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Right Hip Replacement

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Coops

Coops

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Oct 22, 2009
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High Green, Sheffield, UK
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Hi to all,
This is my first post. I have had Pertheas in my right hip since the age of 6. I have always known that at some point in my life OA would set in and hip replacement would be required. My time has come. I am a very active / sporty person. These days i play golf and i am a Football (soccer) referee. I have seen my surgeon (Ian Stockley) Englands top hip surgeon. He wants me to have my op ASAP. I'm in pain and taking pain killers, my limp is more pronounced than ever. But i am still managing to referee which is my passion. My surgeon says i will have to stop once i have had my op. He wants to fit a ceramic head. I wont rush my recovery but i would like to no if its possible to jog, run even sprint with a replacement hip in place. I no it will be have to be looked after but the thought of no sport fills me with dread. So if any of you are from a sports background and have managed to carry on. I would love to hear from you.:p
I live in Sheffield, England.
 
If you want to return to moderately high impact sports, you might want to talk to your doctor (or get a second opinion) on a metal on metal implant instead of a ceramic head. Those who I've known with metal on metal (either a resurface or TH) have been very pleased and less chance of device failure due to impact - how how your bone holds up is an entirely different matter.
 
Hi, Coops....welcome to BoneSmart. So glad you decided to join us. I agree with Mudpro....check into a doctor who does the metal on metal and see what you think. It IS your decision!!
 
Hi coops, and welcome to BoneSmart. Having looked at Mr Stockley's CV, he certainly seems to be a pretty fair hip surgeon with an impressive cv, but no way is he the 'top in England'. I can name at least three who are though, and one that's considered by other hip surgeons to be the best in Europe!

The issue about not running after a THR is a vexed one and there are about as many opinions as there are surgeons! Often their opinions differ according to the bad experiences they've had. Certainly most advise against jogging and other such high impact sports but short sprints should be ok. There are many stories in here of people who have returned to all kinds of sports: horse riding, skate boarding, skiing, surfing, golf and many others. If he's adamant about that, I would try to get yourself referred to a different surgeon.

Your nearest centre of excellence is the Wrightington Hospital in Wigan, the birthplace of hip replacement. Or that top surgeon I spoke of who is Sarah Muirhead-Allwood but she works at the Royal National Orthopaedic Hospital in Stanmore which is in North London.

Another approach is to consider hip resurfacing which could give you the extra freedom you seek. Give me a day or so to research and I'll find some contacts for you.

You know that you can now choose any hospital in the UK to go to? You just need to give your GP the name of the surgeon and the hospital and they can refer you.
 
Hi Coops Im a knee but i wish you the best with your surgery and knee or hip we are all here for ya....good luck to you...........)
 
Impact is all by choice. The doctor will recommend against it but overall its your decision. Just understand what that may do to it and work with your surgeon for the best possible outcome. I'm a dancer and I had the surgery to be able to return to dancing which includes jumping and tapping. I understand that this may shorten the life span and call for a revision earlier but to not dance is not an option for me.
 
I was a runner before my hip replacement. I have cheated and run , it feels wonderful and is totally doalbe. Again it would be your own decision.
My new hip allows anything to be done painlessly
judy
 
Thank you for responding to my thread. Further information would be really appreciated. I look forward to hearing from you soon.
Best regards
Paul
 
Hi Coops,
I'm in agreement with others about the metal on metal for very active people. I too am active, and researched alot of different type of implants. I ended up with a metal on metal, that also has a replaceable metal cup liner, that can be changed much easier than a complete revision, should it wear out prematurely. I believe it's a Depuy "Pinnacle". Now I can get my hip serviced should I wear it out, without replacing the acetabelum metal cup. Just the metal liner & or ball if necessary.
There is a picture of it in the "Hip Surgery" discussion area, under "What type did you get?"
Good luck whatever you do!!!!
 
Coops, I need to know where you are in the UK. County will do ....
 
i do not know what kind of prothesis i have. All i know is it is titanium. If that makes any sense and with my revisions, I know the last one they had to replace the cup and liner, because it was dislocating non stop and it had a worn grove in it from how much it had dislocated. But when it did it just went back into place, which was lucky for me until the day it didnt!!:shk:
 
Hi Coops,
I also had Perthes and had hoped to get to at least my mid 40s before THR, however the OA just go so much worse this year and I am now 7 weeks post-op aged 38. I am a big guy (not obese - although I could lose some of the weight I have gained from inactivity caused by pain pre-op as well as from giving up smoking earlier this year) so my doctor gave me ceramic head with polyethylene cup. Apparently polyethylene cup is stronger.
I am not a runner / jogger so this question has never bothered me although I can't wait to get back on the golf course. My doc is pragmatic re post op activity - he has photos on his wall of patients that have gone on to run the Comrades, a crazy ultra-marathon that they run down in KwaZuluNatal, but he points out that THR in younger people sometimes don't last as long because we are often more active.
I think I may try light jogging on treadmill but I am not intending to become marathon runner, I would be more keen to get back on the squash court - however the high impact of this concerns me.
PS I had a hip arthroscopy that bought me 2 and half years on the THR - and it can sometimes offer more time than that depending on what's wrong. They cut back the labrum that was in the joint and cleaned it up. Otherwise good luck with THR.
Gavin
 
Hi all, thanks for your comments.
I no i will be able to continue playing golf after the operation. It's my refereeing that i want to continue with. I referee at Supply League Level semi am. In a 90 min game as a referee you walk,jog, sprint, twist, turn, stop and turn quickly etc. Or if you are an assistant you run up and down a line and can have to do this with a side ways movement. Most of the stuff i do is on grass as well so less impact in the winter months but a little harder as the pitches get more firm in to the summer.
 
We sound very similar mate. I too dont want to be a long distance runner etc. I just want to be able to keep fit. Do a bit of jogging etc. If you can manage squash i think i should be ok. It's a dislocation that really worries me. My surgeon has said he will fit the largest head possible for me i am not sure if that helps against it?
 
Are you prepared to travel to Birmingham? There's a hip resurfacing expert there name of McMinn. He does his NHS stuff at the broken link removed: https://www.nhs.uk/servicedirectories/Pages/Hospital.aspx?id=RRJ05&v=0 You can find their telephone number on the website.

There's also broken link removed: https://netdoctor.privatehealth.co.uk/surgery-and-treatments/hip-replacement-surgery/featured-specialists/sanat-shah/ in Manchester though I don't know of him.

And it seems to be offered at the broken link removed: https://www.sheffieldorthopaedics.com/ShowInfo.asp?who=pub&sid=3&id=6, Sheffield as well though doesn't say who the surgeon is.
 
It removes less bone so when you have a revision, it's easier. And, I'm told, the range of movement is better with the HR.

Go to this site and read about it. They talk about nothing but hip resurfacing.
 
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