t though. I am still working but have had to call off a few times due to inability to bare weight on the leg.
I thought I would have more time to work but it’s taken me by surprise how quickly the ability to mobilize has declined and progression of pain.

I’m curious how long you waited and what treatments you tried before needing surgery?
Thanks!
 
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fisaly

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Hi @Prem1234!
Thanks for posting! How are you feeling? Curious,... were you discharged home the same day you had your surgery or stayed over in the hospital for a bit? Also, did your surgeon go over options of which prosthetic to use or did he/she choose?

Thanks!
 

DesertDiva

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I have been suffering from AVN in my left hip diagnosed in November with the head of my femur collapsed and the joint space all but gone.
It would be nice to get in touch with others that are needing their THR due to AVN. I'm quite nervous about it.
@fisaly - Avascular necrosis (AVN) is one of the most difficult challenges I've ever had in my life. I'm sure that you're experiencing pain as well as being nervous about the outcome. I had my left hip replaced on 09/24/19 and my right hip replaced on 12/30/19. It's normal to be nervous, but I'm sure that you will do well. Take care...
 

Celle

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Here's some pre-op reading for you, @fisaly , to help you get ready 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 knee?
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 knee, take a look at the posts and threads from other BoneSmarties provided in this link:
Stories of amazing knee recoveries
 

Jaycey

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I’ve had a few nightmares where the integrity of my femur has been compromised by necrotic bone and fear they will get in their during surgery only to find out the joint can not be replaced or that the prosthetic fails by bone fractures.
Fear not - your surgeon and their team do this op every day, several times per day. They have seen everything. Just trust them - easier said than done I know. But I think you will be impressed at how caring the team is on the day.
I recall when I was going into labor with my son 14 years ago and while getting my epidural I was shaking with nerves so badly that the anesthesiologist stated he wasn’t going to do it unless I stopped shaking (very angrily).
I had a horrid experience with an epidural during child birth. A spinal is nothing like that. It was totally a non-event. And for me a much easier recovery. No groggy feeling or nausea post op.
I’m curious how long you waited and what treatments you tried before needing surgery?
I tried everything pre-op my first hip. Physio, chiropractic, exercise programs - it went on for years. My hip finally collapsed. I would not recommend waiting as it means a longer, more complicated recovery.
 

Prem1234

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Hi @Prem1234!
Thanks for posting! How are you feeling? Curious,... were you discharged home the same day you had your surgery or stayed over in the hospital for a bit? Also, did your surgeon go over options of which prosthetic to use or did he/she choose?

Thanks!
@fisaly So it's Day 6 for me and I'm feeling good and it was the right decision that I made, I could have dragged it out a few more months but I was in more pain and loosing my mobility. Now the AVN associated pain has gone but I do have soft tissue pain which is to be expected but should slow go. I have pretty much been in pain since the accident in 2017 so at least there's light at the end of the tunnel.

I arrived at hospital at 07:30 went down for the operation at 11:30 and was back in my room at 2:00 PM. and had a small walk with a frame at 4:30 PM and discharged at midday the following day with one cane.

Before the operation I saw 3 surgeons all specialising in Hip replacements including my original surgeon who screwed my hip after the fracture. I chose the 2nd surgeon to do the LTHR as he did not cement, used a minimally invasive procedure and used a Ceramic Ball on Plastic but special highly cross linked polyethylene (HCLP) which is pretty much standard now. According to my research this mix of Ceramic on Plastic (CoP) gives the best outcome for us humans.

He shared what prosthetic he used and I researched that but it does seem to be down to each surgeon's own preference to what one they use but I was happy with what he used as there was lots of data on it and it had an ODEP rating of 10A.

So an epidural and spinal are different I was a bit anxious of having the spinal for obvious reasons but i can report it is nothing to worry about and it all went well. The worst bit was them spraying me with cold fluid (presume antisceptic) i then had a small amount of local anaesthetic injected before the spinal anesthetic but it did not hurt at all so please don't be worried.

It sounds like you had a bad experience with your epidural and maybe if they'd have kept you warmer you would not have been shaking so much !!

Reading your current levels of pain and lack of mobility etc you are worse than me before i had my LTHR so you would immediately benefit from the THR....I can put all my weight through the new hip and am walking with a crutch every couple of hours and I'm at day 6.

Wishing you peace of mind during this decision phase....

All the very best
 
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VSlowLife

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My hip finally collapsed. I would not recommend waiting as it means a longer, more complicated recovery.
I am so grateful to Jaycey for making me aware that a hip could collapse. I do not have AVN, but I do have bone cysts, which have grown. I was afraid my bone would collapse soon. My CT scan results are very sobering. It’s not an easy thing to face, but so glad I found this forum.

My surgery is next week, in the nick of time after looking at my CT scan today.
 

Layla

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Hello @fisaly
Wishing you all the best tomorrow.
Would love to follow your healing journey on the flip side. Hope to see your recovery thread over there soon so we can leave you lots of helpful information and cheer you on as you begin the process.:wave:
 

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