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Left hip revision 1/7

Discussion in 'Hip Replacement Pre-Op Area' started by Pirate911, Dec 26, 2018.

  1. Pirate911

    Pirate911 new member
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    I'm a 41y/o with a long history of left hip pain that started in 2000. I've had 2 previous hip surgeries and a replacement. The last surgery in 2014. I had hip dysplasia and heterotrophic ossifications. My implant is supposedly not the correct size, misaligned and causing metallosis. I am scheduled for surgery 1/7 for a THR via the posterior approach. My primary replacement was an anterior approach. I'm curious how different this recovery will be for me.
     
  2. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Well, let's send you hopeful prayers that it will be spot on and not too grueling!
     
  3. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    :wave: and :welome:
    I'm so sorry you have had so much problem with the last implant.
    Is this a new surgeon?
    I know you aren't looking forward to more surgery but it can't remain this way, right?
    Getting a new hip for the new year and finding a great host of friends here in the forum to cheer you on ...time to turn this thing around!
    Could you provide specifics on type of surgeries and dates ...we can add it to your signature as it will be helpful for future reference and may serve to inspire someone with similar issues!
    Wishing you all the best!:ok:
     
  4. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    There is really no predicting if this recovery will be different. Your surgeon may impose restrictions (or indeed may not). How you react to the procedure is very individual. And the approach really doesn't impact anything. The end result is a shiny new hip.
     
  5. Pirate911

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    Thank you for all your support and encouragement. I'm excited and anxious. Hip pain has impacted my life in so many ways. I just want pain relief.

    In May 2008 I had a left hip osteochondroplasty, labrum repair, reshaping of the acetabulum

    In January 2011 I had left hip surgery to excise heterotrophic ossifications and removal of arthritis.

    In July 2014, left THR

    The upcoming surgery is with a new 3rd surgeon in Columbia, MO
     
  6. Pumpkln

    Pumpkln FORUM ADVISOR Forum Advisor

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    @Pirate911,
    All the best next week!

    Here are the recovery guidelines, you can get ahead of the reading, the articles are short and will not take long to read.

    Hip Recovery: The Guidelines

    1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
    2. Control discomfort:
    rest
    elevate
    ice
    take your pain meds by prescription schedule (not when pain starts!)​
    3. Do what you want to do BUT
    a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you
    b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.
    4. PT or exercise can be useful BUT take note of these
    5. At week 4 and after you should follow this

    Activity progression for THRs
    Pain management and the pain chart
    Healing: how long does it take?
    Chart representation of THR recovery

    Dislocation risk and 90 degree rule
    Energy drain for THRs
    Pain and swelling control: elevation is the key

    Post op blues is a reality - be prepared for it

    Myth busting: on getting addicted to pain meds
    Sleep deprivation is pretty much inevitable - but what causes it?

    BIG TIP: Hips actually don't need any exercise to get better. They do a pretty good job of it all on their own if given half a chance. Trouble is, people don't give them a chance and end up with all sorts of aches and pains and sore spots. All they need is the best therapy which is walking and even then not to excess.

    We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery. While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.
     
  7. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Best of luck to you. Sorry you've experienced so much.
    Prayers this takes care of all for you.
    We'll be here for support and encouragement, stop back often.
    Wishing you comfort as you await the 7th.
    @Pirate911
     
  8. prairienut

    prairienut member

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    You say your current implant is not the right size? Does that mean it was too small/short? I was told that my 2009 implant was probably too small which put me at much higher risk of loosening, and that is exactly what happened. I am so sorry you are in pain. We will be recovering with our revisions about the same time. Mine is Jan. 3 and will be a posterior approach same os the previous time. I'll keep an eye out for you. Best of luck and see you on the healing side!
     
  9. Pirate911

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    Thank you @prairienut. Mine is too small. As well the stem not centered in the femur. OS said there is a 1.5 mm discrepancy between the left and right hip. I have at least 3 heterotrophic ossifications I hope he removes. He will only remove them if they get in his way. Sadly, I hope they do. I think they are causing most of my chronic pain I'm excited to get this done so perhaps I can have a normal life. I will keep up with your story as well. It helps to know you aren't alone during this journey.
     
  10. prairienut

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    A 1.5 mm leg length discrepancy is very small. Did you perhaps mean 1.3 cm? If so, that is what my LLD is, too. The OS will try to even me out a bit during the revision.
     
  11. Pirate911

    Pirate911 new member
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    The 1.5mm is not LLD, it is the size of the gap between my pelvis and hip. One side is off by 1.5mm. I dont know if it's significant.
     
  12. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    You certainly deserve to have this done right so you can get on with your life.
    A new hip and lots of folks to cheer you on...2019 will hopefully be a great new chapter in this hip saga.
    :ok:
     
  13. Pirate911

    Pirate911 new member
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    Counting down the days to Monday. Hope everyone waiting for surgery is handling their anxiety. I have a few days of work left I'm trying to get things done around the house. I always try to clean the house and get everything in order. It helps me deal with my anxiety.
     
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  14. Eman85

    Eman85 graduate

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    Sorry to hear you're having to have a revision that quickly. I told my OS I wanted the biggest they had as I'd put it to the test. Mine was posterior and I've only had 1 so I can't compare but your incision will be around to the rear and tender to start with. Now mine looks like a pink pencil line and It feels normal,
    Interesting that some have a smaller implant, I wonder if that was part of anterior approach. There has been articles linked to posts on here about OS choosing posterior approach over anterior so the approach doesn't dictate the implant.
     
  15. Mojo333

    Mojo333 FORUM ADVISOR Forum Advisor

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    You've got this!
    Will be looking for you in the healing side.
    Sending good mojo your way!:roseshwr:
     
  16. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Best of luck tomorrow!
    Wishing you comfort and all of the best.
    If you're feeling up to it, start you're thread on the Recovery side tonight while you're still feeling clear headed. We can leave you the Recovery Guidelines.
    I hope you get some sleep tonight.
    @Pirate911
     

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