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Hip replacement at 27, second guessing myself

Discussion in 'Hip Replacement Pre-Op Area' started by Dracia, Apr 16, 2018.

  1. Dracia

    Dracia member
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    I'm currently 26 (will be 27 for surgery) and I've had issues with my hip for several years. I've delayed a hip replacement due to wanting to have children first and the consequences of getting it replaced young. I had bilateral osteotomies when I was in high school and went on to develop OA, protrusio acetabuli, impingements, bone spurs, so on and so forth. I've done everything under the sun to continue functioning, including injections, which only give a few weeks of relief. I'm tired of so much of my life revolving around pain: "How many pain pills should I take with me?" "Where is somewhere I can sit down if I need to?" "I can't do x, I hurt too much."

    In Jan my left hip suddenly "gave out" and I lost all internal rotation; they're calling it an arthritic flare. I now walk slowly and my foot points outward; I have a hard time getting through Walmart - but it's doable. I'm lucky in the fact that my surgeon, Daniel Berry out of Rochester, MN, left the decision up to me on whether to continue with conservative measures or do the hip replacement. However, I hate not knowing if I'm making the right decision. Some doctors I've seen tell me it's a quality of life issues and to do it, whereas others tell me to continue putting it off. I wish they'd all get on the same page! Lol. Currently, surgery is scheduled for June 18th. My Xrays and MRI certainly don't look "bad enough" to warrant a replacement, which is disheartening. It's hard to find objective validation.

    Do you wish you would have done your hip replacement when you were younger? How did you determine it was time? I've included my Xray for reference. Any thoughts and feedback are appreciated; it's hard to find people who understand the struggle!


     
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    Last edited: Apr 16, 2018
  2. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    @Dracia Welcome to BoneSmart! No you are not too young for THR. Sounds like you have gone through all the non-invasive options and THR is now your best route. We have members younger than you who have had THR!
    When my left hip collapsed! Believe me you don't want that pain. And the longer you wait the more complex the recovery.

    Are you having both hips replaced?
     
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  3. Dracia

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    @Jaycey Just my left hip for now, but my right is a ticking time bomb as well. Your hip collapsing must have been a terrifying experience!
     
  4. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    Not actually terrifying - just intense pain that could not be controlled. I was on one crutch the whole time I was waiting for surgery. As you say - having to plan every activity around whether you can bear the pain is just not quality of life.
    Did someone say your x-ray didn't look bad enough? Let's have @Josephine take a look. She is our medical expert.
     
  5. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Sure - bring it on!
     
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  6. Dracia

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    Yes, unfortunately I've had several people say they don't seem bad enough. I made the mistake of asking another site about the screws in my femur and their response was, "why is a hip with no arthritis getting replaced?" My surgeon who performed my osteotomies was also very discouraging. However, my ortho doc was been encouraging me to get it done and so has a rheumatologist. My surgeon left the decision up to me.

    @Josephine Thanks in advance. Here are my latest xrays. [​IMG]

    dracia 1.jpg

    dracia 2.jpg


    and here are the results of my MRI:
    "Postoperative changes of the left proximal femur compatible with clinical history of proximal femoral osteotomy. There is concentric joint space narrowing and acetabuli protrusio. There are degenerative hypertrophic and cystic changes of the left femoral head. Stable subjective loss of normal femoral neck anteversion. There is loss of the normal triangular labral morphology with diffuse degeneration and blunting and osseous hypertrophy of the lateral acetabular margin. There is a gadolinium signal cleft in the anterior labrum on series 2, image 11. No bone marrow edema to suggest contusion or fracture. No intra-articular loose bodies evident. There is no evidence of muscle strain or tear. No significant trochanteric bursitis."

    @Josephine Do you have any thoughts?
     
    Last edited: Apr 17, 2018
  7. Eman85

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    I'm probably not the guy to ask, but things are different today. 32 years ago I was in a very prominent and well respected hip surgeon's office in NY. At that time he advised me to wait, I don't regret it but that's me. I had pain but pain is different for everyone. I just had mine done for quality of life and I'm as healthy now as I'll ever be and my job and life situation also worked out. There is no doubt the technology has advanced and the procedure is more commonplace and the hardware is better. You just have to gather info and make your own decision.
     
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  8. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    This is the most important comment. AP is a form of arthritis which, in it's early stages, is very often missed by inexperienced surgeons.

    I've marked what it applies to here where you can see the femoral head creating a dome outside the socket. That's serious and needs dealing with.

    dracia 3.jpg

    Bone cysts are also a common feature in arthritic bones.
    This is some highly technical radiographic hyperbole! In other words, your guess is as good as mine!
     
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  9. Dracia

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    Thanks for the feedback! No one has ever explained or even mentioned AP to me, I just read it on my results. So, I always figured it must not be a big deal.

    I think I just need to keep remembering
    that it's not going to get any better, only worse. As much pressure as there is to NOT do the surgery, this isn't my idea of living. And I want children, which I doubt my left hip will hold up well for in its current condition. Just need to hope that technology continues to advance so my future self isn't paying for my decision to do it now, right?
     
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  10. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    Why wait for THR? This is about quality of life now - not years down the road. Here's a link to a thread about one of our younger members who was 24 when she had her THR. She now has a toddler.
     
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  11. cjorad

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    I had my LTHR when I was 27 and i do not regret the decision at all. Like yourself, most doctor's were telling me to wait until it was worse but after having such a restricted quality of life by way of walking with a cane, I had enough with the pain. My suggestion is to educate yourself as much as possible, find the best surgeon for you, as well as the most proactive team of physio's and mobility specialists for the post-op. Other than that, only you know when you've hit your threshold.
     
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  12. Dracia

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    @cjorad it's good to hear from someone who has been in the same boat! Did you have yours replaced because of arthritis as well? How is your hip holding up now? I know everyone's experience is different, but hopefully you are back to your 'normal' self. I'm excited to be on the other side of surgery and experience life with less pain; it's hard to imagine what that is even like!

    My husband and I want to plan a trip to Disney and I just know there is no way I'll be walking very far unless I get it replaced. It'll be nice to live a life not entirely revolved around pain. My surgeon gave me the options of do what I'm already doing, or get it replaced. My husband likes to tell me that doing what I'm already doing is NOT an option, but I say he's biased. XD I think I'll feel better about everything once the surgery is finally done and over with. Waiting and second guessing myself is the hardest part! Lol.
     
  13. cjorad

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    Long story short, yes I had osteoarthritis along with AVN residual from a femur fracture years prior. I was off narcotics within 48 hours of the THR procedure and off ALL pain meds about a week post-op. So needless to say, it wasn't until after I had my surgery that I realized just how much pain I was tolerating prior to. I'd say around the six to nine week post-op mark, I was wondering what the heck took me so long to make that decision. My only regret was not having the THR sooner.

    Since then I'm not just back to my normal self, I'm better than ever honestly. I have greater appreciation for mobility and far more body aware in general. The first 6-12 weeks post op took conscious work and lots of patience. I'd recommend staying positive and fully committed to your rehab, and you'll be just fine!
     
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  14. Selkiegirl

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    I love this post, Cjorad. So glad it went well. I have to personally echo the situation with the pain meds. Following my first hip replacement, (hip dysplasia) I hadn't realised my pain threshold had previously been so high. My healing also went very well. Due for a replacement on my other hip in a few weeks. Wish I'd done this sooner, but circumstances prevented me earlier. Trusting that my healing goes just as well, or better, than my first surgery. All the best with whatever decision you make. :)
     
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