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Walking without a hip joint

Bones, Joints & Muscles | Last Active: 4 days ago | Replies (487)

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@geek_girl

@jbro

I've had four surgeries, but never had a hip replacement hardware. I had broken bones that would not heal (radiation damage) that got infected. The last surgery was on 04/2017 removing some more bone from the top of my left femur (girdlestone) and removing the front part of my pelvic bone (due to infection). Note that this surgery was way more drastic than a regular girdlestone surgery. It was my fourth surgery, removed lots of bone, and I had a problem with the femoral artery, so I ended up with three large incisions instead of one. My muscles are finally getting stronger, but without the bones in there, my hip area is definitely unstable. Also since part of my pelvic bone was removed, my muscles don't work like they used to--the underlying framework is gone. A couple of times, I've tried to do too much physically which resulted in a terrible muscle spasm in my hip and thigh with pain that lasted for weeks. I need to learn to be more gentle with my efforts to recover.

My bones will not fuse together as they might for some people--they are too far apart. I think the scar tissue will continue to form in there which will add more stability over time. I've gotten a lot stronger since January of this year.

I am currently not able to walk without some external support. I am able to use crutches for short distances, but prefer a rolling walker as it is more stable and I can sit when I get tired. After the last surgery, it took several months before I was able to walk with a rollator. I was using a wheelchair until then. A few more months before I was strong enough to use the crutches. Now I am able to go up one step (or a curb) with both the crutches and the rollator. I have been able to go up a few steps at a time with a sturdy handrail on one side and a crutch on the other side. I avoid stairs. I don't walk very far with crutches. I can walk much farther and faster with a rollator. I am hoping one day to be able to walk short distances with a cane or one crutch, but I don't know if I will ever be able to walk unassisted again. I have difficulty just standing in one place for more than a few seconds.

My left leg is about 2.5 inches shorter than the right. I had the sole modified on my left shoe to add 1.5 inches. It makes walking and standing easier.

I use pillows when I sleep to help support my hip. I don't recall being immobilized after surgery. They used foam blocks on one side just for support. I use a leg lifter to get my leg in bed. It's a long stick with a loop at the end. I have to use my hands to reposition my leg sometimes or roll over in bed. I have to lift my leg with my hands into my car. I would not be able to drive a stick shift--I have an automatic transmission in my car.

I take Doxycycline forever to help prevent infection from flaring up. When I went off the antibiotics the last time, I had an infection within a month and was back in emergency surgery. They call it suppression therapy.

I definitely have less pain after the broken and infected bones were removed. But it took a few months to feel better because I had such a big surgery.

Whatever PT they give you, do it. It helps strengthen the muscles you need to walk. You can do it! The body is an amazing thing!

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Replies to "@jbro I've had four surgeries, but never had a hip replacement hardware. I had broken bones..."

It is heart-breaking to read what you have been through, but you have a testimony of inner strength and perseverance that is very inspiring. I truly hope your pain is now manageable, that you remain free of infection, and you continue making progress in finding your path to becoming more active. You will be in my thoughts and prayers.

Hi, Geek_Girl
While reading your post again, I have some new questions and would be grateful to learn what you know.
1. Before your first surgery, did the surgeon discuss as an option the purposeful separation of your femur and pelvic socket, rather than trying to fuse them (Girdlestone)? If yes, did the surgeon give pros and cons for each option?
2. Did your doctors ever say that infection was less likely, or easier to treat, with one of the two options above?
Thank you for your time, jbro