Questions regarding total hip replacement

Hi Mamie, My surgeon was one of the top 5 doctors at the University of Washington Medical center. He is not the same one who did my knee but they work out of the same office. Although my surgeon came highly rated I still had 2 dislocations. Did he use the wrong type or size of replacement? I don't know. I'm looking into that. My concern at this point is staph infection. Why are they so common in hip surgeries? I believe that there is a big problem with the sanitary conditions in hospitals. Every hospital. I've read stories from all over the world. Why is everyone getting Staph? And why hasn't there been a serious investigation - study on why this happens so often. If it was a known fact that people that have open heart surgeries came out with staph infections as often as people who have had hips, knees and shoulders, something would have been done by now. This is not new, this is very common and i'm very surprised that none of the surgeons you spoke to said anything about staph infections. Again, hospitals make money by getting as many surgeries done as possible in a day. I'm certain that it has everything to do with the poor standards regarding cleaning. Hospitals don't care if you wake up with a staph infection. I spent all of Christmas week last year as well as the last week of Feb. this year in the hospital being treated for staph. It doesn't even phase the nurses, they see it everyday. I believe the joint was pretty much gone when I finally had the surgery so I don't know what would have happened. But if I wasn't having any pain I would definately leave it alone. Something else I forgot to mention is all the restrictions you'll face with that new hip. No bending, crossing your legs, leaning to grab something, picking something off the floor etc. I'm only 52 years old and very active. It is extremely difficult trying to go through life remembering not to do this and that because you'll always be at risk of dislocating. And you wanna talk about the worst pain ever? Dislocate a hip and your leg feels like it's on fire and you'll think you're having a heart attack. I spent 6 months worrying about every single move I made after those dislocations. It was exhausting and depressing. When they pulled the final hip out and sent me home they said "you have no restrictions at all". I was floored how could that be? Because there's nothing in there to dislocate! So I walk with a limp and a walker but I can bend, reach and cross my leg. I'll take that over another staph infection. And NO I would never consider another surgeon with more revision experience, it's not the surgeon I'm worried about, it's the filthy conditions in the ER where I contracted the infection that I'm worried about. Please, please,please make sure you have all the facts before you do anything! If you would like to contact me directly you may send me a personal message here on Connect. I would also be happy to talk with you on the phone if you like. Just contact me through a personal message. Robin

@anonymous122054 hi

Hi Mamie, My surgeon was one of the top 5 doctors at the University of Washington Medical center. He is not the same one who did my knee but they work out of the same office. Although my surgeon came highly rated I still had 2 dislocations. Did he use the wrong type or size of replacement? I don't know. I'm looking into that. My concern at this point is staph infection. Why are they so common in hip surgeries? I believe that there is a big problem with the sanitary conditions in hospitals. Every hospital. I've read stories from all over the world. Why is everyone getting Staph? And why hasn't there been a serious investigation - study on why this happens so often. If it was a known fact that people that have open heart surgeries came out with staph infections as often as people who have had hips, knees and shoulders, something would have been done by now. This is not new, this is very common and i'm very surprised that none of the surgeons you spoke to said anything about staph infections. Again, hospitals make money by getting as many surgeries done as possible in a day. I'm certain that it has everything to do with the poor standards regarding cleaning. Hospitals don't care if you wake up with a staph infection. I spent all of Christmas week last year as well as the last week of Feb. this year in the hospital being treated for staph. It doesn't even phase the nurses, they see it everyday. I believe the joint was pretty much gone when I finally had the surgery so I don't know what would have happened. But if I wasn't having any pain I would definately leave it alone. Something else I forgot to mention is all the restrictions you'll face with that new hip. No bending, crossing your legs, leaning to grab something, picking something off the floor etc. I'm only 52 years old and very active. It is extremely difficult trying to go through life remembering not to do this and that because you'll always be at risk of dislocating. And you wanna talk about the worst pain ever? Dislocate a hip and your leg feels like it's on fire and you'll think you're having a heart attack. I spent 6 months worrying about every single move I made after those dislocations. It was exhausting and depressing. When they pulled the final hip out and sent me home they said "you have no restrictions at all". I was floored how could that be? Because there's nothing in there to dislocate! So I walk with a limp and a walker but I can bend, reach and cross my leg. I'll take that over another staph infection. And NO I would never consider another surgeon with more revision experience, it's not the surgeon I'm worried about, it's the filthy conditions in the ER where I contracted the infection that I'm worried about. Please, please,please make sure you have all the facts before you do anything! If you would like to contact me directly you may send me a personal message here on Connect. I would also be happy to talk with you on the phone if you like. Just contact me through a personal message. Robin

I had a very positive experience with posterior hip replacement. Although called posterior, my surgeon actually went in through the side if the hip. I chose him because he DID posterior, not anterior and my research indicated the ability to choose from a more varied length of the titanium piece that goes in and so able to have a more custom match to the other leg length. The drawback is not to be able to bend forward past the waist for 12 weeks although my PT agreed that at 11 weeks, I was ready. I had next to no surgical pain afterwards but I had had a lot of pain in my leg for a long time beforehand so the comparison at the very least, was that I was able to walk on that leg with no pain afterwards. I used a scant few of the tramadol they gave me and none of the other heavier pain drugs that had been prescribed for me.

I did NOT have any hip pain either; all my pain was referred pain: my left leg, knee, calf and ankle were in great pain when I walked and I had to walk with a cane and acquired both a small indoor rollator with a basket and a tray (very handy around the house) and a wonderful Trionic Veloped outdoor all terrain rollator so that I could continue to walk my dog with less effort. It was “assumed” that the leg pain was from my back issues. One day, sitting with my feet up on an ottoman, I noticed that my left knee was turned outward and when I couldn’t rotate it, my hip couldn’t rotate, it occurred to me that maybe it was my hip causing problems. That’s when I learned about referred pain. My leg pain was referred hip pain. By the time I saw an orthopedic surgeon and said that I wanted a hip replacement, he gently told me that I really should have had it done a year earlier. I told him that I would have, had I known it was my hip. Incidentally, both my legs match in length now.

I recommend googling Talk to the Docs, orthopedic surgeons, Canadian to watch their very excellent videos on hip replacement. They’ve branched out and cover a lot of medical issues now, bringing in doctors who are experts in those fields. I live in the US but love their Talk to the Docs videos on YouTube.

Even my long suffering physical therapist questioned why I went posterior. Everyone seems to think that anterior is better because it has a faster recovery and you can bend forward past the hip, right away. But as someone mentioned here, having an excellent surgeon is the key. You can also look up pros and cons of anterior vs posterior hip replacement. I know that more surgeons now do anterior but I would have posterior done again in a heartbeat. I do still have walking issues due to my “severely disintegrating spine” as one radiologist called an x-ray. I can walk without pain now that my hip’s been replaced but walking feels like slogging through mud from the pressure on the nerves that go to the legs. So I still use a cane when I go out, or take my small indoor rollator to a place like a mall and I walk my dog a mile or more a day with my Veloped. I can walk normal and even zip around quickly, using a rollator or a grocery cart. I walk well with a cane now too, not having to lean heavily on it. I just need a small assist to take the pressure off those nerves in my spine. I really want to avoid back surgery if at all possible.

Best of luck to you. Surgical outcomes are highly individual and the decision to have surgery can be for many reasons. I do believe that hip replacement, regardless of how it’s done, probably has one of the best outcomes of surgeries one can have. I don’t know anyone who in my cohort of friends who have had one who hasn’t been happy with the outcome.

My hospital had stringent requirements regarding germ control. I showered with a special soap they gave me before coming in. Then before I put on my gown for surgery I had to wipe my entire body with germicidal cloths they gave me. That was just my part but they had so many protocols in place for just me, I imagine that was true for the entire operation. I went home just a few hours after my surgery and had no issues with infection, ever.

I had a very positive experience with posterior hip replacement. Although called posterior, my surgeon actually went in through the side if the hip. I chose him because he DID posterior, not anterior and my research indicated the ability to choose from a more varied length of the titanium piece that goes in and so able to have a more custom match to the other leg length. The drawback is not to be able to bend forward past the waist for 12 weeks although my PT agreed that at 11 weeks, I was ready. I had next to no surgical pain afterwards but I had had a lot of pain in my leg for a long time beforehand so the comparison at the very least, was that I was able to walk on that leg with no pain afterwards. I used a scant few of the tramadol they gave me and none of the other heavier pain drugs that had been prescribed for me.

I did NOT have any hip pain either; all my pain was referred pain: my left leg, knee, calf and ankle were in great pain when I walked and I had to walk with a cane and acquired both a small indoor rollator with a basket and a tray (very handy around the house) and a wonderful Trionic Veloped outdoor all terrain rollator so that I could continue to walk my dog with less effort. It was “assumed” that the leg pain was from my back issues. One day, sitting with my feet up on an ottoman, I noticed that my left knee was turned outward and when I couldn’t rotate it, my hip couldn’t rotate, it occurred to me that maybe it was my hip causing problems. That’s when I learned about referred pain. My leg pain was referred hip pain. By the time I saw an orthopedic surgeon and said that I wanted a hip replacement, he gently told me that I really should have had it done a year earlier. I told him that I would have, had I known it was my hip. Incidentally, both my legs match in length now.

I recommend googling Talk to the Docs, orthopedic surgeons, Canadian to watch their very excellent videos on hip replacement. They’ve branched out and cover a lot of medical issues now, bringing in doctors who are experts in those fields. I live in the US but love their Talk to the Docs videos on YouTube.

Even my long suffering physical therapist questioned why I went posterior. Everyone seems to think that anterior is better because it has a faster recovery and you can bend forward past the hip, right away. But as someone mentioned here, having an excellent surgeon is the key. You can also look up pros and cons of anterior vs posterior hip replacement. I know that more surgeons now do anterior but I would have posterior done again in a heartbeat. I do still have walking issues due to my “severely disintegrating spine” as one radiologist called an x-ray. I can walk without pain now that my hip’s been replaced but walking feels like slogging through mud from the pressure on the nerves that go to the legs. So I still use a cane when I go out, or take my small indoor rollator to a place like a mall and I walk my dog a mile or more a day with my Veloped. I can walk normal and even zip around quickly, using a rollator or a grocery cart. I walk well with a cane now too, not having to lean heavily on it. I just need a small assist to take the pressure off those nerves in my spine. I really want to avoid back surgery if at all possible.

Best of luck to you. Surgical outcomes are highly individual and the decision to have surgery can be for many reasons. I do believe that hip replacement, regardless of how it’s done, probably has one of the best outcomes of surgeries one can have. I don’t know anyone who in my cohort of friends who have had one who hasn’t been happy with the outcome.

My hospital had stringent requirements regarding germ control. I showered with a special soap they gave me before coming in. Then before I put on my gown for surgery I had to wipe my entire body with germicidal cloths they gave me. That was just my part but they had so many protocols in place for just me, I imagine that was true for the entire operation. I went home just a few hours after my surgery and had no issues with infection, ever.