Everything You Need To Know About Total Hip Replacement Surgery
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- Опубликовано: 7 сен 2024
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Total hip replacement surgery is discussed including what is a total knee replacement, why are they performed, what are the outcomes, what are the complications, and more.
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Cocia I am 9 weeks post op and my limp is almost gone. It is very important to do your exercises religiously to strengthen all the muscles.
MsParsley222
-Was recovery painful ? Please be honest
MsParsley222 yes it was
Brittany Hudson replaced two hips; June ‘15, Dec ‘17; post pain was MUCH less than the pain before...really was only three weeks of discomfort each time. Very much worth the effort. Played more than 150 games of golf (walking & carrying) the next season. Good luck with your approach and cure/solution.
First week was a little tough. By the third day I could tell pain was less and that helped my mood.
By second week, pain was much less. I had the anterior approach total hip.
Agreed!!!!
I have an aortic aneurysm and 7 stents in my heart. I need and am scheduled for a total hip replacement. Im terrified in one way and excited in another. These fellas nail it very well. My doc is great and I TRUST him. Thanks
Good luck robertiacomacci. Thanks for sharing your story. Thanks for watching and subscribing if you did.
I have similar Health issues and I’m having THR on March 17. I’m apprehensive.
Thanks guys y’all got me through my first total hip replacement surgery being my right side I am no getting ready for my left side to be done but I’m so glad to be getting it done. The pain I’d so bad right now I can’t wait to get it done. Keep up the good videos guys 👍
Nice Mark. All the best with the left!
Dr. Zalal is the best! He has done both mine and they over 20 years old
Sure is!
Great video guys! I am 37 years old and I have avascular necrosis on both sides and have to get a total hip replacement done, I'm honestly a little nervous about the whole thing but I'm hoping I will feel much better than I do right now after I have the surgery and I am all healed up.
Sorry to hear that JD and yes you will likely feel way better. Nervous is normal. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.
How did it go JD?? I am 37 and need to have my left hip replaced
I've had both hips replaced left 2013, right 2018. My left hip felt loose about 3-4 years ago. Revision on left hip December 2020, left hip infection revision October 2021. I guess I beat the odds. Also knee replacement 2018 and same knee a revision in September 2020. Able to walk the golf course in 2 hours like I used. Stay in shape and you can through all these surgeries- but you have to do the work.
Nice Michael. Glad you are ok. Thanks for watching and subscribing if you did
My hip was impact broken 42 yrs ago. No prosthetic at the time. Repaired with plate and screws. I’ve just had replacement surgery.
So Gods bones vs man made, don’t compare.
I’m overjoyed with the outcome. I affirm when it’s done, the result is great.
42 yrs vs 10-15 yrs. Glad I kept the OG hip
I need a right hip rep. and my pain was a 9 but i lost 43lbs. and my pain went down to a 2. I'm planning on losing another 30lbs. i feel so good. I was a weight lifter at 287lb. Thank you guys....
Hi Chris. Weight loss definitely can help with your pain. Way to go. Thanks for watching.
Thanks Dr's. I like your approach & enjoy the bit of humor!!😅 I'm out 8wks & feeling pretty good..have been doing PT for wks now..❤❤😊
Well guys my hips are bone on bone I have worked and played hard and im paying the piper now. Just saw my surgeon last week he asked if I wanted both done since I don't have a good one. He advises he will do the anterior procedure and im happy to hear that. He did advise I could play hockey but Im a goalie says that wont happen (ive read NHL goalies have it done and play at that level- purebreds vs donkeys Im talking about me being the donkey) He advised it will be a lot of work at the front end of recovery but worth it. The pain right now is off the charts now and seems to get worse by the day, I have a very little range of movement and I was into karate and could do the splits I would be happy to be able to walk without pain at this point. Thanks Dr.'s
Sorry for the delayed response. Hope it all worked out Kevin. Thanks for watching and subscribing
Thanks for getting back..it's been 2 1/2 years feeling so much better no pain but I haven't pushed it haven't skated yet. It's always in the back of my mind that I might dislocate them. Anyone watching this and is in great pain get it replaced worth it ☺️
When my doctor told me InwS scheduled for left hip teplscment in Frb for May 20 I was totally floored. I onew nothing about what to expect except the little I understod from her exolanation she was doing it Anterior. My daughter and granddaughter both talked over me at that appointment so I lost track of most of what was discussed. I read and read thenotes of the visit and the After visit Summary we were given to tell us what to expect. In this case the Summary was 40 pageswith almost 10 repeating food choices. I didn't understandmist if what was written in both papers until I found your podcasts and heard your expkanations if Total Hip Replacment and then when reading both papers again recently I understood almost everything. Your Podcasts explain joing teplacment surgery so anyine who really listens can understand. I have had some possible setbacks at 4 weeks before surgery I found sime cavitys in my teeth so had to wt them fixed before surgery but by 3 weeks befire lije the dicyor wanted.when the dentistvscheduled the fixing the cavitys my surgeon mived my surgery forward 3 days to May 23 to have it exactly 3 weeks after the dental work but fortnatwly thevdentist coukd get ne in on April 31 fir the dental work. Then the Pre-surgery physucal found I had a urine infection and I was put on Antibiotics 4 times a day for 1 week which aksi covered the dental work. Tiday I am doind a final test to know if the infection is gone. Then I will be cleared for the surgery. I guess nothing worth while is easy. Have no more appointments until my surgery date. I did have a conflict about the walker I can use after the surgery. A young nurse tried to convince me that I would fall and not be able to use the 4 wheel rollator style I have only used for the past 9 years instead of the small 2 wheel walker with skids on the back legs. My surgeon gave me permission to use my 4 wheel rollator instead after I messaged her that I have only used the rollator style for almost 9 years and have never fallen because of it but would use my 2 wheel walker if she insisted. Listening to your podcasts and the other podcasts on U-Tube has given me so much information that I am not so fearful of the surgery as I was in Feb.
I am still nervous about it but also a bit excited to be able to walk without leaning on my arms on my walker because I cannot put weight on my left leg. I am also hoping the surgery will make my left leg as long as my right. Now it is about 3/8s shorter and I have fitted a heel lift in my left shoevso I do not stand on my left toes to make my legs even and that makes my balance off.
Thanks for making these videos. I'm getting my hip replaced and you gave me great info. Thank you!
Hi Bill. Thanks for your positive feedback and you are very welcome. Best of luck with your surgery. Thanks for watching. Be safe.
Super big thank you to Talking with Docs!! You guys are amazing and deserve many thanks for taking the time to provide us with some great helpful information. And you might be able to say you’re kind of funny!!! I’ve now had both hips replaced and I used your videos many times as a reference to help better understand some of the post surgical complexities. Thank. You, thank you, thank you !!!🎉😊
That is awesome. Thanks so much and congrats!
Bursa injection mid-December, hip injection 30 December. Physical therapy month of January. No improvement. MRI scheduled for 12 Feb. Worse case scenario is hip replacement but if it will get back on the Picklebal court - I'll do it! thank you for your honest insite
Hi Dan. You are very welcome. Good luck to you after the MRI. And yes, a hip replacement could get you back on the pickle ball court potentially. You may not be quite as fast as before but the pain should be drastically decreased. Good luck and keep us posted. Thanks for watching.
This is a helpful video. I have avascular necrosis and had my right hip replaced 2 days ago. I was sent home the next day. The pain comes in waves, but I am using a walker and have been up and down the stairs twice. I am hoping in the next few days my pain will dissipate considerably. I'll be having the left hip done in about 6 weeks.
Hi Scott. Sorry for the delayed response. By this time you will have had both done. Hope things are going well. Be sure to check out the hip physio video to help you recover. Good luck and thanks for watching.
Thank you for the information. Tomorrow I am having my hip replaced. I had the other one done 5 years ago and I am very happy with it. So I am looking forward to getting this one done and hopefully being out of pain after I heal up. You guys are awesome and your video's are very informative, thanks again.
Very welcome Mike and good luck today! Thanks for watching, subscribing and sharing with someone if you did.
Great videos Doctors. Very informative and caring attitude. Thank you.
Glad you enjoyed them!
Thank you for another great informative video. My doctor met with me and showed me brochure for DePuy, he does anterior approach.
Hi El. Glad you enjoyed it and good luck going forward.
This was a really useful and informative video that you have made. I am waiting for a total hip replacement and it answered all my questions. Thank you so much for your time in making this excellent video.
You are very welcome Pat. So glad we could help in any small way. Best of luck with your THR. Thanks for watching, subscribing and sharing with someone if you did.
Love you guys. I am having my hip replaced in 22 days. Wish one of you was doing my surgery!! Have been watching all of your videos. Thanks for putting them out there for people like me to see. Feeling not as afraid about my upcoming procedure. Thanks to you both.
Glad we could help Laurie! Best of luck with your upcoming surgery and so happy to hear you feel more prepared because of the videos. Keep us posted! Thanks for watching and subscribing if you did.
Hey docs! Just had my 2nd hip replacement 3 weeks ago. So much cramping now! And of course I can't sleep!
The best video that u guys post are amazing as always!! You guys are very informative. Thanks for posting!
Very welcome Alida. Thanks for watching and subscribing
Thanks for the information about hip replacement. I’m 28 and this has helped me get ready for the new hip.
Hi arron. Glad we could help. Best of luck and thanks for watching.
Hi Arron can you update me on your surgery?
Well thank you for that information,i didnt get so lucky my first 2 hips ,why? Wrong size ,these 2: lasted me about 2:years each back to back,i switched dr's he said he knew what my problem was ,he said you need to have a customized hip ,i had no idea that was a thing so i did have another hip done by this dr,this time my hip was great , lasted 14 years on that one ,i started to have problems so i went back to my surgeon,and I was starting to have pain and limping ,so the same surgeon did another hip ,not sure how this happened but i started having problems before 2 years on that hip ,i moved to another state ,while working as a cashier,i had pain and i was limping ,then my hip began to lock up ,after a 8 hour shift i clocked out ,i was exhausted for a number if days i would come home get in my recliner, wasn't sure how i was going to cook ,let my dig out ,after an hour i got up fixed something easy to cook,i was so miserable,i couldnt take the pain and my exhaustion was getting bto me ,so i went to emergency room ,they took x rays,,said there is something going on referred me to orthopedic and spine dr mire x rays ,they told me i was too much for them ,referred me to orthopedic surgeon,he said i needed surgery,so this is my 5 th surgery on my hip ,he said when he opened me up he was like ,it looked like a bomb went iff in my hip ,said i had enough metalosis to form a baseball,he scraped all the metallosis out ,i had so much bone and tissue damage ,surgeon put a new liner and antibiotic spacers ,i came out of that surgery to find out what a circus it was ,surgeon said i would have come back for another hip surgery to put what i say the missing parts in so i am at his mercy ,its been 8 months ,i am getting around with a cane and pain pills .i see my surgeon in about a week to find out what is next ,these surgeries are all on the right side,i am sorry this is so lengthy but i am getting my story out there so no one else has to go thru all these surgeries,oh and i have a recalled part or parts .that is the ball and ?? I am so tired of all if it and want my life back ❤️ soon .i believe this surgeon is going about my hip the way he feels is right and i believe he is .prayers please i am 61 and would like to get back to work get my life back so i can enjoy life
You guys are amazing. This video was very informative. I've had two hip arthroscopic surgeries, one with a labrum reconstruction, within the last 3 years. Am currently being referred to another surgeon for a hip replacement. This video answered a lot of questions for me. Thank you!
Hi Kevin. You are very welcome. Thanks so much for watching. Be safe.
Thank you for these wonderful informative videos. I'm considering hip replacement after years of pain and limited movility and have found your information both helpful and comforting.
My issues involve both hips as well as plantar fasciitis. While I realize my feet are no where near my hips, I believe one condition exasperates the other, and perhaps could even have been the springboard for multiple issues.. my knees have recently become painful too.
At my first ortho appt. (to evaluate the hip issue) it was made clear that only one hip would be 'worked up' at a time, and I was asked to choose. Non-operative options have been exhausted as well as an arthroscopic procedure, now 3 months past and my pain is worse than before surgery. Hip replacement seems to be the next step.
I'm perplexed to think that the focus has been completely centered around my right hip almost to the point of being myopic. Treating the right hip alone has put more stress on the left hip, so much that I elected to expand PT to include both sides in addition to some back strengthening exercises in an effort to find some sort of balance... Shouldn't the workup include a broader view?
Hi dm yes a little. Can certainly treat both at the same time. Best of luck with your THR. Thanks for watching and subscribing
OH GAWD !! PT Has made me worse. I have heard some others say that PT involves constantly moving an injured or damaged area and this should not be done. I have friends and friends of friends who say PT made them worse. I should have known enough to reject it when it was suggested to me. After trying it, I told one doctor it did not work and caused more pain and stiffness and crepitus . The doctor just said I should try it for a longer amount of time because PT will strengthen muscle around the damaged or injured area . It sounded not applicable in my case at least, and at worst complete illogical nonsense. You will end up injuring the already damaged or injured area before the muscle around it builds up.
At best PT did absolutely nothing to help, at worst it increased and moved the pain elsewhere where I did not have pain before. I have come across doctors who try to emphasize and put me through PT but I have to out rightly resist. If it does not work or the pain and condition gets worse, the doctor would just shrug and say "Ok so it did not work, so what?" but I have to live with the worsened condition and I cannot just keep doing as certain doctors tell me to do regarding PT and not be improving and not getting better and only postponing certain treatments that may work better. I was lucky to get some cortisone injections and they work excellently for the pain.
I wish the medical establishment would wake up about PT. It should not be a first resort to "avoid more serious procedures." It can eventually make it necessary to do more serious procedures.
A lot of people have told me that cortisone is so miraculous and they wondered why no doctor I went to immediately suggested it. It took me years to find a doctor who would do it. It has been the best treatment overall even though I probably need more than one injection.
May 2022 I had my l femoral head reshaped. December 2022 , 7 months later, my mri showed osteonecrosis which I think was due to the surgery. I’m headed for a THR now. Thanks for your series.
Very welcome. Often the reshaping is a last ditch effort to save your hip. We suspect you will love your THR. All the best
Great info and charming too, your attitudes make me relax so thanks.
Wow, thank you!
Im 38 years old and was run over by a Dodge Dully truck where my pelvis was a combined mechanism fracture and lower spine fractures. I have had 30 surgeries and I am going to see a Joint surgeon Tuesday. I’m worried I won’t be a candidate to get a hip replacement. If not where else could I go? Because I don’t want to give up.
these dr's i find give the best advice
Thanks Howard
Could do you a video explaining the different approaches used for total hip surgeries?
Thanks for the suggestion - that is a great topic. We will do our best to discuss this further.
Hi docs, thank you for your videos, superb. Can I request you do one about knee revisions. As young people are have TKRs revisions will be the next big thing..J
Hi julesbaby47. Thanks for your kind words. Revisions are going to be a significant issue for our population which are receiving replacements earlier and earlier. Great idea. Thanks for watching.
Great vids, you guys! Very helpful!
Does the surgeon grind off the osteophytes that often build up outside the bones? Are there bits of bone or cartilage chips floating around inside the joint?
Hi Kat59. So often we do need to remove osteophytes. There can be loose bodies but this would be less common. Hope that answers your question. Thanks for watching.
Dear talking with docs hi my name is Rachel Grant hi I want to know if a total hip replacement surgery is good for a birth defect in the hip joint that sticks out of place from Rachel Grant
Hi Rachel. It can be one of the treatment options for sure. Thanks for watching, subscribing and sharing with someone if you did.
One thing you do not mention is recovery time and if physio will help. I had my left hip replaced on 11 December 2023 due to arthritis. I did not lose much blood during the surgery but had an internal hemorrhage shortly after the operation and my hemoglobin dropped from 15 to 7. They put two bags of blood in me and I had to take iron and folic acid treatments for a couple of months post-op. I ended up spending a week in hospital. The surgeon told me that the recovery period would be 6-8 weeks and that I would not need physio but it has now been more than 4 months since the operation and I still have stiffness in the joint and walk with a limp. Is this normal for someone of my age (70)?
These are so good these videos
Thanks Neil!!! Thanks for watching and subscribing
Thanks guys always helpful 🌹🥰
I haven't seen anything about a labrum tear. Can you talk a little about thanks . I really enjoy your videos.
Hi Joyce. Labral tears is an important topic that we will try to address in the future. Typically as hip arthritis advances, all patients will get labral tears - they go together. The unique case is when someone has an isolated labral tear and minimal arthritis. Those are the patients who would typically benefit from arthroscopy however that patient is rare. Glad you enjoy the videos.
You two gentlemen have been a great source of information for me as I was getting ready for my TKR and THR on my right side. My TKR was done late October 2021 and my THR was done late January 2022. My arthritis has also destroyed my left hip and I will be having it totally replaced in a couple months. I am concerned about my mobility after this surgery. I was very fit until my back failed me in my early 40s. I have a T10 -S1 fusion and a C5-C7 fusion to go along with my new knee and hip. Due to arachnoiditis, I’ve been using a walker since 2014. I am 61 years old and want to continue to walk, even if I need a walker most of the time. Should I be concerned about having my other hip replaced?
Hi Mark. Glad we could help in any way. Often the second side is easier as you already have one good one. But there is always risk. You’ve got this. Best of luck. Thanks for watching and subscribing
@@TalkingWithDocs Thank You so much for answering my question. Please keep up your amazing work. Your videos have helped me tremendously and I am lucky to have found your channel!! Thanks again!
Thank you, great info.
You are very welcome Rich99! Thanks for watching, subscribing and sharing with someone if you did.
Thank you for all you provide. I am experiencing left hip pain, an x-ray showed bone on bone on both sides. He told me the right side is actually worse than the left side. I have no pain at all on the right side. This surgeon uses the anterior approach to replacement and told me he would make the left leg a little longer and then when I do the right side he would match up the leg length to the left side. I asked him what grade the x-ray was 1-4 he told me it was a 5 if there were such a thing. I am 66 and he explained I have the hips of an 85 year old person. Low dose ibuprofen 200-600 mg provides significant relief. Your opinion especially on the difference in leg length approach. Thank you!
Good luck!
This is a common approach to the leg length issue
I was walking without a Walker week 2. Returned to work week 3. Was mountain bike riding the same hills I used to do before within a month. Its 4 months for me now. Hey Docs how about Brazilian jiujitsu? I've read online some people are doing it after getting HIps done. One woman competes and won gold after one year post hip surgery. I'm still going to try it anyway but it's never mentioned in activities to avoid.
Hi Louis. Congrats on a speedy recovery. The trouble with jujitsu is that if your leg is wrenched into an awkward position theoretically it could be dislocated. Best to discuss specifics with your treating surgeon and proceed with caution. Good luck going forward. And thanks for watching.
@@TalkingWithDocs Just letting You know DRs, I had the dual mobility implant. He also used a camera. I've been doing jiujitsu for over a month now a couple times a week. I'm also doing full body squats, one hundred of them every night, as well as my two hour a night mountain bike riding. I have zero pain in the surgical hip but now my other knee and hip are giving out slowly but surely!! I'm not afraid at all to get it done now though. Dual mobility is the way to go if you want to remain active. I'd one thousand percent get the other hip done because I literally have zero pain on my surgical one. I have my life back.
Why can't you just make the legs the same length? I don't understand why you can't operate with exact measurements?
I'm wondering if you could talk about specific things around the hip that before replacement are chronic like a tight IT band, how that and other things like a very sore knee, revert to normal after a replacement. Or do they?
They may. Some knee pain is referred from the hip. If you have a bad knee though it will likely still hurt. IT bad issues can sometimes persist. Physio is a big part of the recovery.
I am on day 11 after hip Pouteria surgery. I woke up from surgery like I had no pain med. After given a oxycodone and over half hour given another one. Finally got pain under control and tolerable. So I started feeling a lot better after five days. Then for whatever reason seem to be in a lot more pain. I was told that happens and is normal being that outer area is healing faster than the deep inside area of the surgery. Is that true?
How common is it to have extensive bruising on the back of the surgery leg and burning in the knee area? Other than horrible nausea this was my greatest discomfort in the first week post surgery, Thanks in advance.
Hi susan. This is quite common. Everyone bruises a different amount but yes, bruising sometimes down to the foot and ankle or up to the thigh is not uncommon. If it persists or gets worse you should probably be reassessed. Thanks for watching and good luck.
I really have appreciated the knowledge your videos have given me. I am 55 and 2 weeks out from my total hip replacement , the new hip is pain free. The muscles are sore but nothing at all like the old hip pain. My Doctor said he used stem cells during the operation, is this new and what are the advantages? Thank you both again for your videos
Hi James. Glad to hear that you have benefited from the videos. With respect to stem cells, yes, this is relatively new technology that is still in developmental stages throughout orthopaedic surgery. I am not familiar with the exact use of stem cells during a total hip replacement. Glad you are doing well.
Best surgery I have had ever!! F.R.
Hi Frank. Glad you are so happy and thankfully it is not uncommon to hear that sentiment from our total hip patients. Thanks for watching and sharing.
My ortho doc just said hip replacement today I'm 24 and this will be the 3rd surgery on that hip I'm scared
Dear talking with docs hi my name is Rachel and I am 45 years old and I was born with hip dysplasia when I was younger and I want to know if there any other way to fix it or repaired it thanks Rachel Grant
Hi Rachel. Best to talk to a local specialist but often a hip replacement is required. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
Dear talking with docs hi I am 45 years old and I have been born with a birth defect in my left hip I had it for a long long long time and I want to know can it cause some damage to the hip joint if left untreated and can it be repaired or replaced ps please thanks Rachel Grant
Hi Rachel. It would really depend on what the problem was. Thanks for watching and subscribing if you did
My surgeon has suggested he may do a partial knee replacement vs a complete replacement. He suggested I may have better movement afterwards. I ride my bike approx 5,000 km/ year. I’m 67 & I hope to continue to do this for 10 yrs+/-.
1. After recovery, will 1 vs the other be more desirable?
2. Will 1 vs the other last longer than the other?
3. I hope to have my surgery in November, recover across the winter & be back riding with my cycling club in the spring. Realistic?
Hi Harry so a partial is easiest to recover from. Biking in the spring is realistic. The partial may not last as long as often 8-10 years later they have to be converted to a total knee replacement. Patients who qualify which is not often seem to like them. Thanks for watching and subscribing if you did. Good luck
Hi doctors, thanks for the video! Any advice on a THR with PVNS?
Hi Michael. The THR part is the same. Often the surgeon will try and perform a total synovectomy. Best of luck to you. Thanks for watching and subscribing if you did.
anterior total hip replacement surgery
Appreciate a lot. What if we ask about hip resurfacing? Would this be good for young patients with hip dislocation since birth & he is under 40 ? Can resurfacing eliminate restoring operation? That is: first operation is hip resurfacing and second will be hip replacement? Happy that you'll read this.
Hi Murat. We are not big advocates of resurfacing as it primarily preserves the bone of the femur which is less important and often requires a larger socket which removes more bone from the pelvis which we feel is more valuable. A total hip would be our choice. Thanks for watching and subscribing if you did
@@TalkingWithDocs thanks for your comments dear docs. İm Just below 40 & trying to find a way to optimise my case. Greetings from Turkey.
Doctors, great series of videos. Apologies if I’ve missed it but have you discussed a double hip replacement? I’m 58 with severe arthritis in both hips. At a previous consultation a surgeon proposed to replace both hips at the same time. Is this a procedure you perform? If so any additional risks and impact to recovery? Kind Regards, Dave UK
Hi Dave. So we have not addressed this but have talked about it a little in some of the videos. So we do not perform simultaneous bilateral joint replacements. The main reasons are increased pain, slightly increased risk of complications like blood loss or pain but more for us that we want to ensure patients like the first one before we give them a second one. Many surgeons do bilateral surgery successfully and if you are young and healthy, this is the group that gets it. It does avoid prolonged recovery and multiple episodes away from work so we understand the desire. Hope that helps. Thanks so much for watching from across the pond! Stay safe
@@TalkingWithDocs Gents thank you very much for your reply. Your comments are very well received. Keep up the good work and stay safe too. Regards DZ
What happens with metal implant when you are getting cremated?
Hi, I'm scheduled for a THR 4/24. Currently, I skate once a week, limiting myself to 3-4 jumps and a couple of spins, but it hurts. I've skated 30 years as an adult hobbyist and hardly ever fall, but the bone on bone is causing less mobility and a lot of pain. Understanding this is potentially a high impact activity if I were to fall, do you think following recovery I will be able to continue skating and jumping off of the replaced hip's leg? I land on the good one. What about skiing on gentle slopes (greens and slight blues) where I also rarely fall (once a season maybe).
Can you get an infection at anytime after a THR or just the weeks following?
Hello --this question is a follow up on a question last night regarding loosening of the tibial plate. As you pointed out, the tibial plate is the weak link in this operation for a TKR. I am curious as to how often do you see a patient that presents with a loose tibial plate? Is this a common occurrence in your practice, or, is it a relatively rare event? Is there, or, are there common events that cause the tibial plate to loosen? Thanks again
Hi Tom. So the loosening is typically called aseptic loosening which is actually a result of microscopic breakdown of the plastic liner that leads to loosening of the tibia. It is much less common than it used to be due to better plastic liners. The longer you have the knee and the more wear of the liner the higher the chance for loosening. Hope that helps. Thanks for watching and subscribing if you did
Thank you for valuable information. My question is “Can arthritis settle in ?”again after the operation is done
Hi Ben. Technically if the ends of the bones have been removed you cannot have arthritis of that joint. It can be sore however. Thanks for watching and subscribing if you did
Activities, what about just driving your car or walking while shopping or swimming? I only want to be able to do what I used to do and that's not extreme sports. Please answer. August 11 2018
Hi D LaRu. Sorry for the delayed response. So yes that is a very reasonable goal to be able to drive your car and walk around the mall. Even swim. We tell our patients that they may not be pain free but they should be able to do all of the things you listed. Hope that helps.
My hip replacement bread a total disaster. I had near a out a year ago. He x-rayed it and said it was fine. My whole top of my leg broke out in red bumps. I amstill have them. I had the lateral. I still can't walk. I limp and my hip gives out on me but my hip hurts. My or try ho surgeon is really done with me. The hip replacement was a bad surgery. I had my hip done one morning and went home the next day. I wasn't really ready to go home. I would never have another hip replacement again!!!
So sorry to hear that Linda. That is thankfully very uncommon. Maybe a second opinion? Thanks for watching and subscribing
In the case of a 50 something person who had bilateral Perthes as a child and now needs hip replacements: Can any good hip surgeon deal with the challenges of working around the unique deformities that brings, or should one look for a surgeon with experience dealing with this somewhat rare condition?
Excellent question. Perthes disease can present unique challenges in the setting of a hip replacement with respect to both the femur and the acetabulum. It is a good idea to look for a surgeon that has a particular interest in hip replacement surgery and also someone that does hip replacement surgery regularly. Having said that, there are many surgeons capable of dealing with this issue.
Hi guys...my leg ended up a tad longer and my Dr told me the same thing, put lifts in...ok, that advice is great for the more older folks, but I was still in my 40s and in the beauty business and wearing high heels has always been a part of my wardrobe, but nope, no more high heels for me, only little kitten heels lol
Hi Donna. Yes it is not ideal especially when young but sometimes unavoidable. Way to persevere! Thanks for watching and subscribing
I have an inherent leg length discrepancy that I have had my entire life. Both hips need to be replaced. If I get the longer leg replaced first, at what point will xrays be accurate to determine the final length of the surgical leg? In other words, when the implants are placed and the skin is closed, will that be the final length of the leg or will there possibly be changes with healing?
X-rays will be accurate right away. You can do long leg films to determine where the difference is coming from
@@TalkingWithDocs thank you so much. Truly appreciate your videos.
great two know thanks guys 🥰🌹
What is the likelihood of a pelvic fracture during hip replacement? My friend's doctor broke her pelvis and is on a walker now for a long time. I said well at least after your weeks on the walker you'll have $20M too! I was only kind of kidding, but she said NO that it was a total accident, and she'd never sue. But after asking Dr. Google, I couldn't find anything saying pelvic fracture was a risk during hip replacement surgery and you guys did not list it as a risk/complication. Now I'm thinking about the docudrama Dr. Death where two doctors fought to get a doctor's license revoked after he constantly had mishaps and killed people. Should my friend's doctor be reported to the state for investigation?
Yes pelvic fractures can happen when impacting the acetabulum especially in weak bone. Usually heals well but takes 6-8 weeks. Best of luck to her
Thank you for such informative video. I have one question, if you have developmental bilateral hip dysplasia, is it recommended to have total hip replacement in both side ? And can they both been done at once? I currently have been diagnosed with osteoarthritis in the left side and suffering from constant pain only on the left, so recommended to have total hip replacement on the left but having bilateral dysplasia
So it depends on your pain. Sometimes both are done at same time but often stages 3 months apart good luck
I will be seeing Dr. Weening soon ..
Hi jeswainston. OK, see you soon. Thanks for watching. Hope it helped.
What about riding a bike?
Just subscribed to yor great channel ! I'm 49 and after years of heavy gym work, you guessed it....i've had a Total Hip Replacement. But my question is an unusual one...... Can I still take a bit of Testosterone after this.????? I'm worried about infections. I've never any infections in 30yrs of doing this but now i need to be extra careful. This answer would be really helpful as there's probably loads of men like myself out there in a simular situation. Thankyou Docs
Hi Robert. We can't think of a reason that you cannot take testosterone because of a total hip replacement. As long as you are taking it with the supervision of a health professional it should be fine. Best to ask them specifically but we both have patients that are taking testosterone for various reasons. Thanks for watching and subscribing. Be safe
@@TalkingWithDocs Thankyou kindly for replying. It was just whether the injections could cause ifections in the joint ?
What if it does not work and you are still in pain? Then what? You cannot get your old bones replaced back in you , can you? Is there a reversal surgery? What is done with the bone material that they remove from your hip? Can you keep it ? After all, it does belong to you.
Hi L. No you can’t reverse it. The bone goes to the pathologist and then the incinerator. Sometimes the muscle can be painful after. Often exercise helps. Best of luck. Thanks for watching and subscribing
Getting patients out of pain? Are you kidding me. I'm a week after my hip replacement surgery on my right hip and the pain is worse now on that side than it was before surgery. Not to mention that my walking, limp, etc... is even worse now than before surgery. If I would have know it would have been this bad I wouldn't have even bothered to have it done.
Hi Randy 771. Sorry to hear that you are having a difficult time. I can assure you that your experience is the exception not the rule. Most patients will have pain over their incision but the majority of the groin and thigh pain is relieved relatively quickly. Everyone is different and it also depends on how bad your hip was preoperatively. Hang in there - it will get better. And if it continues to be severe, you should schedule to see your surgeon. Good luck
What about getting a filter placed inside of you, to help if,, a blot clot should form?
Blood
Hi David. That is an option but only used if your risk is very very high
Thanks!
Welcome!
How do you determine the make up of the device? Ceramic, metal etc? Do you discuss with patients? Thanks! I finally got a surgery date almost one year on the surgery waitlist. I have so many questions.
Hi Kat59. Usually the surgeon would do what they are confident in and comfortable with. Some centers allow the patients to choose. Most implants are comparable. Hope that helps. Thanks for watching and subscribing if you did.
@@TalkingWithDocs much appreciated thank you. If I didn't have you guys I'd be more stressed out. Not easy talking to the average orthopod. Even my neurologists calls you guys that - I'd hate to know what you guys call them lol ;-)
Have you done a reverse total shoulder replacement? My husband is getting one and is a little worried
Hi Nancy. We are primarily hip and knee surgeons but they are done regularly at our hospital and have really revolutionized care. It is a big operation though. That is on our list for next videos with our shoulder colleague. Thanks for watching and subscribing if you did
Both my hip have been replaced and I’m still in the same amount of pain as before the replacements.
That's no good. Time for a second opinion
Not sure if this is the video where you mention it, but I am concerned about the potential for inflammatory reactions from wear particles. If they happen, are they usually localized to the hip? I am guessing it wouldn't be recognized as from coming from the artificial joint if it were systemic inflammation. In the same vein I wonder if there are concerns for patients who have had hormone receptor positive breast cancer (I had DCIS, breast cancer "lite", sometimes called "stage 0") since part of the component is plastic? Doesn't seem likely it could make it's way to interact with breast cells but I sure don't have a clue. Any problems for folks with autoimmune diseases? Just curious if there is a body of research about any of this that you are aware of? Thanks.
Hi Diana. Usually the particles are microscopic and the effect is typically local yes. No evidence that it causes problems with cancer or autoimmune diseases that we are aware of. Pain and swelling in the hip. Hope that helps. Thanks for watching and subscribing if you did.
what about burning the nerve root heads to stop the hip pain to avoid hip replacement, i had my right hip completely replaced and i would like to try burning the hip nerve root heads for my left hip? what do you think, good or bad idea?
No real proof that it works Howard
Hi there! Im 39 years old and I had my hip replacement about a year ago. I had a juvenille reumatoid arthritis when I was 11 years old.. after 7 years of physio and meds I was ok when I was about 18. Anyway, after a very active life, I was cycling, dancing, swimming a lot I almost forgot that I have arthritis. But he remembered me so he destroyed my hip. After this long story I would like to ask you guys. Im cycling and swimming again but Im worried about dancing. I dance again but Im very carefull and im scare to do moves. Like to sit on the floor when Im standing, or the deep squats..what do you reccomend? How easy to dislocate?
P.S I had the robotic surgery and it was a success. No discrepancy, no pain only muscle pain sometimes especially at the beggining..
Thank you for your videos! X
Hi drew. Thankfully dislocation is very rare. You should avoid the deep flexion though. You can also always ask your surgeon specific questions. Good luck. Thanks for watching and subscribing if you did
@@TalkingWithDocs Thank you for the quick reply. Have a lovely day!
How is the size of the hip shaft/stem determined? What happens if the femur is damaged/porous well below the collapsed head?
Hi debra. We use special drills that slowly go up in size until you can't go up anymore. The damage would have to be way below the neck to be an issue but if it is, it just means more metal to replace it. There are good solutions for this problem. Thanks for watching, subscribing and sharing with someone if you did.
What about dental work about 4to 5 months later and the need of antibiotics ?
Hi Roland. The guidelines have changed and we now say no antibiotics after joint replacement. Thanks for watching and subscribing
Hello Doctors, I’m 36 years old and I’ve been diagnosed with stage 2 Bilateral Avascular Necrosis in my hips since 2.5 years ago. I’m in so much pain that I’ve decided to go ahead with the surgery. Do you think I made a good decision?
Hi S Solimare. It is impossible for us to answer that question. Having said that, if you were in severe pain, often surgery is the only option. It is a very personal decision about the quality of your life. Best of luck to you. Keep us posted. Sorry for the delayed response. Thanks for watching and subscribing if you did.
Can a Hip Replacement cause Complex Regional Pain syndrome? I feel worst after the surgery. I was told the pain is from CRPS, and that there is no cure. Please reply or do a video. Please.
Hi Elizabeth. CRPS after total hip replacement would be very rare. Patients can however have residual pain after surgery. It would depend on the character and location of the pain. Hope that helps.
Horseback riding is not comfortable c a hip FC. Ow. You are great to publish these videos.
Thanks so much carole. Sorry about the horseback riding. Thanks for watching, subscribing and sharing with someone if you did.
Fx
@@TalkingWithDocs. Had the hip procedure a few months ago and since then my horse died. All things work together for the good. Thx for acknowledging me.
im looking at getting hip replacement done,,,will i be able to surf after my surgery heals ...thank you for your input .
Hi Glen. Surfing may be okay but it is the falling that will be the issue. You could dislocate your hip or break your femur. You will have to decide how important it is to your life. Thanks for watching and be careful.
I'm needing bilateral THR. First the right. X-rays show cyst's from none on bone for a while. Will that complicate things? My dr says I have to lose 40 POUNDS before he will do my surgery. I'm only ten pounds down in two months. Is there a faster way you can suggest? My pain is crazy, walking with a cane and can't sit or sleep good if any????
Hi Coral. Sorry to hear that. We do not put specific weight restrictions on patients unless their BMI is above 50. Best advice is whole food plant based diet. Sensible portions. Exercise if you can tolerate it. Best of luck and keep us posted. Thanks for watching, subscribing and sharing with someone if you did.
How is a THR going to affect a previous but recent Lumbar Fusion (L4-L5).
The fusion is needed first bc I can only walk or stand for about 2 minutes before I have to sit or find something sturdy to lean over on.
Knowing THR can be a somewhat violent (sorry, I hate using that word) procedure according to which approach is taken, the dislocation of the joint, the sawing, the pounding concerns me. That’s a lot of pressure possibly being put on the lumbar region I would think. Of course I’ll be asking my neurosurgeon and orthopedic surgeon but thought asking you guys could give me an idea about it bf I do ask my surgeons. Thanks so much!
We have lots of patients who have had fusions and they do well
@@TalkingWithDocs ok thanks so much, I’m guessing I’m overly concern lol
How is the loose bone dust, chippings removed during surgery please ?
Lots of irrigation Dave. Thanks for watching and subscribing
How you are well! I have a question, does hip arthritis cause knee achiness, like before you
wake up. I don't have any knee aches other times of the day. I toss and turn, putting heating pad on one and then the other.
Hi El. Yes sometimes there can be associated knee pain with hip arthritis. Some of it will reduce after total hip replacement depending on how much knee arthritis you have. Thanks for your question.
Who makes the parts for joint replacements? Germany or China or USA? Are their brands you prefer?
Hi Kat59. There are companies all over the world. We do not specifically endorse any one company as many of them produce very high quality products. Hope that helps.
Thank you to a great doctor name Dr. D. Broome.
Hi Frank. Always nice for patients to acknowledge their surgeons. Glad to hear they did a good job.
I'm 62 and my insurance isn't good, I have Aetna, my out of pocket is awful, so I live with anterior hip pain ☹️
So sorry to hear that Carol. Hang in there. Thanks for watching and subscribing if you did
I also have inflammation so my doc gave me a cortisone shot which helped some. It's been 5 months. I still limp and it hurts.
Hi Linda. Glad the injection helped. Maybe some Physio? Thanks for watching and subscribing if you did
Now the biopsy showed I have connective tissue disease. I have no idea what that is.
My hip replacement is fine but I have a connective tissue disease. It hurts really bad.
That’s no good Linda.
hello doc I m from India & my age 25 yrs after 10 days I m going for a hip replacement surgery & I want to know that implant of which material is better Ceramic on Ceramic or Ceramic on Poly??? please reply
Hi Roman. Very good question. The question of which bearing surface is superior is a difficult one to answer. Historically ceramic on ceramic bearing surfaces had better wear properties than polyethylene however with time plastics have become much harder and their properties have improved. The debate is ongoing and probably is best answered by your treating surgeon. Both are good choices and have pros and cons. Hope that helps.
what about dancing/zumba dancing?
Sure!
I'm 10wks post op and asked my consultant (uk) about me not being able to open my leg wide and also not being able to lift it up when on the bed. It's like my thigh wont let it. All I was told is it will happen just keep walking and using steps. Surely must be a better exercise I can do to help? I must add that my other hip needs doing as it never formed properly and has no ball and sits in the muscle and not in the socket. But I want to be able to get the operated leg opening wide and to be able to lift it.... only 42 and feel very old 😔
Hi Vickie. So range of motion and strength typically do some with time and effort. Good idea to get one solved before tackling the other. Good luck and thanks for watching.
@@TalkingWithDocs thank you
I so screwed up. I was disturbed by the surgeon assigned to me because he was rude and - well perhaps Aspergers syndrome type character. Turns out he is the only surgeon that does Anterior Hip Replacement. Damn!?!?
That is too bad Kat59. Sometimes patients and surgeons don't get along. Good luck with your choice.
@@TalkingWithDocs Thanks so much for always responding. There are a team of excellent surgeons at Rebalance and my Sports doc said he would refer me to the surgeon he would go to himself. Anterior approach has it's drawbacks too. I may take longer to heal but I'm super fit and doing pre-op physio!