← Return to Hip Replacement Surgery: When to proceed

Discussion
elliott1953 avatar

Hip Replacement Surgery: When to proceed

Joint Replacements | Last Active: Mar 26 8:56am | Replies (30)

Comment receiving replies
Profile picture for sue2020 @sue2020

Elliott - I had a THR - left side 2 years ago. I’m 69. It went well. The pain I experienced pre surgery (groin pain, hip pain, loss of flexibly, sleep loss) all went away. I remember the first night sleeping thru the night - first time in years. I had a TKR in 2019, also the left side. It did not go as well. I can’t bend the knee more than 100 degrees. My PT was cut short due to Pandemic.
My THR was actually delayed because of Pandemic.
Here’s what I have to say about waiting. For me it came down to disruption in sleep. When I could no longer stand being dead dog tired, I had the surgery.
But there is another thing that happens as we wait: de-conditioning. Think how much work it is to get in shape and stay in shape. As we get more and more pain, and lose more range of motion, we pull back from exercise (movement) and we de-condition. My goal is to continue to be able to walk for the rest of my life.
I met with my surgeon regarding my right hip/knee last week. I have intermittent pain on the outside of my right knee. I probably will never get that knee replace, so my hope was it was joint to joint pain from my hip. It was confirmed it’s my hip. But my surgeon’s advice is that it’s my timeline. I decide. I’m totally not there for another THR. But I am starting to need Tylenol to get to sleep - it pushes back the knee pain. And I’m careful in my Aqua Fitness classes not to do the exercises that exasperate the hip pain.
I’m not sure if this helps - but it is your call. You will know when you are ready. For me, Hip surgery was so much easier to recover from than knee surgery.

Jump to this post


Replies to "Elliott - I had a THR - left side 2 years ago. I’m 69. It went..."

@sue2020
This is absolutely great advice!

I had a left hip replacement three years ago and a right knee five months ago. Both were pain free. I attribute that success as follows: 5% for my research into surgeons and techniques; 90% for the incredible skill and experience of my surgeon; and 5% for luck (good in my case).

I believe that the most important decision one can make once one decides that a TKR is needed is surgeon selection. Hip/knee replacement surgeons are no different from other professionals. There are some extraordinary ones, some really good ones, some pretty bad ones some who should have their license revoked with most somewhere in the middle.

As patients we can't really control the luck portion (I was a 77 YO male at the beginning of all this joint replacement stuff) but we can maximize our chances of a great recovery by picking a surgeon at the extraordinary end of the spectrum. My magician says he has three criteria for a replacement surgeon: extensive experience doing the exact same procedure; great hands; a great mind. If you can have all three, you are well on your way.