Revision THR Made it, mostly!

[Birdie53]

That is unbelievable. Especially since my surgery took almost 4 hours. There would have been a lot of people out of luck that day! I think he said he only did 2 surgeries that day. Can't imagine standing on your feet that long!
Hope you are on the cane soon too. It has been a big step and getting easier each day. Take it easy.
Thx!

 

[Jaycey]

From what I have read and researched the Anterior hip replacement allows fast recovery with very little pain if done by an experienced doctor.

This is not necessarily true. As @Birdie53 says, you can't compare recoveries or procedures. Every one is different. And some people who have anterior suffer pain just like posterior or lateral. Complications during surgery, how long you limped around pre-op - they all add up the a very different experience for every patient.

What is true is that key to a successful procedure is finding a surgeon who has done hundreds of these procedures. After all you wouldn't want anyone practicing on you.

 

[tmusicman]

I agree with you I can't compare recoveries but I do feel I can comapre procedures based on facts charts and research all which I used to determine the type of surgery I requested. All procedures are not for everyone, for example with the posterior approach there are usually limitations on weight bearing, the degree limitations of your hip and other factors, where as with the Anterior approach their are less limitations unless their are other unforseen factors, such in my case there was a tiny fracture, and I was limited toe touch for 6 weeks, (8 more days until i have it rechecked). I also agree with your statement " the key is to find a surgeon who has done hundredes of procedures". My doctor has performed well over 1500 Anterior hip replacements and trains other doctors in this procedure, so yes do your research on the doctor and types of procedures available.


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[Birdie53]

Sounds like we both did well with having doctors who were well versed in their skills. Mine also teaches others how to do different techniques in Hip replacement and I have had a good relationship with him over the years as he was the one who put my first hip in 7 years ago. It is through no fault of his that I had to have the revision.
But all that aside I found your post interesting in that you said you requested a specific approach. Is this something that you know of being done on a regular basis for THR patients? Just wondered as I had really no say in which approach would be used. And assume since the first was posterior that follows that the revision was as well. I did discuss the kind of replacement as I was only 46 at my first and very active. The revision was also done wth that in mind. As I said I had posterior approach but never had any limitations on my activities except no singles tennis-- and I had to stop running-- but only because he said it would wear more quickly. Even yoga which I practice 4 times a week at about intermediate level was not restricted in any way.

Someone might want to comment who is more knowledgeable than me but I just assumed the approach taken depended on your issues before surgery-- age,reason for surgery,body structure-- and particularly what the doctor wants for the outcome. I know I had something like 3 or 4 different things that he wanted to correct this time.

Anyway as I said before I wrote this novel --I was interested in your statement about choosing the approach. If anyone else has also done this or has any info I would love for you to chime in. My right hip will be needing a replacement soon so am interested for a good reason.
Thx
Birdie53

 

[Jaycey]

All procedures are not for everyone

The choice is left to the surgeon. They will use the approach and prosthesis that is right for you the patient.

but I just assumed the approach taken depended on your issues before surgery-- age,reason for surgery,body structure-- and particularly what the doctor wants for the outcome.

Correct! Not every THR is straight forward. There may be many other factors that will influence the choice of approach and prosthesis. Let the experts do what they are trained to do.

The posterior approach there are usually limitations on weight bearing, the degree limitations of your hip and other factors

Correction - sometimes there are restrictions. I had posterior LTHR and had no weight bearing restrictions from day 1. I have no "life long" restrictions at all.
@Birdie53 discuss all your concerns with your surgeon. I always recommend making a list of questions and writing down the answers while you are in the consultation.

 

[tmusicman]

@Jaycey I actually seeked out a Orthopedic surgon that performed the Anterior hip surgery the physician can and will determine if you are a candidate for that surgery, and as far as the prothesis he also gave me options and explained why one would be better then the other, so I was given a choice.

@Birdie I did say "usually" there are ristrictions immediatley after the posterior surgery, such as crossing legs, and other temporary ristrictions, I never said life long ristrictions.


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[Birdie53]

Thank you-- good information.