Questions regarding total hip replacement

Posted by Mamie @mamie, Dec 26, 2017

Hi, I would appreciate any feedback. My left hip joint is totally collapsed and has been for about 4 years. For some reason, I do not have pain. However, the collapse has left my leg shorter and has forced me to be heavily dependent on a cane. I've seen 4 orthopedic surgeons over the years and have gotten varying suggestions. One said not to get THR because I have no pain. Another said he could do it with anterior approach but it would require a lot of cutting, etc., and probably not be the best result. The third said he uses anterolateral approach but he had never seen a collapsed hip without pain. He said that the surgery would be a success but he didn't think I would be happy with the outcome because of possible damage to already weak muscles. The 4th said that he would do it with a posterior approach (is there only one type of posterior approach?) that he thought would give me the least damage. I'm 65 and would like to again enjoy some active years without a cane. I've read that hip surgeries are among the most successful but I get scared when I read forums. My friends remind me that people who have successful THRs don't usually get into forums because they don't have problems. Is that right? Or is the marketing for THRs not mentioning the infections, etc., that come afterward? And how/why do these infections occur? I want to move on with my life but I don't want to exchange a very inconvenient limp/cane for pain and problems. Am I just being a worrywart or ? Thanks for any thoughts.

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

@blundquist

I’m 61 and both hips have some degeneration and hurt, especially when working out. My left hip has a torn labrum. I’ve seen a few Orthopedic surgeons and the only answer i hear is THR. Insurance would gladly pay for that. What I don’t hear from Professionals is anything about Stem Cell therapy. I’ve looked into it and heard success stories, but insurance won’t pay for it so that is a no-go. It seems a lot less invasive and is being done, but the old school of THR won’t such it. Why is this? I would rather endure the pain than have THR.

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I am in the exact same spot as you....I am looking into stem cell therapy and will keep you posted. I’m 65 and hoping they can help. I’ve been talking with Regenerex, however because at our age our stem cells are older the best possible results they said would be to go to their facility in the Grand Caymen so they can culture my cells for 3 weeks, providing me with a much higher chance of it working. It is currently illegal to culture stem cells in the United States even though they are my own stem cells. I am being put in touch with one of their facilities in Van Nuys to be evaluated for the procedure. I also would like to consult with the Mayo Clinic in Phoenix to get their evaluation.

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@blundquist

I’m 61 and both hips have some degeneration and hurt, especially when working out. My left hip has a torn labrum. I’ve seen a few Orthopedic surgeons and the only answer i hear is THR. Insurance would gladly pay for that. What I don’t hear from Professionals is anything about Stem Cell therapy. I’ve looked into it and heard success stories, but insurance won’t pay for it so that is a no-go. It seems a lot less invasive and is being done, but the old school of THR won’t such it. Why is this? I would rather endure the pain than have THR.

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I have gotten a lot of relief from the pain by taking Tumeric capsules twice a day and using a product by Modere called LIFE. Have no need for any kind of pain killers for the last two months since I started using these products. I also just started adding BAXYL, recommended by a friend
https://www.modere.com/1177171

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@blundquist

I’m 61 and both hips have some degeneration and hurt, especially when working out. My left hip has a torn labrum. I’ve seen a few Orthopedic surgeons and the only answer i hear is THR. Insurance would gladly pay for that. What I don’t hear from Professionals is anything about Stem Cell therapy. I’ve looked into it and heard success stories, but insurance won’t pay for it so that is a no-go. It seems a lot less invasive and is being done, but the old school of THR won’t such it. Why is this? I would rather endure the pain than have THR.

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@kdukes52, you mentioned you wanted to consult with Mayo Clinic regarding stem cells? Have you had a chance to do so, or would you like more information?

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Hi everyone, 3 years ago I fell and sustained fractures of my hip, shoulder and tibial plateau. I underwent fixation of the hip, which subsequently failed and was converted to a right THR. However, I'm having a great deal of pain in my groin, buttock and thigh. Just wondered if anyone is having any of the same symptoms. Thanx

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@carolg

Hi everyone, 3 years ago I fell and sustained fractures of my hip, shoulder and tibial plateau. I underwent fixation of the hip, which subsequently failed and was converted to a right THR. However, I'm having a great deal of pain in my groin, buttock and thigh. Just wondered if anyone is having any of the same symptoms. Thanx

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Hi @carolg, welcome to Connect. You came to the right place regarding questions about hip replacements as we have many members on Connect discussing having gone through a hip replacement. You may notice I moved your discussion. I combined your discussion with an existing discussion titled, "Questions regarding hip replacement." I did this so you could both be introduced to the many members already discussing hip replacements and so you could also read some of the members' previous posts on their experiences with hip replacements. If you are replying by email, I suggest clicking on VIEW & REPLY so you will be brought to the new location of your discussion.

I'd like to also invite some recent members who have joined and discussed having a hip replacement to this discussion to share their experiences with post hip replacement: @50surgeries, @bobbielafleur and @hammerhead have all recently discussed having pain in their replaced hip and may be able to relate with your pain.

@carolg, have you had a chance to discuss your recent pain with your surgeon or medical provider?

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I was told by my surgeon because the ORIF failed and I required a new hip, he wasn't sure what shape I would be in. I had an ultrasound Sat. My mobility has also decreased over the last several weeks. I spent 3 months nonweightbearing after my fall and was hospitalized for 4 months. I'm 55 now and am concerned about possibility of mire surgery.

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Has anyone had a total anterior hip replacement and had their tendon cut? My sister had this happen and by the time it was addressed it was too late to fix. She now wobbles like a duck and has many additional problems due to this. Thank you in advance for anything you can tell me.

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@mamm

Has anyone had a total anterior hip replacement and had their tendon cut? My sister had this happen and by the time it was addressed it was too late to fix. She now wobbles like a duck and has many additional problems due to this. Thank you in advance for anything you can tell me.

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HI, @mamm - welcome to Mayo Clinic Connect. I've merged your post with this discussion, "Questions about total hip replacement," so you could read what others have said about their experiences and talk with others who have discussed similar surgeries as your sister.

I'm sorry to hear about your sister's tendon cut being discovered too late to fix.

I'm hoping members like @carolg @mamie @mrfish will have some thoughts for you with your sister's case. @predictable @lynnmorgan0916 and @bobbielafleur may also have some input.

Will you also share some of the additional problems she is dealing with due to the tendon issue?

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@mamm

Has anyone had a total anterior hip replacement and had their tendon cut? My sister had this happen and by the time it was addressed it was too late to fix. She now wobbles like a duck and has many additional problems due to this. Thank you in advance for anything you can tell me.

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@mamm. Hi there, I also wondered what other issues your sister is having. I had a total hip replacement in 2016...after a fall and subsequent failed fixation. I developed an antalgic gait afterwards. I went for a 2nd opinion a few weeks ag and was told that i likely have a neuroma from cutting through a nerve during surgery. This has left me with groin pain, pain in my buttock and a loping gait. I would suggest that your sister ask her surgeon for a CT scan and blood work, including a CRP to look for inflammation. I probably haven't helped you much but wish you and your sister well.

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I am now 4 weeks into my THR on my left hip. My right hip was done Feb. 6, 2018. My left was done on September 11, 2018. My doctor did the anterior approach on both hips. I had this done at Mt. Sinai Hospital in Baltimore. The anterior approach is far less evasive and a much easier recovery. I would highly recommend this Hospital and the doctor that did the procedure. I am 70 years old and have osteoarthritis. When I finally decided to do the hip replacement they were bone on bone. I am doing very well. I was always very active and am looking forward to getting back to swimming, biking, taking my dog for long walks. Actually I did walk a half mile yesterday and did my stationary bike for 20 minutes. Of course I try to keep up with my hip exercises. I wish you luck.
Mamm

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