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Hip Replacement

hammerhead

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i thought I read on here some members going through hip replacement surgery. If so, can anyone direct me to the thread? Thanks in advance.
 

the_shootist

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TAEZZAR

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HH, I just saw this. I am a THR (Total Hip Replacement) "survivor". It is a wonderful surgery & recovery is typically rapid, 4 to 5 weeks, as compared to my knee replacement of 8 to 9 months.
What would you like to know? PM me if you wish.
 

hammerhead

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At this point I can not put even my body weight on my bad hip. Any walking requires a cane or something to hang on to. I should have grabbed a copy of the xray and I hope to get some before and afters. No space at all between leg bone and hip. Was giving some very simple exercises to do like bringing my heal towards my hip while laying down with another exercise just swinging my bent legs side to side also while laying on my back. They help but only for a short time. I do know that the more the joint stays idle the more it hurts so I do try to keep moving. Mornings suck and I'm sometimes lucky to get 4 or 5 hours of sleep at one time.
Finally coming up on the actual day. Will be going the anterior route.
Lots of neat saws, drills, hammers and chisels. (sorry, can't find any vids that aren't age restricted so view at your own risk)

My surgeon looks young enough to be a recent high school grad but does a few of these a week. The procedure should take about 2 hours and they want me up and walking shortly after I wake up. Home the next day. Move around as much as tolerable. Work that thing. Most of the paperwork that describes the after care says it will take time to be able to do things but the doc and his staff do not believe it will be that bad. Gotta tell ya, I'm looking forward to not hurting 24/7. I hope to running around like Forrest Gump in a few days.
 
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Bushpilot

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Had mine done a year ago. Nothing to fear. The first 3-4 days sucks. I could not walk 50 feet before surgery, and had major pain. Only incision pain after. Do your pt dilligently and you will be great in 6 months and even better in a year! Pm me if you want to chat on phone about it.
 

hammerhead

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Had mine done a year ago. Nothing to fear. The first 3-4 days sucks. I could not walk 50 feet before surgery, and had major pain. Only incision pain after. Do your pt dilligently and you will be great in 6 months and even better in a year! Pm me if you want to chat on phone about it.
Thanks Bushpilot. How long before you could drive?
 

Bushpilot

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Could have driven the day after surgery ( had left hip done) except for the narcotics which I only used for 3 days after surgery. Surgery at 11 am, recovery room from 1:30 to 3, then overnight and at home at 3:30 the next day. Get a toilet seat riser. We have a bidet and that was a godsend.
 

BarnacleBob

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Guy I play golf with had a THR about 4 years ago, he was playing golf again @ 9 weeks. He highly recommends the procedure if its needed... FWIW
 

hammerhead

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Could have driven the day after surgery ( had left hip done) except for the narcotics which I only used for 3 days after surgery. Surgery at 11 am, recovery room from 1:30 to 3, then overnight and at home at 3:30 the next day. Get a toilet seat riser. We have a bidet and that was a godsend.
I'm getting the right side done and I think the loss of freedom may be my biggest challenge but I'm hoping for that to be short lived. I scored a walker and a 3 in 1 commode on Craigslist for $10 each. Getting off and on the crapper already hurts.
 

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It’s not that getting off the crapper is painful but more about watching how you move to avoid injuring the new hip or worst case dislocating it. My ortho’s PA said that possible dislocation is rare and exaggerated because they want you be cautious. I used a walker for 7days and a cane for 2.5 months because it was winter and I had a bad limp for 10 years that they wanted the PT specialist to train out of me. I now walk completely without a limp. Getting the right hip done you should be able to drive 2 footed in 10 days to 2 weeks. We have a pick up and suburban which made getting in and out easier. A mini van is even easier.
 

hammerhead

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It’s not that getting off the crapper is painful but more about watching how you move to avoid injuring the new hip or worst case dislocating it. My ortho’s PA said that possible dislocation is rare and exaggerated because they want you be cautious. I used a walker for 7days and a cane for 2.5 months because it was winter and I had a bad limp for 10 years that they wanted the PT specialist to train out of me. I now walk completely without a limp. Getting the right hip done you should be able to drive 2 footed in 10 days to 2 weeks. We have a pick up and suburban which made getting in and out easier. A mini van is even easier.
I do miss the van. Only have a car now.
 

TAEZZAR

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It’s not that getting off the crapper is painful but more about watching how you move to avoid injuring the new hip or worst case dislocating it. My ortho’s PA said that possible dislocation is rare and exaggerated because they want you be cautious. I used a walker for 7days and a cane for 2.5 months because it was winter and I had a bad limp for 10 years that they wanted the PT specialist to train out of me. I now walk completely without a limp. Getting the right hip done you should be able to drive 2 footed in 10 days to 2 weeks. We have a pick up and suburban which made getting in and out easier. A mini van is even easier.

HH, BP tells it short & well. In addition to what he said, I will add that my left leg was short from a bad, compound, break of the tibia & fibula, back in 1959.
I had a light limp. My THR was on my right hip, so I asked the doctor to SHORTEN my right leg, to make it the same length as my left leg. IT WORKED !!!:finished:
I was in the hospital a total of 22 hours. I was walking within 6-8 hours of surgery. I used oxymoron for less than a day !!! Tylenol was all I needed.
Your PT will guide you through recovery. LISTEN TO HIM/HER AND DO WHAT YOU ARE INSTRUCTED TO DO - NO EXCUSES !!!!:finished:
You will be a happy camper in just a month or 2.:finished:
BTW, except for a scar & no limp, I would never know that I have a metal/UHMW hip. I am 100% happy with the outcome.:finished:

I wish you well & if need be, you may PM me for any help. T :finished:
 

the_shootist

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HH, BP tells it short & well. In addition to what he said, I will add that my left leg was short from a bad, compound, break of the tibia & fibula, back in 1959.
I had a light limp. My THR was on my right hip, so I asked the doctor to SHORTEN my right leg, to make it the same length as my left leg. IT WORKED !!!:finished:
I was in the hospital a total of 22 hours. I was walking within 6-8 hours of surgery. I used oxymoron for less than a day !!! Tylenol was all I needed.
Your PT will guide you through recovery. LISTEN TO HIM/HER AND DO WHAT YOU ARE INSTRUCTED TO DO - NO EXCUSES !!!!:finished:
You will be a happy camper in just a month or 2.:finished:
BTW, except for a scar & no limp, I would never know that I have a metal/UHMW hip. I am 100% happy with the outcome.:finished:

I wish you well & if need be, you may PM me for any help. T :finished:
Ol Taez has had most of his joints replaced at some point. The man just keeps on going like the energizer bunny and will live to be 150. FYI, he helped me more than I can say recovering from my one and only TKR a couple of years ago so he knows what he's talking about!!!
 

TAEZZAR

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HH, also, be sure that your surgeon does the "anterior" hip surgery. It is the least invasive & cuts no major muscles. This make recovery much easier.

Also, I prefer a "spinal" as opposed to a general anesthesia. I actually heard them hammer in the spike that holds the ball in place. You come out of the anesthesia much less groggy. It's all good stuff !
 

hammerhead

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HH, also, be sure that your surgeon does the "anterior" hip surgery. It is the least invasive & cuts no major muscles. This make recovery much easier.

Also, I prefer a "spinal" as opposed to a general anesthesia. I actually heard them hammer in the spike that hold the ball in place. You come out of the anesthesia much less groggy. It's all good stuff !
Yes TAEEZER, I'm getting the anterior. I'm not up to watching it while it happens but it sure is interesting how they put those pieces in.
 

the_shootist

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Yes TAEEZER, I'm getting the anterior. I'm not up to watching it while it happens but it sure is interesting how they put those pieces in.
HH, I know you're a local guy so I'll let you know where I got my TKR done, New England Baptist. It's all they do (joint replacements). The procedure, care and support were top notch. NEB is one of, if not THE, best places in the country for joint replacement surgery
 

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Bushpilot

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The spinal wore off on me and I woke up during surgery just as they were trying to dislocate my hip. Guess I got pretty combative and they had to juice me and give me general anesthetic. Then they roofied me so I wouldn’t remember anything.

Also listen to your hip. PT tried to push a little too hard early and my hip said no way. A little soreness or mild ache during PT is normal. You will know.
 

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Wife had hers done round 10 years ago, bad recovery was a nightmare and she still has a limp
 

the_shootist

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Wife had hers done round 10 years ago, bad recovery was a nightmare and she still has a limp
Sorry to hear that the Mrs had a challenging time with her recovery. My pre-surgery research into a TKR taught me that you get out of the therapy what you put into it. I was fortunate enough to be able to maximize my efforts doing therapy and had a 110% recovery experience. I say I was fortunate because I'm otherwise healthy enough to put in the physical effort necessary in order to achieve that level of success.

Whether it a hip or a knee, once you've had the surgery and the swelling goes down you're in a race against scar tissue. The collateral damage done to the surrounding area during the procedure far outweigh the damage done by the knee/hip replacement itself. All that healing will create scar tissue around the entire area, which needs to be broken back into soft tissue before it strengthens into a solid mass and limits movement. That's what the physical therapy is for.

BTW: If your PT routine doesn't hurt you're not doing it right!
 

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I had major hip pain over 20 years ago. Doctor suggested I would eventually have to have a replacement. A Chiropractor showed me a trick. He said the tendons/fascia were shortened from the injury and pulling the ball and socket together. He said get a golf ball and lie down on the carpet with the golf ball under the muscles between the hip joint and hip bone in several different positions, holding for a half minute in each position. No pain no gain. It worked like a miracle. Sometimes after long hikes my hip starts to ache again. I go through the golf ball routine again and it feels like new.
 

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Good Luck Hammerman! And to a speedy recovery!
 

hammerhead

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Had the surgery Thursday. Was looking forward to it and afraid at the same time. Procedure went well, did have a long stay in post op because
bp wouldn't stabilize. Out the door the next day by noon. Did get a lunch before I was released. How could I refuse food brought to me? Many pills to take. One pill was for protection from all the other pills. Even though I am loaded up with all kinds of softeners, still had constipation which I believe is caused by the narcotics. Last narcotic I took was this morning and my pain is almost nonexistent. Hope to start some kind of physical therapy tomorrow.

I appreciate all the wisdom and well wishes passed along from the members here. It's stuff like that to keep coming back for.
 

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Good to hear it went well! I know it’s hard to believe the pain is gone. Now just do your PT and you will be dancing in no time.. Had my 1 year check up and now go to 5 years. Hip feels great!!!
 

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PT is the gateway to normalcy
 

MrLucky

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I've been in PT more times than I want to admit. Each time I got back to where I was before.
 

hammerhead

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I've been in PT more times than I want to admit. Each time I got back to where I was before.
Accomplished with such simple movements too. Lots of training to become a therapist.
 

dacrunch

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In France the public hospital fucked up the hip replacement on my daughter's mother-in-law, resulting in one leg 3/4" shorter than the other, requiring orthopedic shoes...
So much for many "socialized medicine" countries...
If I need major surgery, I think I'll opt for going to Scandinavia with my EU Health Card...

A Californian friend got both hips replaced on Medicare, and was quite satisfied.

When I retired in the US, at Social Security I opted for the "minimum medicare plan" (since I was going to live in the EU), and really don't know what it covers...

And nowadays, with the enforced quarantines after international air travel, I can't imagine the hassles of going to the US...
 
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Bushpilot

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Actually dacrunch coming here from France is easy. If you need major surgery don’t be afraid to come back to the US.
 

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Had the surgery Thursday. Was looking forward to it and afraid at the same time. Procedure went well, did have a long stay in post op because
bp wouldn't stabilize. Out the door the next day by noon. Did get a lunch before I was released. How could I refuse food brought to me? Many pills to take. One pill was for protection from all the other pills. Even though I am loaded up with all kinds of softeners, still had constipation which I believe is caused by the narcotics. Last narcotic I took was this morning and my pain is almost nonexistent. Hope to start some kind of physical therapy tomorrow.

I appreciate all the wisdom and well wishes passed along from the members here. It's stuff like that to keep coming back for.
On your way to recovery brother! Glad to hear the easy part went well. Now for the work....remember, you're in a race against scar tissue, a race you can and will win with hard work and commitment every day
 

TAEZZAR

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Whether it a hip or a knee, once you've had the surgery and the swelling goes down you're in a race against scar tissue. The collateral damage done to the surrounding area during the procedure far outweigh the damage done by the knee/hip replacement itself. All that healing will create scar tissue around the entire area, which needs to be broken back into soft tissue before it strengthens into a solid mass and limits movement. That's what the physical therapy is for.

BTW: If your PT routine doesn't hurt you're not doing it right!

Excellent !!!! :2 thumbs up::2 thumbs up::2 thumbs up:
 

hammerhead

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Hey Mr, it's healing slowly. Thanks for asking. Apologies for not updating. Been over all good. Wife thought I'd be a miserable bastard but just yesterday she said that I have been so nice. After all these years, she finally noticed. At least I don't have the constant look and feeling of agony.

Had tremendous swelling in the leg right down to the foot. Family members were afraid it would be clots. Didn't show any tell tale signs of clotting like pain to the touch. Wife called surgeon's office and they told her I needed to elevate the leg and ice pack it and do foot pumps. Sitting in the recliner with a pillow under the foot didn't cut it. Had to get foot higher than the heart. Still slight swelling in the foot. No pain though.

What I've been going through is good day, bad day, good day, bad day. Not terribly bad but it seems like something I do during the day aggravates the joint making it painful to walk. The next day even though while getting out of bed hurts a little, once I get walking around pain goes away. Tylenol is the main pain med now although I will take a tramadol maybe once a day.

A few things I've found that flares the discomfort is getting in and out of cars with no issues with higher up vehicles, sitting for long periods of time, crouching down which I did instinctively and without a thought yesterday. I didn't get physical therapy, just a list of movement exercises to do. I was told to try anything but over extending the joint and if something does hurt, don't do it.

When I went for the first post-op last week where they removed the bandage which was a 3x8 waterproof cover. Incision looks clear and I have had no discomfort with that at all. Gets itchy sometimes though. No stitches on the skin. They use gorilla glue or something to hold it all together. Can shower, which I do daily just to loosen up the muscles in the morning but am not to submerse leg for a few more months. No hot tubbing for me for a while.

Had to use a walker for the first few days but quickly switched to a cane, which I still am leaning on. Try to walk as much as I can without it. Good for a few minutes. eg where the spike got driven in can become sore but not excruciating.

Other than being able to drive again the thing I'm looking forward to is being able to enjoy spending time and playing with my grand kids. The two I have atm are old enough to do stuff on their own. Do have another grand daughter coming in April. I had been seeing them at least once a week prior to the surgery as I got to watch them while mom went to work but I would spend my time sitting on the couch for the most part. I took them to the beach last summer and couldn't even go swimming with them due to the pain. Would really like to go on a hike with them. Lots of trails around here in and out of the woods.

I've carried a little bit of gratitude throughout my adult life. With all that I've put myself through, every day is a gift. Aside from the grey hairs and receding hairline all injuries are of my own doing. Sniff, sniff. You all have been a big help too. Even those I don't agree with. At least for the mind part anyway. Thanks for being there, peeps.