When I had that decision, I went with wound closure and kept my hip. I was about one year out when the ongoing swelling was addressed. The wound surgeon felt all was good with the closure and he told me I was getting too far and that was why my leg and hip were bulging. I was livid because no one gains weight on one side like this did. I was having so much trouble walking even with a walker. My knee hurt so much that I could barely bend it. I made an orthopedic appointment. One look at me even before the tests this surgeon said I was infected. He had an MRI ordered and it showed fluid trails and pockets. He had an immediate aspiration done. There were so many tubes. I could see the cloudy specimens. I knew it was infection. Things moved rather fast for hospitalization, IV antibiotics, and the removal of the THR. I was in the hospital for six weeks then two weeks of rehab. Prior to discharge there was a battle of the doctors and administration because the antibiotic I needed could not be paid while outpatient not even at a rehab so I was changed from Daptomycin to Vancomycin. This actually was a big mistake because once the Vancomycin was being administered, the infection did not respond. The ID doctor in phase one actually decided just to abruptly stop the Vancomycin. Two weeks later I was tested and the infection returned worse than the first time. Throughout this time, I had no hip but I did have the antibiotic infused spacer. I went septic. I was back into the hospital. The spacer was removed but the surgeon cleaned out the area and placed another antibiotic infused spacer. I was non weight bearing on the right side. I was placed back on the IV antibiotic Daptomycin plus a cocktail of other antibiotics. I had a severe allergic reaction so I was then just on the IV Daptomycin. The cost of this IV was $5000 per treatment. I had two treatments a day. Since insurance only pays for this medicine while inpatient hospital I remained in the hospital. I have good insurance. I thank God everyday for that fact. I was inpatient for ninety days. I was discharged with non weight bearing status but it progressed to light weight bearing about four weeks later. The days at home started to get less stressing on me. But then my heart doctor needed me to do a outpatient procedure. I went for the procedure and cautioned the staff and cardiologist about my hip. Well guess I didn't stress it well enough and they inserted a line in my right groin. In the process, somehow my hip spacer was dislocated. Emergency room was going to just snap the hip back into place. Thankfully I was intercepted. The spacer actually was not able to be just snapped back it required surgery. At this point, I was tested and the infection was presenting itself again. Also at this point I was offered to remain without a hip or chance the "out of the box" surgery. I took the chance. I'm now about eight months out from the surgery. I've been told that the hip is showing signs of infection and failure. I've extensively researched the whole process of infection and prothesis. It seems that once infection is inside you, it can be contained but there's never one hundred percent certainty it's permanently eradicated. It lies dormant in the weakest part of the skeleton, tissue, or muscle/tendon. It's a risk for any surgery performed from the initial surgery thereafter. You are at high risk for reoccurrence or for new infection. I've met my crossroad. I've been doing physical therapy on a regular basis through the medical center outpatient department. I exercise everyday. Pain isn't well managed but in this area pain is managed by physical therapy, chiropractor ( if you are able), medical massage, meditation, aromatherapy, and reikki. Tylenol and/or Advil are advised for pain. Magnesium, stopping sugar, and tumeric are recommended. I've been trying to figure out what works best for me. I use a walker, wheelchair, and electric cart for mobility. I'm focused on strengthening my core and losing weight. I've arranged my life and home around laughter and positive thoughts. Prayer helps. I enjoy swimming because I don't have the weight pressure on me. If I could live in a bubble I'd be more mobile. Hot showers and heat are my go to comforts. I'm trying to accept there is going to be another surgery but the outcome is "iffy" and I need to accept the fact.
Life is good. Life is full of choices. Life is what you make it.