What kind of mobility can I expect with an antibiotic spacer in my hip

Posted by mrfish @mrfish, Nov 3, 2017

About 11 months ago, I had a total (right) hip replacement. No injuries led me to the decision to undergo that, just arthritic pain that had become gradually worse over 20+ years. Several months after the surgery, I developed an infection at the joint but it took a while to get that properly diagnosed. So, in less than two weeks I'll undergo the first of the two surgeries/stages to elminate the infection and replace the implant. I've read that the antibiotic spacer I'll have for 2-3 months will provide "limited mobility" but I'm struggling with what that really means. I'd apperciate any further information I can get from others who have undergone this same procedure. I expect 2-3 days of hospitalization following the surgery and IV antibiotic infusions several times a day (self-administered).

I'm an (otherwise) healthy 48yo male and I was very happy with how quickly I was able to bounce back from the original hip replacment. I'm sure there will be a week or so of recovery from the surgery itself -- but after that am I going to be mostly home-bound for the interim, or is driving myself and working in an office setting (on a limited schedule) a possibility? What other aspects are there to living for a with a hip spacer?

Thank you in advance for your help on this,
Art in Alaska.

Interested in more discussions like this? Go to the Joint Replacements Support Group.

@janelaine

I am scheduled for this surgery on Tuesday of this week. I have a fungal infection but won't know about a bacterial infectiion until they do the culture following implant of the spacer. I am told there is to be no weight-bearing on my right leg which means I will be confined to a wheelchair or walker or crutches. I've tried hopping around on a walker with one foot and find it very challenging. I am 78 yo. If you are fortunate enough to get rid of the infection in the first go round, I'd be doing the happy dance for you (yes, on one foot!) I would like to see that outcome for myself but don't want to get my hopes up.

I learned on Friday that I will not be doing PT following the surgery. Maybe down the road but don't know yet. I will be in a rehab center for what I hope is a short amount of time. Also been practicing pivoting on my good leg to chairs, the toilet, etc. and then lifting myself up on one leg. I like to think my body is developing a cell memory that will help make the transition easier. I have a regular wheelchair and a friend gave me a motorized wheelchair. I've used a cabulance to take me to appointments but will try getting into the car unless the pain is too much.

I have a supportive family and have done all the work to prepare myself physically, emotionally and spiritually at the recommendation of my surgeon who incidentally took some of his training at the Mayo Clinic. I will check in asap after the surgery.

Good luck to you.

Jan in Washington State

Jump to this post

Good luck @janelaine, my surgery is on Wednesday so we'll be able to compare notes. Very smart of you to do some of this practicing and planning before the surgery. I expect to be in the hopsital for a few days while they culture the samples taken during my surgery in order to get the antibiotics dialed in. I'll have to wear active care leg cuffs for a few weeks; those are a real hassle. My ortho said no PT while I have the spacer, but there will be PT after the new hip eventually goes back in. I went and got two handles that attach w/ suction cups to the shower walls to help stepping in/out of the tub. I didn't use a raised toilet seat after the original hip replacement, but I think I might want one for this procedure.

REPLY
@janelaine

I am scheduled for this surgery on Tuesday of this week. I have a fungal infection but won't know about a bacterial infectiion until they do the culture following implant of the spacer. I am told there is to be no weight-bearing on my right leg which means I will be confined to a wheelchair or walker or crutches. I've tried hopping around on a walker with one foot and find it very challenging. I am 78 yo. If you are fortunate enough to get rid of the infection in the first go round, I'd be doing the happy dance for you (yes, on one foot!) I would like to see that outcome for myself but don't want to get my hopes up.

I learned on Friday that I will not be doing PT following the surgery. Maybe down the road but don't know yet. I will be in a rehab center for what I hope is a short amount of time. Also been practicing pivoting on my good leg to chairs, the toilet, etc. and then lifting myself up on one leg. I like to think my body is developing a cell memory that will help make the transition easier. I have a regular wheelchair and a friend gave me a motorized wheelchair. I've used a cabulance to take me to appointments but will try getting into the car unless the pain is too much.

I have a supportive family and have done all the work to prepare myself physically, emotionally and spiritually at the recommendation of my surgeon who incidentally took some of his training at the Mayo Clinic. I will check in asap after the surgery.

Good luck to you.

Jan in Washington State

Jump to this post

@mrfish
Yes get a toilet riser!! It will make your life so much easier and won't put as much strain on your good leg. Also a reacher/grabber in case you drop something on the floor. I could start a store with all the equipment I have gotten over the past 12 yrs lol
Also make sure those suction cup grab bars are firmly in place...I had one slip on me before. A shower chair is also a great piece of equipment especially since this won't be your last hip surgery.
Best of luck to you BOTH!
Lindsay

REPLY
@janelaine

I am scheduled for this surgery on Tuesday of this week. I have a fungal infection but won't know about a bacterial infectiion until they do the culture following implant of the spacer. I am told there is to be no weight-bearing on my right leg which means I will be confined to a wheelchair or walker or crutches. I've tried hopping around on a walker with one foot and find it very challenging. I am 78 yo. If you are fortunate enough to get rid of the infection in the first go round, I'd be doing the happy dance for you (yes, on one foot!) I would like to see that outcome for myself but don't want to get my hopes up.

I learned on Friday that I will not be doing PT following the surgery. Maybe down the road but don't know yet. I will be in a rehab center for what I hope is a short amount of time. Also been practicing pivoting on my good leg to chairs, the toilet, etc. and then lifting myself up on one leg. I like to think my body is developing a cell memory that will help make the transition easier. I have a regular wheelchair and a friend gave me a motorized wheelchair. I've used a cabulance to take me to appointments but will try getting into the car unless the pain is too much.

I have a supportive family and have done all the work to prepare myself physically, emotionally and spiritually at the recommendation of my surgeon who incidentally took some of his training at the Mayo Clinic. I will check in asap after the surgery.

Good luck to you.

Jan in Washington State

Jump to this post

What a small world. Thanks for sharing. I have felt very alone with this condition (Septic Arthritis) so hearing from others is a godsend.
What are active care leg cuffs? We got a sliding seat that I use for showers. I have a raised toilet seat and a bedside commode. I asked my doctor several times what to expect after surgery but he didn't give me any info. I'm a planner so it has been frustrating not having enough information. Good luck to you, @mrfish. As soon as I'm able, I will be checking back in. I'm all set up with lots of things to help keep my mind occupied during the recovery period.

REPLY
@janelaine

I am scheduled for this surgery on Tuesday of this week. I have a fungal infection but won't know about a bacterial infectiion until they do the culture following implant of the spacer. I am told there is to be no weight-bearing on my right leg which means I will be confined to a wheelchair or walker or crutches. I've tried hopping around on a walker with one foot and find it very challenging. I am 78 yo. If you are fortunate enough to get rid of the infection in the first go round, I'd be doing the happy dance for you (yes, on one foot!) I would like to see that outcome for myself but don't want to get my hopes up.

I learned on Friday that I will not be doing PT following the surgery. Maybe down the road but don't know yet. I will be in a rehab center for what I hope is a short amount of time. Also been practicing pivoting on my good leg to chairs, the toilet, etc. and then lifting myself up on one leg. I like to think my body is developing a cell memory that will help make the transition easier. I have a regular wheelchair and a friend gave me a motorized wheelchair. I've used a cabulance to take me to appointments but will try getting into the car unless the pain is too much.

I have a supportive family and have done all the work to prepare myself physically, emotionally and spiritually at the recommendation of my surgeon who incidentally took some of his training at the Mayo Clinic. I will check in asap after the surgery.

Good luck to you.

Jan in Washington State

Jump to this post

@janelaine Best of luck to you!! You sound very prepared which will make the actual surgery recovery much easier on you! I've had a few spacers over the past 12 yrs and they aren't as bad as they sound. I wish you all the best and will be praying everything goes smoothly! Keep us updated!
Lindsay from Missouri

REPLY
@jamienolson

Best of luck to you, Jan (@janelaine)! You sound strong and ready for this challenge. I have two family members that have had this same procedure done and both of them had a flawless outcome. I'm wishing the same for you! Being physically and mentally prepared was a huge help to them and it sounds like you are on that same track- good for you!

Here were a few more tips I found that will hopefully aid you in a smooth transition post operatively.
•Arrange to have a friend or relative prepare some meals for you
•Place everyday items at waist level, so you can avoid having to bend down or reach up
•Consider making some modifications to your home, such as getting a raised toilet seat if you have an usually low toilet

I'll be checking back on you!
Please let us know along the way 1) how you are feeling and 2) if you feel up to it- try to document any tips or tricks you have found useful that can be shared with the community. 🙂

Jump to this post

Thanks for the tips and encouragement. I am blessed with a supportive husband and daughters who are cheering me on and doing as much as possible to make life easier. I do not intend to be a couch potato - I have one good leg, a motorized wheelchair for outings. I will definitely pass along any tips or tricks I discover and welcome the same from others. My sister-in-law will be here for a few days to help out when I come home. She is a terrific cook.

REPLY
@janelaine

I am scheduled for this surgery on Tuesday of this week. I have a fungal infection but won't know about a bacterial infectiion until they do the culture following implant of the spacer. I am told there is to be no weight-bearing on my right leg which means I will be confined to a wheelchair or walker or crutches. I've tried hopping around on a walker with one foot and find it very challenging. I am 78 yo. If you are fortunate enough to get rid of the infection in the first go round, I'd be doing the happy dance for you (yes, on one foot!) I would like to see that outcome for myself but don't want to get my hopes up.

I learned on Friday that I will not be doing PT following the surgery. Maybe down the road but don't know yet. I will be in a rehab center for what I hope is a short amount of time. Also been practicing pivoting on my good leg to chairs, the toilet, etc. and then lifting myself up on one leg. I like to think my body is developing a cell memory that will help make the transition easier. I have a regular wheelchair and a friend gave me a motorized wheelchair. I've used a cabulance to take me to appointments but will try getting into the car unless the pain is too much.

I have a supportive family and have done all the work to prepare myself physically, emotionally and spiritually at the recommendation of my surgeon who incidentally took some of his training at the Mayo Clinic. I will check in asap after the surgery.

Good luck to you.

Jan in Washington State

Jump to this post

@janelaine yes I almost forgot the commode!!! Definitely a must if your bathroom is far away from your bed or isn't handicap accessible.
These forums truly are a Godsend! Hearing of others with the same issues as myself makes me feel less lonely on this Hip journey. I'm only 35 but have been through 5 hip replacements and 3 spacers due to staph infection so if I can be of any help please let me know!
Lindsay

REPLY

@janelaine
Family support is HUGE!! I am also blessed with an amazing family and without their help over the years I would have spent a LOT of time in rehab facilities. I don't think a lot of people realize how much help one requires after these surgeries .... Glad you will have a good cook around too!! Cause protein is #1 and promotes so much healing!!
Lindsay

REPLY
@janelaine

I am scheduled for this surgery on Tuesday of this week. I have a fungal infection but won't know about a bacterial infectiion until they do the culture following implant of the spacer. I am told there is to be no weight-bearing on my right leg which means I will be confined to a wheelchair or walker or crutches. I've tried hopping around on a walker with one foot and find it very challenging. I am 78 yo. If you are fortunate enough to get rid of the infection in the first go round, I'd be doing the happy dance for you (yes, on one foot!) I would like to see that outcome for myself but don't want to get my hopes up.

I learned on Friday that I will not be doing PT following the surgery. Maybe down the road but don't know yet. I will be in a rehab center for what I hope is a short amount of time. Also been practicing pivoting on my good leg to chairs, the toilet, etc. and then lifting myself up on one leg. I like to think my body is developing a cell memory that will help make the transition easier. I have a regular wheelchair and a friend gave me a motorized wheelchair. I've used a cabulance to take me to appointments but will try getting into the car unless the pain is too much.

I have a supportive family and have done all the work to prepare myself physically, emotionally and spiritually at the recommendation of my surgeon who incidentally took some of his training at the Mayo Clinic. I will check in asap after the surgery.

Good luck to you.

Jan in Washington State

Jump to this post

Hearing from everyone is an answer to prayers. 12 surgeries! You sound upbeat and positive, but still, 12 surgeries is 12 too many. You are an inspiration to me. I truly appreciate your support and prayers. I have been using guided visualization and affirmations from Belleruth Naperstek. She has the most soothinng voice. This Hip Journey was not on my Bucket List.

REPLY
@mrfish

I've had the opportunity to do some more reading tonight about anterior versus posterior approaches and I feel more at ease than I was earlier. I was under the impression that the anterior approach led to significantly shorter recovery times and that doesn't seem to be the case, or at least not as significant as I had thought. I guess one interesting aspect of my surgical travails will be a first person perspective on both the anterior and posterior methods.

And, yikes, as one of my pre-surgery tests/exams today, I was on the receiving end of a MRSA nasal swab test. At least it was over quickly, but I hope I never need one of those again.

9 days to go.

Thank you to all for your input so far. Any more insights/experience would be greatly appreciated.
Art in Alaska

Jump to this post

Good luck with your surgery.

REPLY
@janelaine

I am scheduled for this surgery on Tuesday of this week. I have a fungal infection but won't know about a bacterial infectiion until they do the culture following implant of the spacer. I am told there is to be no weight-bearing on my right leg which means I will be confined to a wheelchair or walker or crutches. I've tried hopping around on a walker with one foot and find it very challenging. I am 78 yo. If you are fortunate enough to get rid of the infection in the first go round, I'd be doing the happy dance for you (yes, on one foot!) I would like to see that outcome for myself but don't want to get my hopes up.

I learned on Friday that I will not be doing PT following the surgery. Maybe down the road but don't know yet. I will be in a rehab center for what I hope is a short amount of time. Also been practicing pivoting on my good leg to chairs, the toilet, etc. and then lifting myself up on one leg. I like to think my body is developing a cell memory that will help make the transition easier. I have a regular wheelchair and a friend gave me a motorized wheelchair. I've used a cabulance to take me to appointments but will try getting into the car unless the pain is too much.

I have a supportive family and have done all the work to prepare myself physically, emotionally and spiritually at the recommendation of my surgeon who incidentally took some of his training at the Mayo Clinic. I will check in asap after the surgery.

Good luck to you.

Jan in Washington State

Jump to this post

The cuffs gently squeeze your calves (there's a small pump you have to carry around and it has hoses that run to each leg). They are supposed to improve circulation to prevent clots and help w/ healing.

REPLY
Please sign in or register to post a reply.