Walking without a hip joint

Posted by dzoneill @dzoneill, Mar 10, 2017

Is anyone currently walking without a hip joint?

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@anessaness

Help! My paraplegic friend (polio victim confined to a wheelchair after a life on crutches) was in an accident that broke her femur's head almost completely off. She just came out of an unsuccessful hip-replacement surgery yesterday. They discovered in surgery that her socket was too shallow to accept the new ball, so they simply REMOVED the old ball and truncated her femur. I've researched femoral head ostectomy today but can't find anything on humans, and certainly not on the long-term effect on non-walking human (it's all refers to animals). She lives independently, and transfers herself in and out of bed/tub/chairs on her arms, dragging her legs. If the leg is not structurally attached to her torso, I'm worried the pull on the soft tissue, blood vessels, withered muscles, etc will be damaging. Plus, when she pulls the leg towards her body, will the bone be pushed into the fragile tissues? The doctor indicated this is the long-term solution. I'm worried that she's viewed as a poor (Medicaid) old lady, so they're just doing the minimum.

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Not sure of her age but I suspect with some therapy she could acutally do just as well as she was doing. I am fairly young (56) and have had no hip joint left side since December 2018 - removed as not enough bone stock left to put another implant in - have had several - lots of complications - my procedure was known as girdlestone and is a salvage procedure - I too was scared and how could I possible get around without a hip joint? But things are going well - I do have to use a walker or wheelchair but might be able now to progress to two crutches - I can do most things including managing a few stairs as long as there is a railing. PM me specific quesitons you might have.

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Hello, I am pretty sure I went into some detail in another post, that left me with no right hip since May 2019. I had a bone graft done on my femur in October 2019. I saw my surgeon on 1/15. The hardware and graft are stable. He said:"Looks good, you can start Walking on it". I need a 2" lift, and a brace for drop foot. I am very active, and have been putting quite a bit of weight on it. I don't have my lift yet. I will write back in to let you know how I am making out. My surgeon is at Duke University Hospital. I saw in my bill that there was a consult with the Mayo Clinic. I expect it will be a gradual transition from crutches to walking. Hopefully I will be able to get a new hip within a year.

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I do. Complete painless. I have no cruches, no stick. Iam pretty fast. All doctors are impressed and never thought this is even possible. I start s little bit of runnning at this moment.

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@rayban33

Hello, I am pretty sure I went into some detail in another post, that left me with no right hip since May 2019. I had a bone graft done on my femur in October 2019. I saw my surgeon on 1/15. The hardware and graft are stable. He said:"Looks good, you can start Walking on it". I need a 2" lift, and a brace for drop foot. I am very active, and have been putting quite a bit of weight on it. I don't have my lift yet. I will write back in to let you know how I am making out. My surgeon is at Duke University Hospital. I saw in my bill that there was a consult with the Mayo Clinic. I expect it will be a gradual transition from crutches to walking. Hopefully I will be able to get a new hip within a year.

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Good for you. If you come to Nail Clinic in Rochester Minnesota. I'd highly recommend visiting the Limb Lab for your lift and shoe solutions. It's amazing what they come up with, customized, and they've helped my husband walk.

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@stowe

Good for you. If you come to Nail Clinic in Rochester Minnesota. I'd highly recommend visiting the Limb Lab for your lift and shoe solutions. It's amazing what they come up with, customized, and they've helped my husband walk.

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Sorry for typo. I meant Mayo Clinic.

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@dzoneill

I was born with a congenital hip dislocation and had 3 surgeries between the ages of 2 and 15. At the age of 26 (1985) I had a THR. There were 3 revisions, the last in 2006 at Henry Ford Hospital in Detroit. In 2013 I was admitted with sepsis, a massive mrsa infection which later mutated into visa. March 2014 the prosthesis was removed and I spent 2 1/2 years in a wheelchair and on IV antibiotics most of that time. Last summer my case was taken over by another surgeon who deemed it unwise to try another revision and we agreed. A new infectious disease doctor changed antibiotis and I am now mrsa/visa free. I have no hip and no spacers, the femur is significantly shorter, leg length difference is 3 1/2 inches. The new surgeon has me walking with walker and crutches and a 3 inch lift on my shoe. 3 months physical therapy to strengthen muscles atrophied from so much time in the wheelchair. I am about to move to one crutch, and the goal is a cane. Xrays show excellent build up of scar tissue supporting the leg. My original question was wondering if there are others having the same experience.

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Hi, my husband is going thru a lot of stuff like you . I would really like to talk to you about this , my husband is going to have his 4th total hip replacement taken OUT any time now. The surgeon is saying his bone disease ( no cure no treatment) has destroyed his pelvis , he broke this last hip replacement in a car accident 😣 in July 2019 . Please please contact me here or on FACEBOOK at LizZi Z Odom on Facebook. Please???? I want to compare you both and see where you are at and where my husband is. Looking forward to hearing from you soon please 😊?? Will be lifting you up in prayers.

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I have been doing my bike exercises trying to visualize and force my damaged hip joint to work in a way to enlarge the hip joint space. Sometimes I feel I can walk sort of "taller" in that hip joint and with less pain. Sometimes not. I do not know if it is real improvement or if I am deceiving myself out of hope...

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I had a Girdlestone procedure in Dec of 2019. I’m getting around with a walker but wondering what will happen when I am able to put full weight on my leg. Any input is appreciated.

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@tammy4444

I had a Girdlestone procedure in Dec of 2019. I’m getting around with a walker but wondering what will happen when I am able to put full weight on my leg. Any input is appreciated.

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Hi I also had a girdlestone procedure July 2018
And I’ve been able to walk without a cane for almost a year now. Although I do use a cane in public for my limp. I’ve been working hard getting back my leg muscle doing exercise, riding the stationary bike and step machine. Also can now do some squats. My leg muscle was so atrophied. I notice the stronger my leg gets the better I am able to walk

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@tammy4444

I had a Girdlestone procedure in Dec of 2019. I’m getting around with a walker but wondering what will happen when I am able to put full weight on my leg. Any input is appreciated.

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Hi, Tammy, after passing out with a prolapsed disc I was in terrific pain for a long time. The physiotherapist said, "Just walk naturally!" I replied, "Can you remind me what that is?" I really did not know how to walk! Fortunately, I am a violinist and so applied my knowledge of fiddle technique. First developing looseness is the key (but obviously not too loose)! If you observe there are different styles of moving trying these can get all the muscles moving - a hunter-gatherer might move on the balls of the feet bent over; if you walk 'from the feet' in the house this is better than using the legs, being a smaller area; Fred Astaire would push from the calves and 'glide' leaning forwards; a soldier would stride form the thighs, being upright; a stroller would move from the lower back leaning in a relaxed manner.
A Chinese coolie has developed an exceptionally skilful way of walking; he will totally relax his pelvis and allow himself to be carried forwards by simply leaning - reflexes do the rest you don't have to tell them what to do!

However, putting weight on a previously injured limb takes thought. While you may know it is sound now your body may not be so certain, it can get stuck in habitual movement. If you place you weight on the limb (without tensing up) and wait until your whole self approves then your body is given time to search out the truth for itself.

I assure you the art of walking can become obsessive it is so fascinating. I ended up confusing young fit people by effortlessly overtaking them going uphill whilst I was also pushing a laden cycle! You will, of course find online instruction which tells you just one way to walk but there is a well-known violin professor who wisely said, "If your teacher tells you there is only one way to do something … find another teacher!"

Best wishes,
Roger

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