I had my first hip replaced once it was down to bone-on-bone. Before the first THR, at age 52, my life had narrowed to two activities (1)going to work and (2)coming home to sit on a heating pad. My pain limited EVERTHING—I lost 20 pounds because it hurt too much to drive, to walk into a store and buy groceries, to walk back out to the car, and drive home, and then bring groceries inside and unpack them. It was just easier not to eat. Plus, the agonizing pain completely squelched any hunger pains and took all joy out of eating.
I knew when my OS showed me both of my hip X-rays, that a second surgery was coming down the pipleine—it wasn’t “if” but “when” I’d need the second one done. That same OS indicated that osteoarthritis is largely hereditary. (By the way, my Dad had his first hip replaced at 55, second hip at 68, first knee at 77, and his second knee at 88). My first hip was replaced using posterior approach (and, in incidentally, the same OS who repaced several of my dad’s joints!) he is an excellent surgeon.
For this hip, I knew I couldn’t bear the agonizing pain and life-extinguishing power of arthritis again. But I chose a surgeon this time who only uses the anterior approach. I consulted with him and then began what I’ll call my waiting game. Because I so vividly recall the trajectory of disability with the first hip, I sort of knew the tell-tale signs that preceded the agony stage. As my gait became effected, my back and knees also began to feel the changes. Yoga poses that were once accessible, gradually became more difficult to modify. Straddling a kayak became a no-can-do. But it was the onset of the dull ache—I saw that was my point of no return, and I scheduled the surgery. So far, I am elated that I selected this surgeon who uses this approach. Everything has felt less traumatizing both because I hadn’t degraded so far physically and mentally this time around, and because the anterior approach feels so much less invasive.
I’m going to write more (later in my recovery) in a separate post cataloguing the comparisons between the surgical approaches as I experienced them.