hikejunkie
senior
- Joined
- Mar 27, 2012
- Messages
- 386
- Age
- 68
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United States
Hope all is going well today!
THR The sequel of Sequin 1998<
- Thread starter sequin98
- Start date
Hope all is going well today!
BeBe
graduate
@sequin98
So with the SuperPath the OS basically does a mini-posterior approach to access the hip joint. The unique part is that the joint capsule is incised and the hip is not mechanically dislocated to access the femur for stem placement. The head of femur is surgically cut and removed from the "socket".
A second smaller (mine is about an inch) incision is used to place an instrument up to clean out and prepare the socket for the new cup. All of this is accomplished with a minimal capsule incision and retraction of muscles surrounding hip joint.
My surgeon went to great lengths to explain how he lengthens the piriformis muscle attachment without cutting or removing any part of the joint capsule from bone.
Apparently the fact that the hip joint is not dislocated for access and is surgically cut instead, and the joint capsule is essentially kept intact, except for the one incision for access, is key in keeping the joint stable. This is what apparently allows for the "no restrictions" claim from most surgeons who utilize this approach.
My OS also uses anterior approach (and apparently does not mechanically dislocate with this either)
with some patients and seems to be very conservative in his surgical choices and post op routine.
I also have Ehlers Danlos Syndrome and maybe that's why I have restrictions.
It's my first question for him on Thursday.
Josephine wrote a great article about it ant it is posted here on BS I just can't find it right now.
Hope you're having a forward day!
So with the SuperPath the OS basically does a mini-posterior approach to access the hip joint. The unique part is that the joint capsule is incised and the hip is not mechanically dislocated to access the femur for stem placement. The head of femur is surgically cut and removed from the "socket".
A second smaller (mine is about an inch) incision is used to place an instrument up to clean out and prepare the socket for the new cup. All of this is accomplished with a minimal capsule incision and retraction of muscles surrounding hip joint.
My surgeon went to great lengths to explain how he lengthens the piriformis muscle attachment without cutting or removing any part of the joint capsule from bone.
Apparently the fact that the hip joint is not dislocated for access and is surgically cut instead, and the joint capsule is essentially kept intact, except for the one incision for access, is key in keeping the joint stable. This is what apparently allows for the "no restrictions" claim from most surgeons who utilize this approach.
My OS also uses anterior approach (and apparently does not mechanically dislocate with this either)
with some patients and seems to be very conservative in his surgical choices and post op routine.
I also have Ehlers Danlos Syndrome and maybe that's why I have restrictions.
It's my first question for him on Thursday.
Josephine wrote a great article about it ant it is posted here on BS I just can't find it right now.
Hope you're having a forward day!
TinyMom
member
@sequin98 - I don’t know about others, but I am extremely tight in the morning. Really after any period of sleep, even just shifting my sleep position, it takes me a while for the muscles to release. For me, it’s just on the operative side. The other leg is fine.
Hope you are doing well otherwise!
Hope you are doing well otherwise!
Josephine
NURSE DIRECTOR EMERITA
Just ligaments settling in that's all.
But your new hip will last you a LOT longer than 10 years. That's what we predicted back in the 1970s but now we know better!
Hips that have lasted 32, 40, 41 and 45 years
67½ year old - the THRs, not the patient!
But your new hip will last you a LOT longer than 10 years. That's what we predicted back in the 1970s but now we know better!
Hips that have lasted 32, 40, 41 and 45 years
67½ year old - the THRs, not the patient!
hikejunkie
senior
- Joined
- Mar 27, 2012
- Messages
- 386
- Age
- 68
- Gender
- Female
- Country
- United States
In my case, my right hip looked great about two years ago. So great that when I saw my surgeon initially for pain we thought it was bursitis (it partially was) and he didn’t X-ray to look for OA. Before each replacement both of my hips seemed fine and then boom. It would be nice if the 10 year prediction holds true. I had 6 years between each one.
Mojo333
Former BoneSmart Staff Member
I'm guessing you have been putting more stress on it...with your other one weak.
Sure hope you are feeling better and won't be long before you'll see the potential this new hip will bring.
Healing Mojo coming at you
Sure hope you are feeling better and won't be long before you'll see the potential this new hip will bring.
Healing Mojo coming at you
My friend it is way too early to make this judgement. You are not even one month out. Give yourself time to heal. You will get back to doing all the things you love. Just give it time and patience.
BeBe
graduate
@sequin98
Seems like the recovery is moving slower for us? I too am surprised at the issues I am still having post op.
Stopped PT exercises as of a week ago Friday, when I visited the ODIC.
As much pain as prior to surgery, still need the walker, I have yet to see any benefit from my surgery really. I had my OS appointment and he said time, time, time. So what choice do I have. I am walking and trying to concentrate on good form, posture etc.
Only bright spot is I do have better weather, 70's finally, with sun. We had snow a week ago!
The hair balls in my house are multiplying too...
Seems like the recovery is moving slower for us? I too am surprised at the issues I am still having post op.
Stopped PT exercises as of a week ago Friday, when I visited the ODIC.
As much pain as prior to surgery, still need the walker, I have yet to see any benefit from my surgery really. I had my OS appointment and he said time, time, time. So what choice do I have. I am walking and trying to concentrate on good form, posture etc.
Only bright spot is I do have better weather, 70's finally, with sun. We had snow a week ago!
The hair balls in my house are multiplying too...
OP
OP
sequin98
graduate
@BeBe ...what do we expect?
I am sure I am letting other's expectations shape mine. They said my age and fitness level would be a huge plus. But in reality I had an extra long posterior wound. I am able to go without assistance of a walker or crutches in my house and I am not even a month in.
I am still doing my pt exercises. I need to relax and take a breath. It may still snow outside, but at least I can walk. I will strut again!
Thanks for listening.
I am sure I am letting other's expectations shape mine. They said my age and fitness level would be a huge plus. But in reality I had an extra long posterior wound. I am able to go without assistance of a walker or crutches in my house and I am not even a month in.
I am still doing my pt exercises. I need to relax and take a breath. It may still snow outside, but at least I can walk. I will strut again!
Thanks for listening.
TinyMom
member
@sequin98 - I can 100% relate to you post!
“You’ll bounce back so fast”
“You are young and in shape, you’ll be working out again in a couple weeks”
“You will breeze through recovery”
“My friend had hip replacement and was walking without a cane in a week. I bet you will too”
“Hips are easy (compared to knee replacement)”
...all said to me by people with no knowledge of the state of my hip and by people who have not had THR!!
In fact, it is major surgery and our bodies go through so much. And you don’t know what issues you might have with muscles, spasms, other joints, etc. We just can’t project how our recovery is going to go, but if we are lucky (and we follow our guidelines), we’ll keep getting better and better every week.
Try to focus on how far you have come. You really are doing great... and spring HAS to be coming, right??? Our weather here is back to awful, too. Good days are ahead!
And the hair balls, lol. Same here, my kids swear they don’t see them so they walk right past.
“You’ll bounce back so fast”
“You are young and in shape, you’ll be working out again in a couple weeks”
“You will breeze through recovery”
“My friend had hip replacement and was walking without a cane in a week. I bet you will too”
“Hips are easy (compared to knee replacement)”
...all said to me by people with no knowledge of the state of my hip and by people who have not had THR!!
In fact, it is major surgery and our bodies go through so much. And you don’t know what issues you might have with muscles, spasms, other joints, etc. We just can’t project how our recovery is going to go, but if we are lucky (and we follow our guidelines), we’ll keep getting better and better every week.
Try to focus on how far you have come. You really are doing great... and spring HAS to be coming, right??? Our weather here is back to awful, too. Good days are ahead!
And the hair balls, lol. Same here, my kids swear they don’t see them so they walk right past.
Jackie222
graduate
Considering how early you are in your recovery you’re doing brilliantly. Don’t push yourself, recovery comes at its own pace. Listen to your body and rest
OP
OP
sequin98
graduate
@Jackie222
Thank you. I needed to hear that.
Thank you. I needed to hear that.
Mojo333
Former BoneSmart Staff Member
I don't believe half of those miraculous recovery stories...and am sure many who hit the ground running develop chronic issues that don't reveal...
I was well into month Four before I was convinced all was worth it..AND considering I had two hips replaced..consider THAT miraculous.
Normal Normal Normal.
Your age and fitness WILL serve you well, but there is alot of trauma that HAS to heal before you can make that hip perform.
Don't worry... don't compare.
It will make you crazy!
Healing hugs
I was well into month Four before I was convinced all was worth it..AND considering I had two hips replaced..consider THAT miraculous.
Normal Normal Normal.
Your age and fitness WILL serve you well, but there is alot of trauma that HAS to heal before you can make that hip perform.
Don't worry... don't compare.
It will make you crazy!
Healing hugs
Last edited:
catt
junior member
I am six weeks post op and still very stiff in the morning
