when and where for hip replacement

Posted by bluegill @bluegill, Aug 21 4:35pm

It's complicated. The orthopedic surgeon said I needed it 3 years ago. It will be tricky, because he has to yank out 20 year-old hardware (rod and screws), but he thinks he can do it. That's the local surgeon, with a good reputation.

Or, I could have it done at Mayo (11 hours away). They might do a little better job, but what about recovery time and follow-up? What about the 11-hour drive back home?

I've been putting it off, relying mainly on hip exercises and limping. But it's getting worse.

Meanwhile, I'm a Gleason 10. That's right, 10 out of 10, a perfect score. According to AI I should have died 3 years ago.

The main reason I've been putting it off is that I want to put in flooring in our summer home, which is under construction. Yes, I know, that's crazy. But I fear that with a new hip I might pop it out of joint while kneeling over the tile flooring.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Bluegill. Go where you have the best medical expertise. It would only be for finite period of time for infinite results. The floor will wait. Every 6 months I travel 4000 mi round trip to see my oncologist, because that is where I consider I get the best care. And keep on with your great approach to this adventure, best wishes to you.

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Not sure where you are located, but OrthoColorado in Lakewood CO is top rate. My wife had both of her hips done there, and I had my left knee replaced there last August. We’re both back to hiking, biking, gardening etc with no lingering issues. My RO is right next door to OrthoColorado (Common Spirit Radiation Oncology at St. Anthony’s), and I will soon be starting EBRT therapy there for my recurrent prostate cancer.

Best wishes. You’ve got plenty to deal with.
https://www.mountain.commonspirit.org/location/orthocolorado-hospital#services

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Profile picture for jeff Marchi @jeffmarc

Had my right hip replaced in September 23 within 4 months everything was like normal, I was 76.. I go to the gym three times a week walk on the track twice a day every day my hip Isn’t an issue. Had my knee replaced in March 24 and that took a year and three months to get over. I do a hip any time.

Maybe you don’t have four months to recover.

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My wife had both hips done. I did my knee almost a year to the date. Yup, hip recovery is lower pain, but no bending for a few weeks and more time with a walker or cane. I was going up and down stairs within a couple of days, but had high level pain (and little sleep) for about three weeks (I was warned about that). I started PT before surgery, and was diligent about afterward, and continue with many of the exercises today. At five weeks, I regained most of my range of motion. I was 90% recovered at 10 months and fully recovered now. Glad that my recurrent PCa didn’t rear up until this summer.

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Profile picture for melvinw @melvinw

My wife had both hips done. I did my knee almost a year to the date. Yup, hip recovery is lower pain, but no bending for a few weeks and more time with a walker or cane. I was going up and down stairs within a couple of days, but had high level pain (and little sleep) for about three weeks (I was warned about that). I started PT before surgery, and was diligent about afterward, and continue with many of the exercises today. At five weeks, I regained most of my range of motion. I was 90% recovered at 10 months and fully recovered now. Glad that my recurrent PCa didn’t rear up until this summer.

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I had my right knee done about six years ago, Within six months, I was moving around as if I had nothing done. My left knee was a totally different story, Part of it was due to the fact that ADT had deteriorated my muscles to the point that recovery was very difficult. Hard to believe I was on ADT for three years when I had the first knee done and had no problems. and hadn’t been doing Weight training at all.

Strange results.

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Profile picture for jeff Marchi @jeffmarc

I had my right knee done about six years ago, Within six months, I was moving around as if I had nothing done. My left knee was a totally different story, Part of it was due to the fact that ADT had deteriorated my muscles to the point that recovery was very difficult. Hard to believe I was on ADT for three years when I had the first knee done and had no problems. and hadn’t been doing Weight training at all.

Strange results.

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That is strange. Maybe just cumulative effects? Thanks for sharing that. I’m just shy of 73 and one thing I’ve learned in the last few years is how medical issues can heap up on you as you age, even if you are reasonably good shape and take care of yourself. Your story really cements that. When my orthopedic surgeon said to me in the summer of 2024 that I needed a new left knee, but it was my call on “when”, I said “now”. Waiting just raised the possibility of some other medical issue getting in the way. And lo, as it turns out, on the heals of the knee surgery, my glucose and A1C spiked and was on the edge of diabetes. I got both of those back in range through diet, exercise and weight loss. Then a few months later my PSA, which was undetectable for ten years (post-prostatectomy), was 0.1 (two tests). A PET scan showed a lesion in my prostatic fossa (SUV =13), but no evidence of metastasis. Lesion was further confirmed by two DREs and an MRI. Glad I caught the recurrence about as early as possible, and also glad I didn’t postpone knee surgery. I’m ready to get going with RT before something else complicates the picture.

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I have a video conference with my oncologist at Mayo in a couple of weeks, so I'll ask for a referral. Maybe my first step would be a videoconference with an orthopedic surgeon there to get some questions answered.

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Highly recommend Vanderbilt in Nashville, especially Dr. Stephen Engstrom.

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