Hip replacement
marilyn_c
7 years ago
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murraysmom Zone 6a OH
7 years agoRelated Discussions
Hip replacement.Tennis anyone?
Comments (4)It's wonderful that he is thinking about playing afterwards, but I have a feeling that once it's done, he's going to see the wisdom of getting his exercise in just watching the others play. He may the one in a million that could breeze through the whole thing. Let's hope he's smart enough to take it easy....See MoreSIL hip replacement keeps 'popping out'
Comments (10)Sooz, those components being displaced and being displaced more than once means somethings wrong. Who has been treating - the emergency room doctors or do they call a orthopedist for her. The surgeon who originally placed the hip should certainly know or be addressing it. Dislocating an artificial hip isn't all that common unless someone is going way outside the prescribed range of motion during the initial healing process (10 weeks post surgery approx)...but you'd (patient) have to be doing something reckless or experience a fall to even dislocate it then. The muscles and ligaments should support it once fully healed (again, if not engaging in reckless behaviors like downhill skiing, off trail hiking, singles tennis) - if it displaces more than once it would normally be surgically revised. Period. I don't know what to say about the insurance but she's certainly within her rights to have a functioning hip one year after surgery, I'd be wondering if it was a poor fit, poor surgery...either would be the responsibility of the surgeon, proper sizing is his job. There are surgeons who specialize in revising previous replacements that are failing...I don't know where she is but I know of two in that category in the Seattle area and I would imagine most major city surgical centers would have them. A primary care doctor she trusts could do that research for her; as another starting point - it would be a name a good well established physical therapist could likely provide too....See More3rd hip replacement????
Comments (11)I have had an 2 unsuccessful hip replacements and going for 2 more....just read below. I have been in pain since Oct 2007 when the 1st surgery was done. Here is my story: In Oct 2007 I had a full hip replacement the Dr that did the surgery positioned a stainless steel cable around the femur due to the leg being cracked either before surgery or during surgery (even though I told the Dr before surgery I was allergic to stainless steel). I continued to have alot of pain after surgery and the dr had no idea why so he referred me to a pain management clinic. The pain management clinic after several months referred me to a Dr who specializes in revisions of implants. He found the bone and the hip were not growing together at all spots but I explained about being allergic to stainless steel. The new ortho decided to take the stainless steel cable out to possibly solve the pain issue on March 5, 2009. This was a simple surgery w/ an approx 3 1/2" incision. On March 12 the hip started to swell. It swelled to the size of a softball at the hip. On March 16th I went into surgery for an I&D (incision and draining) for the swelling. The Dr said there was no infection just a clear fluid buildup. On approx April 6, 2009 the hip started to swell again and the Dr said go, stay off of it and keep ice on it. On April 14th I saw the Dr at his office because the swelling kept increasing and the pain was horrible too. He stated he would put me into surgery on April 15th and he would go back in and do an I&D this time all the way to the hip joint and if needed he would replace the cup that may possibly be loose and was not growing to the bone as stated above. The Dr said he would keep me for a few days this time so he could watch it and keep the IV antibiotics running longer.I lost alot of blood and he transfused me 2x (by Sat April 18, 2009 my blood level dropped to 23). This time the Dr said it was again a clear fluid that grew nothing on cultures and he replaced the ball and socket so no infection or anything could grow out of those areas. He released me on April 20, 2009. On April 21 the day after being released for the 3rd time from the hospital, my hip started to swell again. It swelled fast and very hard and even more painful than before. The Dr wanted me to sit with the swelling over the weekend of April 24, 25, 26th. By Fri the 24th I was vomiting as the pain was so bad and the swelling was the size of a small watermelon cut in 1/2. My ins co. and home health care workers said to go to Vanderbilt hosp instead of St Thomas where I had been treated cause my Dr did not want to see me. I went to Vanderbilt around 6pm Fri4/24/09. (This is another story on how Vanderbilt dumped me and sent me back to St Thomas). Vanderbilt was confident of the work my Dr was doing and would not treat me and said I should go back to my Dr at St Thomas Hospital. I was back at St Thomas hospital by 10am and admitted to a room by approx 3pm on Sat 4/25/09. It was determined a vein was bleeding out and my kumadin was stopped, Vencomycin was started again and pain meds were started. The bleeding was stopped by approx Mon 4/27/09. They continued to treat the pain, run the antibiotics etc. I was released again on Wed 4/27/09 after the pain meds had been adjusted in a fashion to possibly keep me from vomiting and allow me to function at home. Note: This is another issue as well** I was released and instructed by my case manager at the hospital that home health care would be at my house at 6pm on Wed 4/27/09 to run my iv antibiotics as per my discharge instructions that I am to have iv vencomycin 2x a day. Home health care never showed due to the hospital not giving them correct information and instructions. That as I stated is another story. before discharge the Dr stated he felt the clear fluid pockets that he had done the 2 I&D's on were from a staph infection that I have had since the hip was put in back in Oct 2007 and after the iv antibiotics and the Cipro antibiotics are stopped on June 1, 2009 there is a chance that the pockets of clear fluid may come back again since it a staph infection. He labeled my diagnosis to the home health care agency as MRSA. For my ins co he labeled it infection and inflammatory reaction. On Tues 5/19/09 I went back to the Dr because though some of the blood swelling had dissepated, the swelling started again like before. The Dr finally stated it was a staph infection and the only way to fix it would be to take the ENTIRE hip out that had been installed in 2007 and insert a spacer w/ antibiotics in it that would course thru the body for 3 mths. I will be able to drive when im ready but I will be on cruthches the whole time. He feels this should cure the infection. In 3 mths from now I have to go back to surgery and take the spacer out and insert a whole new hip again.He has taken me off the IV antibiotics for the next 2 weeks to hopefully get something to grow on the cultures but w/ it being a very slow growing staph infection it may never do that. I have been told by otho chief of staffs at other hospitals along w/ several other drs that if the antibiotics were stopped it left me w/ a 10% chance of surviving. I continue to pray and pay attention to how I feel because even a slight chance of sickness i will be on my way to the hospital. I am only 48 w/ a GREAT life and am not ready to die by any means. I feel that a staph infection was presented into my body in either Oct 2007 during the 1st hip replacement or in March 2009 when the stainless steel cable was removed. I really do feel for you and your situation as this will be my 5th hospital stay and 4 surgeries since March 2009 for this infection due to someone's negligence! When you have it replaced if you must again they must place a temporary hip that has antibiotics that will release into your body throughput several mths to rid you of this infection. To simply replace the hip is not enough. IV Antibiotics 1500mg 2x a day....cipro antibiotics 500mg 2x a day was not enough to fix this. But they will do that same course of treatment for 3 mths along with the insertion of a spacer/temporary hip loaded w/ antibiotics should do it. I can let you know how I do if you want to send me your email address. Talking w/ people and research into this is very important for you. Best Regards, Margaret...See MoreHip Replacement Caretaker Advice
Comments (39)I'm guessing your challenge may be preventing your DH from doing too much, too soon -- and making sure he takes the pain meds as prescribed. The PT should stress the importance of having them working before he does the exercises he must do, and not over-do. He'll need to quell his DIY impulses while the joint heals. (Elmer will probably recognize this as a genuine 'gender difference'.) Sock 'puller-uppers' may not adequately prevent hip movement. It's easier to 'throw yourself at his feet' for socks, briefs, pants. I did this while my DH's clavicle healed from a fracture. IMO it's a stretch to call all assistance 'caregiving', especially when the patient is strong, competent, and ambulatory, and when the need is temporary. My DH is designated 'caregiver' by my cancer center. I know the level of care may increase, but since diagnosis in late May, my treatment for multiple myeloma has caused little change. I'm still 'keeping house'; he assists more -- if I have pain or unusual fatigue. We care for one another as always....See Moremarilyn_c
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7 years agomorz8 - Washington Coast
7 years agolast modified: 7 years agomarilyn_c thanked morz8 - Washington Coastmarilyn_c
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