Orthopedics Hip, Knee, and Shoulder Injuries Forum - Total Hip Replacement Questions Please
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Total Hip Replacement Questions Please

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Medical Questions-> Health Forums -> Orthopedics Hip, Knee, and Shoulder Injuries -> Total Hip Replacement Questions Please
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Leslie101

New User, Becoming EHEALTHy
Joined: 02 Feb 2007
Posts: 2
Location: Melbourne
Total Hip Replacement Questions Please
Posted: 02-02-07 20:32pm

Hi everyone, I am a 53 year old going soon for my first total hip replacement, as its bone on bone now and given me shear hell. Some days I am not to bad but others I can't walk with out extreem pain.
I have done a lot of research on the net about th replacement, one artical I found interesting was the birningham hip resurfacing, I asked the surgeon about this and he said seeing I am a big person there is a lot of pressure put on the femur and said it would probably fracture and you would have to go back in again to fix it.
He wants to do a metal on metal thr, he says thats my best option, any thoughts on that ?
Also I have read that they inset a urinary catheter, is this true on all thr patients ?
Thanks
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julz67

New User, Becoming EHEALTHy
Joined: 03 Feb 2007
Posts: 21
Location: Scotland
Hip Replacement
Posted: 02-03-07 09:14am

You sound like me!!! Rolling Eyes :d

i had a total hip replacement (thr) in november last year...Much the same a syou, I was walking in severe discomfort...Bone on one, 2.5 inches shorter than other leg....

I agree with your surgeon, bone resurfacing will only work when the hip is not under so much pressure or body-weight... I have a metal hip joint with a metal cup...And it's brilliant.... Just nearly 3 months post op, and I am already walking with no pain, I can do so much more and the wee changes I can see are just amazing.... Your doctor knows what you need...Trust him.

Catheter wise...Yes I had one but it was optional..... It wouldn't hurt for you to have one...What pain relief are they giving you?

I had an epidural, and though it was good, I wouldn't have another!!! The morphine that was being injected also caused me to pass out, when trying to stand!

Go for it....Please let me know how you get on!
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Leslie101

New User, Becoming EHEALTHy
Joined: 02 Feb 2007
Posts: 2
Location: Melbourne
Re: Hip Replacement
Posted: 02-03-07 17:21pm

julz67 wrote:
you sound like me!!! Rolling Eyes :d

i had a total hip replacement (thr) in november last year...Much the same a syou, I was walking in severe discomfort...Bone on one, 2.5 inches shorter than other leg....

I agree with your surgeon, bone resurfacing will only work when the hip is not under so much pressure or body-weight... I have a metal hip joint with a metal cup...And it's brilliant.... Just nearly 3 months post op, and I am already walking with no pain, I can do so much more and the wee changes I can see are just amazing.... Your doctor knows what you need...Trust him.


Catheter wise...Yes I had one but it was optional..... It wouldn't hurt for you to have one...What pain relief are they giving you?

I had an epidural, and though it was good, I wouldn't have another!!! The morphine that was being injected also caused me to pass out, when trying to stand!

Go for it....Please let me know how you get on!


thankyou for your reply,
sounds like we are very much alike, my leg on the bad hip side is shorter too, and i've lost a lot of muscel as as well as its been a life time problem started off as perthes disease when I was a child but didn't bother me until I was around 25 years old and got worse and worse, so I won't know myself to be able to walk without pain, it will feel strange.
I have a steriod injection script I have been hanging onto since november, as I have had 2 in 6 months and the second one didn't last to long at all, so the risks of steriods are worrying to say the least I am trying to go with out it if I can, otherwise I take trammadol sr 200 mg for another med problem but it doesn't help the hip one bit.
I am going through the public system here in australia, its not to good but I have cut a few corners and self funded the initial ortho visit and seen him privatly which cut nearly 2 years off the waiting just to see an ortho at the hospital, sounds like they are going to do it soon going by the orthopedic surgeon who has a lot of power in at the hospital.
They too are saying metal on metal joint is the best option.
I have had problems breathing after general anesthetic in previous ops, so I was hoping for a spine block, as I am a smoker I believe general can give big problems, I have read that you are awake but sleepy when having a spine block, did you find that ?
So it was optional were you are having the catheter, i'am not to keen on that myself but I don't know what they do here yet.
Anyway thanks a lot and all the best with your new hip.
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julz67

New User, Becoming EHEALTHy
Joined: 03 Feb 2007
Posts: 21
Location: Scotland
Re: Hip Replacement
Posted: 02-04-07 04:38am

Hi...

I'm lucky in that as well as having asthma, ga don't bother me...The morhine however did make my whole body very itchy...Apparently it's a common side effect...

I didn't have a spinal block, and it depends on how long the op will take... I was told by my anaethetist that a routine hip replacement does only last about an hour, so a spinal block with either sedation or a light ga will be used, but in my case (i had reconstruction work too) took much longer..Of course it will depend on your fitness..The fact you smoke, your weight...Amonsgt other factors on what they'll be able to offer you. You've probably heard this before...But is there anyway you could cut down/stop smoking before your op? It would give you a better chance to heal properly after, and may not have breathing probs after having the ga.

Trust me..It will feel brilliant to be able to walk without pain!!! I tried so hard to imagine it before the op..And I couldn't, but it's just fantastic!!

Don't know about the steroid injection...But do know that over a period of time, the steroid although will help the joint/pain.It will also weaken the tissue around it... We don't have that option in the uk.. You can get the jag for other joint problems, but the hip joint is so big... Personally I don't like them! Have they not had you on any anti-imflammatory tabs, such as diclofenac/diclofenac retard? Or naprosyn? I found naprosyn very good... Though i'm not sure you can mix these with tramadol...You could ask your doctor.
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