Guest guest Posted August 20, 2006 Report Share Posted August 20, 2006 Dear V, Given your very young age, you should check out resurfacing instead of a total hip. Go to surfacehippy@... (or something close to that) and check out the vast information there. The folks on there just rave about their resurfacing because: It saves bone (they don't completely remove the top of the femur, they resurface it); you can be way more active without dislocating because the ball is bigger; the healing time is weeks instead of months and you can weight bear in days not six weeks. This is just a short blurb on it, but if you just read through say a month's worth of postings on surfacehippy you will get invaluable information that could positively change your life. Just my two cents' worth. Debby Jess Villagomez <vickynicky@...> wrote: >All, > > Question I have is that I am 30 years old and I need a THR and I am seeing these things that say that the recoup time is 3 months? can someone give me advise on this matter. Thanks > > V > >Lane s <lane4404@...> wrote: > Hi Beverly, > I think we all hope for maximum wear before revision becomes necessary. Do you mind if I ask why you needed the revision after " only " 12 years? Trauma? Accident? Loosened hardware? Thanks. > Lane > >beverly ketcham <bketcham@...> wrote: > We all heal at a different rate. Each surgery is unique. With my first >TLHR I was not allowed more than 90 degrees bend or full weight bearing >for six weeks. So I was limited to crutches and walker. I remember >trying to change my two year olds diapers balancing on one leg with the >walker between me and the changing table. > >It's up to the surgeon also. Those were my instructions. I was 39 >years old and a race walker (5 miles a day) before the surgery. I >remember using crutches to go back to work at two months and it was one >of the most physically taxing things I felt I had ever done. I had one >little scar and no stitches and he gave me a little liposuction to help >the scar lay flat. > >With the Revision last year I was at 60 degrees bend, my wheel chair in >the hospital was a recliner! I was the only one with a reclining wheel >chair. I was no weight bearing at all for six weeks. It takes a while >to come back to vacuuming from that point. I used a shower slide that >I rented to get in and out of the shower but still it was three weeks >before I felt capable of taking a shower without anyone else in the >house, just in case. With the revision I had 50 staples. Same surgeon >different surgeries. > >We all heal differently and many of us have different instructions from >our doctors. > > >Beverly in Austin >TLHR 1993, TLHRevision 2005 > >> Posted by: " grettler@... " grettler@... >> kellygrettler >> >> Sun Aug 20, 2006 1:39 am (PST) >> Not to be mean, but you should be able to do those things now. Well, >> how long has it been since your surgery? Laundry and vacuuming are >> pretty easy to do, and I think I was doing them in week 2 after my hip >> replacement. I would imagine that your physical therapist is more >> referring to things like horseback riding and water skiing as far as >> what you should refrain from till November. > > >--------------------------------- > How low will we go? Check out Messenger’s low PC-to-Phone call rates. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2006 Report Share Posted August 20, 2006 Thanks and I am researching this. My life has become a nightmare with the severe pain, my stomach aches from all the advil , ibuprofen, etc. I have 4 kids one of whom is severly autistic. Thanks Vdebbyclary@... wrote: Dear V,Given your very young age, you should check out resurfacing instead of a total hip. Go to surfacehippy (or something close to that) and check out the vast information there. The folks on there just rave about their resurfacing because: It saves bone (they don't completely remove the top of the femur, they resurface it); you can be way more active without dislocating because the ball is bigger; the healing time is weeks instead of months and you can weight bear in days not six weeks. This is just a short blurb on it, but if you just read through say a month's worth of postings on surfacehippy you will get invaluable information that could positively change your life.Just my two cents' worth.DebbyJess Villagomez <vickynickyverizon (DOT) net> wrote:>All,> > Question I have is that I am 30 years old and I need a THR and I am seeing these things that say that the recoup time is 3 months? can someone give me advise on this matter. Thanks> > V>>Lane s <lane4404 > wrote:> Hi Beverly,> I think we all hope for maximum wear before revision becomes necessary. Do you mind if I ask why you needed the revision after "only" 12 years? Trauma? Accident? Loosened hardware? Thanks.> Lane>>beverly ketcham <bketchamaustin (DOT) rr.com> wrote:> We all heal at a different rate. Each surgery is unique. With my first >TLHR I was not allowed more than 90 degrees bend or full weight bearing >for six weeks. So I was limited to crutches and walker. I remember >trying to change my two year olds diapers balancing on one leg with the >walker between me and the changing table.>>It's up to the surgeon also. Those were my instructions. I was 39 >years old and a race walker (5 miles a day) before the surgery. I >remember using crutches to go back to work at two months and it was one >of the most physically taxing things I felt I had ever done. I had one >little scar and no stitches and he gave me a little liposuction to help >the scar lay flat.>>With the Revision last year I was at 60 degrees bend, my wheel chair in >the hospital was a recliner! I was the only one with a reclining wheel >chair. I was no weight bearing at all for six weeks. It takes a while >to come back to vacuuming from that point. I used a shower slide that >I rented to get in and out of the shower but still it was three weeks >before I felt capable of taking a shower without anyone else in the >house, just in case. With the revision I had 50 staples. Same surgeon >different surgeries.>>We all heal differently and many of us have different instructions from >our doctors.>>>Beverly in Austin>TLHR 1993, TLHRevision 2005>>> Posted by: "grettlersatx (DOT) rr.com" grettlersatx (DOT) rr.com >> kellygrettler>>>> Sun Aug 20, 2006 1:39 am (PST)>> Not to be mean, but you should be able to do those things now. Well, >> how long has it been since your surgery? Laundry and vacuuming are >> pretty easy to do, and I think I was doing them in week 2 after my hip >> replacement. I would imagine that your physical therapist is more >> referring to things like horseback riding and water skiing as far as >> what you should refrain from till November.>> >---------------------------------> How low will we go? Check out Messenger’s low PC-to-Phone call rates. >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 Hi V You need to check out resurfacing at your age, I know of a few people much younger than you who have had resurfacing with marvelous results. I was 37 when both mine were done. this is an x-ray showing the difference http://www.smj.org.uk/0205/metal%20fig1.htm Go and join surfacehippy surfacehippy this is a brilliant discussion group with over 4000 members and you will get loads of advice. Resurfacing is bone conserving, it gives a more natural joint so no stress shielding, when it fails you get a thr like it is your first and not a revision operation. Revisions of thr are always far more complicated for the surgeon. Best Wishes jane in Wales bilat resurfacings > We all heal at a different rate. Each surgery is unique. With my first > TLHR I was not allowed more than 90 degrees bend or full weight bearing > for six weeks. So I was limited to crutches and walker. I remember > trying to change my two year olds diapers balancing on one leg with the > walker between me and the changing table. > > It's up to the surgeon also. Those were my instructions. I was 39 > years old and a race walker (5 miles a day) before the surgery. I > remember using crutches to go back to work at two months and it was one > of the most physically taxing things I felt I had ever done. I had one > little scar and no stitches and he gave me a little liposuction to help > the scar lay flat. > > With the Revision last year I was at 60 degrees bend, my wheel chair in > the hospital was a recliner! I was the only one with a reclining wheel > chair. I was no weight bearing at all for six weeks. It takes a while > to come back to vacuuming from that point. I used a shower slide that > I rented to get in and out of the shower but still it was three weeks > before I felt capable of taking a shower without anyone else in the > house, just in case. With the revision I had 50 staples. Same surgeon > different surgeries. > > We all heal differently and many of us have different instructions from > our doctors. > > > Beverly in Austin > TLHR 1993, TLHRevision 2005 > > > Posted by: " grettler@... " grettler@... > > kellygrettler > > > > Sun Aug 20, 2006 1:39 am (PST) > > Not to be mean, but you should be able to do those things now. Well, > > how long has it been since your surgery? Laundry and vacuuming are > > pretty easy to do, and I think I was doing them in week 2 after my hip > > replacement. I would imagine that your physical therapist is more > > referring to things like horseback riding and water skiing as far as > > what you should refrain from till November. > > > --------------------------------- > How low will we go? Check out Messenger's low PC-to-Phone call rates. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 My first 2 THRs, I was on short term medical leave for 3 months but only because, as a nurse, I was required to lift. This year, for my first revision, I did not have disability insurance so needed to get back to work ASAP. Since I was non weight bearing on the operative side, I was not permitted to return to work while on crutches. At 6 weeks, I was permitted to walk without aid, so it took a good week to get back to using both feet. I returned to work one week later, at 7 weeks post op. Good luck to you, Sue in PA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 Hi V When my hips were resurfaced I was off work for exactly six weeks but this was because that was the time I had booked off, I could easily have gone back sooner, many people depending on their jobs start after two or three weeks. I was on crutches for for a few days after the op, then used a cane for a little while and was able to walk limp free and without assistance in a very short time. I was walking a mile (in one go) a day by two weeks post op. I know I had a quick recovery but I think it was partly because I am young and although pretty well crippled pre-op I had tried to stay fairly fit, plus it was just so wonderful to be able to move and not be stiff anymore. jane in Wales Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 Hi Sue, I am very interested in those of us who have had revisions. Do you mind sharing dates of initial THRs and of the revision? Would also know the reason for the revision. Thanks for your help. Lane Brown <susan.brown79@...> wrote: My first 2 THRs, I was on short term medical leave for 3 months but only because, as a nurse, I was required to lift. This year, for my first revision, I did not have disability insurance so needed to get back to work ASAP. Since I was non weight bearing on the operative side, I was not permitted to return to work while on crutches. At 6 weeks, I was permitted to walk without aid, so it took a good week to get back to using both feet. I returned to work one week later, at 7 weeks post op. Good luck to you, Sue in PA Stay in the know. Pulse on the new .com. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 jesse, you also need to talk to your dr. about pain management. too much over the counter medication can be toxic. you need to find something that will do the job at lower doses and the Dr. will help. not all of the newer stuff makes you sleepy or "drugged out" but you do need to take it as prescribed. some of them need to stay in the bloodstream and skipping pills just because you didn't hurt "that bad" may take a couple of days to correct Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 > > All, > > Question I have is that I am 30 years old and I need a THR and I am seeing these things that say that the recoup time is 3 months? can someone give me advise on this matter. Thanks > > V One of the things that will influence your recovery time is the type of implant your doctor thinks is best for you. There are cemented and cemetless implants. In the cementless prosthesis, your own bone grows into the metal implant and becomes the cement. These implants last longer........maybe al long as 20-25 years. Because they last longer they tend to be the implant of choice for younger people. The big draw back is that you have to be non weight bearing on that leg for about 6 weeks. I am 5 weeks out from a cementless hip replacement. I have no pain. It feels like I could get up and walk on it, but have resisted the temptation because I do not want to screw it up and have to start over. The cemented implants last 10-15 years before you need another one (that's called a revision). Each hip replacement is not as good as the previous one. because they have to cut more bone and drill a bigger hole. The longer you can go between implants, the better your chances are of some new invention that improves the overall process........maybe even a better implant. Good Luck Phyllis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 " In the cementless prosthesis, your own bone grows into the metal implant and becomes the cement. These implants last longer........maybe al long as 20-25 years. Because they last longer they tend to be the implant of choice for younger people. The big draw back is that you have to be non weight bearing on that leg for about 6 weeks. " I've seen a comment similar to this posted a couple of times in the last few weeks and I just wanted to reply while I had a few minutes. When I had my LTHR last year I had a cementless replacement. I was NOT non weight bearing. I was weight bearing as tolerated from the moment I was out of surgery. The reason I didn't use full weight was that the pain was too intollerable. My surgeon believes in a philosophy that suggests bone growth is stimulated by using the joint. So the more you use the joint, the more you stimulate growth. I used a walker for about 4 weeks and then a cane for a couple of weeks after that. I was fully weight bearing at probably 8 or 9 weeks. Being weight bearing will depend on your surgeon and their preferences, not necessarily the type of replacement you are given. As for the original question. I was 31 when I had my hip replaced last year. I was on medical leave for 12 weeks. That was because of the hip precautions and potential for dislocation. I'd say that 12 weeks is going to be standard for most replacements no matter the age. The thing you have to watch for is the risk of dislocation from the muscles needing time to get their strength back. Aimee > > > > All, > > > > Question I have is that I am 30 years old and I need a THR and I am seeing these things > that say that the recoup time is 3 months? can someone give me advise on this matter. > Thanks > > > > V > > > One of the things that will influence your recovery time is the type of implant your doctor > thinks is best for you. There are cemented and cemetless implants. In the cementless > prosthesis, your own bone grows into the metal implant and becomes the cement. These > implants last longer........maybe al long as 20-25 years. Because they last longer they tend > to be the implant of choice for younger people. The big draw back is that you have to be > non weight bearing on that leg for about 6 weeks. I am 5 weeks out from a cementless hip > replacement. I have no pain. It feels like I could get up and walk on it, but have resisted > the temptation because I do not want to screw it up and have to start over. > > The cemented implants last 10-15 years before you need another one (that's called a > revision). Each hip replacement is not as good as the previous one. because they have to > cut more bone and drill a bigger hole. The longer you can go between implants, the better > your chances are of some new invention that improves the overall process........maybe > even a better implant. > > Good Luck > > Phyllis > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 That's the theory anyway. I had an uncemented hip that doctors said needed revision after 11 years. Metal isn't constantly renewing itself like bone is. Aussie Margaret RTHR 1990 revised 2004 Re: Questions -I am also young | | > | > All, | > | > Question I have is that I am 30 years old and I need a THR and I am seeing these things | that say that the recoup time is 3 months? can someone give me advise on this matter. | Thanks | > | > V | | | One of the things that will influence your recovery time is the type of implant your doctor | thinks is best for you. There are cemented and cemetless implants. In the cementless | prosthesis, your own bone grows into the metal implant and becomes the cement. These | implants last longer........maybe al long as 20-25 years. Because they last longer they tend | to be the implant of choice for younger people. The big draw back is that you have to be | non weight bearing on that leg for about 6 weeks. I am 5 weeks out from a cementless hip | replacement. I have no pain. It feels like I could get up and walk on it, but have resisted | the temptation because I do not want to screw it up and have to start over. | | The cemented implants last 10-15 years before you need another one (that's called a | revision). Each hip replacement is not as good as the previous one. because they have to | cut more bone and drill a bigger hole. The longer you can go between implants, the better | your chances are of some new invention that improves the overall process........maybe | even a better implant. | | Good Luck | | Phyllis | | | | | | Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 My surgeon believes this too. Our experiences are very similar. -colleen My surgeon believes in a philosophy that suggests bone growth is stimulated by using the joint. So the more you use the joint, the more you stimulate growth. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 thank you.. Vwaiting2dye <halesmail@...> wrote: >> All,> > Question I have is that I am 30 years old and I need a THR and I am seeing these things that say that the recoup time is 3 months? can someone give me advise on this matter. Thanks> > VOne of the things that will influence your recovery time is the type of implant your doctor thinks is best for you. There are cemented and cemetless implants. In the cementless prosthesis, your own bone grows into the metal implant and becomes the cement. These implants last longer........maybe al long as 20-25 years. Because they last longer they tend to be the implant of choice for younger people. The big draw back is that you have to be non weight bearing on that leg for about 6 weeks. I am 5 weeks out from a cementless hip replacement. I have no pain. It feels like I could get up and walk on it, but have resisted the temptation because I do not want to screw it up and have to start over.The cemented implants last 10-15 years before you need another one (that's called a revision). Each hip replacement is not as good as the previous one. because they have to cut more bone and drill a bigger hole. The longer you can go between implants, the better your chances are of some new invention that improves the overall process........maybe even a better implant.Good LuckPhyllis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 Wow 12 weeks,,,, I have 4 small young children and that loss of income is something my family could afford.. thanks for your input... Vaimay73 <aimay73@...> wrote: "In the cementless prosthesis, your own bone grows into the metal implant and becomes the cement. These implants last longer........maybe al long as 20-25 years. Because they last longer they tend to be the implant of choice for younger people. The big draw back is that you have to be non weight bearing on that leg for about 6 weeks."I've seen a comment similar to this posted a couple of times in the last few weeks and I just wanted to reply while I had a few minutes. When I had my LTHR last year I had a cementless replacement. I was NOT non weight bearing. I was weight bearing as tolerated from the moment I was out of surgery. The reason I didn't use full weight was that the pain was too intollerable. My surgeon believes in a philosophy that suggests bone growth is stimulated by using the joint. So the more you use the joint, the more you stimulate growth. I used a walker for about 4 weeks and then a cane for a couple of weeks after that. I was fully weight bearing at probably 8 or 9 weeks. Being weight bearing will depend on your surgeon and their preferences, not necessarily the type of replacement you are given. As for the original question. I was 31 when I had my hip replaced last year. I was on medical leave for 12 weeks. That was because of the hip precautions and potential for dislocation. I'd say that 12 weeks is going to be standard for most replacements no matter the age. The thing you have to watch for is the risk of dislocation from the muscles needing time to get their strength back. Aimee > >> > All,> > > > Question I have is that I am 30 years old and I need a THR and I am seeing these things > that say that the recoup time is 3 months? can someone give me advise on this matter. > Thanks> > > > V> > > One of the things that will influence your recovery time is the type of implant your doctor > thinks is best for you. There are cemented and cemetless implants. In the cementless > prosthesis, your own bone grows into the metal implant and becomes the cement. These > implants last longer........maybe al long as 20-25 years. Because they last longer they tend > to be the implant of choice for younger people. The big draw back is that you have to be > non weight bearing on that leg for about 6 weeks. I am 5 weeks out from a cementless hip > replacement. I have no pain. It feels like I could get up and walk on it, but have resisted > the temptation because I do not want to screw it up and have to start over.> > The cemented implants last 10-15 years before you need another one (that's called a > revision). Each hip replacement is not as good as the previous one. because they have to > cut more bone and drill a bigger hole. The longer you can go between implants, the better > your chances are of some new invention that improves the overall process........maybe > even a better implant.> > Good Luck> > Phyllis> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 Wow. that sounds great where did you have your surfacing? Thanks laeticiajane <laeticia_demorte@...> wrote: Hi VWhen my hips were resurfaced I was off work for exactly six weeks but this was because that was the time I had booked off, I could easily have gone back sooner, many people depending on their jobs start after two or three weeks.I was on crutches for for a few days after the op, then used a cane for a little while and was able to walk limp free and without assistance in a very short time. I was walking a mile (in one go) a day by two weeks post op.I know I had a quick recovery but I think it was partly because I am young and although pretty well crippled pre-op I had tried to stay fairly fit, plus it was just so wonderful to be able to move and not be stiff anymore.jane in Wales Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 My first THR was performed in 1999 and the other side in 2000. They were done for osteoarthritis which in spite of my age (51 at the time), I was told my hips were the hips of an elderly person. My hip revision was of my first hip due to loosening so I only got 7 years out of it. There was wear on the outer side of the acetabulum cup where it is suppose to be porous, it was rubbed smooth. I had metalosis which were metal particles that required removal. The most common later complication of hip replacement surgery is an inflammatory reaction to tiny particles that gradually wear off of the artificial joint surfaces and are absorbed by the surrounding tissues. This process of osteolysis loosens the implant. This is what occured. My type of prothesis was metal on metal. Hope this helps. Sue in PA Subject: Re: Questions -I am also young Hi Sue, I am very interested in those of us who have had revisions. Do you mind sharing dates of initial THRs and of the revision? Would also know the reason for the revision. Thanks for your help. Lane Brown <susan.brown79verizon (DOT) net> wrote: My first 2 THRs, I was on short term medical leave for 3 months but only because, as a nurse, I was required to lift. This year, for my first revision, I did not have disability insurance so needed to get back to work ASAP. Since I was non weight bearing on the operative side, I was not permitted to return to work while on crutches. At 6 weeks, I was permitted to walk without aid, so it took a good week to get back to using both feet. I returned to work one week later, at 7 weeks post op. Good luck to you, Sue in PA Stay in the know. Pulse on the new .com. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 I had a cement-less hip replacement with a 4 inch incision and was weight bearing immediately. Its been 5 months now and it is doing fine. Grace > > > > All, > > > > Question I have is that I am 30 years old and I need a THR and I am seeing these things > that say that the recoup time is 3 months? can someone give me advise on this matter. > Thanks > > > > V > > > One of the things that will influence your recovery time is the type of implant your doctor > thinks is best for you. There are cemented and cemetless implants. In the cementless > prosthesis, your own bone grows into the metal implant and becomes the cement. These > implants last longer........maybe al long as 20-25 years. Because they last longer they tend > to be the implant of choice for younger people. The big draw back is that you have to be > non weight bearing on that leg for about 6 weeks. I am 5 weeks out from a cementless hip > replacement. I have no pain. It feels like I could get up and walk on it, but have resisted > the temptation because I do not want to screw it up and have to start over. > > The cemented implants last 10-15 years before you need another one (that's called a > revision). Each hip replacement is not as good as the previous one. because they have to > cut more bone and drill a bigger hole. The longer you can go between implants, the better > your chances are of some new invention that improves the overall process........maybe > even a better implant. > > Good Luck > > Phyllis > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 > I've seen a comment similar to this posted a couple of times in the > last few weeks and I just wanted to reply while I had a few > minutes. When I had my LTHR last year I had a cementless > replacement. I was NOT non weight bearing. I was weight bearing as > tolerated from the moment I was out of surgery. The reason I didn't > use full weight was that the pain was too intollerable. My surgeon > believes in a philosophy that suggests bone growth is stimulated by > using the joint. aimay73, I'm not making this stuff up. The following comes from the The American Association of Orthopedic Surgeons web site: http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=271 Cementless THR In the 1980s, new implant designs were introduced to attach directly to bone without the use of cement. In general, these designs are larger and longer than those used with cement. They also have a surface topography that is conducive to attracting new bone growth. Most are textured or have a surface coating around much of the implant so that the new bone actually grows into the surface of the implant. Because they depend on new bone growth for stability, cementless implants require a longer healing time than cemented replacements. The surgeon must be very precise in preparing the femur for a cementless impact. The implant channel must match the shape of the implant itself very closely. New bone growth cannot bridge gaps larger than 1mm to 2 mm. A 6- to 12-week period of protected weightbearing (using crutches or a walker) is needed to give the bone time to attach itself to the implant. This protected weightbearing helps to ensure there is no movement between the implant and bone so a durable connection can be established. It is probably fair to say that MOST cementless hip replacemtns will come with a recommendation of limited weight bearing for the first few weeks. Obviously a few (it sounds like two) of you have had different experiences. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2006 Report Share Posted August 21, 2006 I'm wondering what happens if part of a cementless implant fails. If the bone has grown into the stem of the implant, how could they extract it? Ann Re: Questions -I am also young > I've seen a comment similar to this posted a couple of times in the > last few weeks and I just wanted to reply while I had a few > minutes. When I had my LTHR last year I had a cementless > replacement. I was NOT non weight bearing. I was weight bearing as > tolerated from the moment I was out of surgery. The reason I didn't > use full weight was that the pain was too intollerable. My surgeon > believes in a philosophy that suggests bone growth is stimulated by > using the joint. aimay73,I'm not making this stuff up. The following comes from the The American Association of Orthopedic Surgeons web site:http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=271Cementless THRIn the 1980s, new implant designs were introduced to attach directly to bone without the use of cement. In general, these designs are larger and longer than those used with cement. They also have a surface topography that is conducive to attracting new bone growth. Most are textured or have a surface coating around much of the implant so that the new bone actually grows into the surface of the implant. Because they depend on new bone growth for stability, cementless implants require a longer healing time than cemented replacements.The surgeon must be very precise in preparing the femur for a cementless impact. The implant channel must match the shape of the implant itself very closely. New bone growth cannot bridge gaps larger than 1mm to 2 mm. A 6- to 12-week period of protected weightbearing (using crutches or a walker) is needed to give the bone time to attach itself to the implant. This protected weightbearing helps to ensure there is no movement between the implant and bone so a durable connection can be established.It is probably fair to say that MOST cementless hip replacemtns will come with a recommendation of limited weight bearing for the first few weeks. Obviously a few (it sounds like two) of you have had different experiences. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2006 Report Share Posted August 22, 2006 No, this description is right on... The key being 6 to 12 weeks. Some people generate bone faster than others, some don't generate well at all. As many as 12% of all fractures wind up as " non-union " or " delayed union " fractures (12 weeks with no bone healing visible by x-ray). I spent almost 4 years working with a project to accelerate fracture healing with pulsed electromagnetic fields for exactly this symptom. As a patient with cementless implants, all of us who were operated on at the same medical center (Chaim Sheba Medical Center near Tel-Aviv, Israel) were partial weight-bearing from the first day after surgery, first with a walker (for as long as you felt you needed it), and then crutches. Everyone (there were 6 of us operated on by different surgeons that day) left after between 4-6 days in hospital, by which time we were on crutches, and passed the " test " of maneuvering a flight of stairs. Depending on the x-rays, some of us switched to a cane at 6 weeks, some were kept on crutches until the 12-week visit. Greywolf - RTHR-2003; LTHR-2004 mdavison@... Re: Questions -I am also young > I've seen a comment similar to this posted a couple of times in the > last few weeks and I just wanted to reply while I had a few minutes. > When I had my LTHR last year I had a cementless replacement. I was > NOT non weight bearing. I was weight bearing as tolerated from the > moment I was out of surgery. The reason I didn't use full weight was > that the pain was too intollerable. My surgeon believes in a > philosophy that suggests bone growth is stimulated by using the joint. aimay73, I'm not making this stuff up. The following comes from the The American Association of Orthopedic Surgeons web site: http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=271 Cementless THR In the 1980s, new implant designs were introduced to attach directly to bone without the use of cement. In general, these designs are larger and longer than those used with cement. They also have a surface topography that is conducive to attracting new bone growth. Most are textured or have a surface coating around much of the implant so that the new bone actually grows into the surface of the implant. Because they depend on new bone growth for stability, cementless implants require a longer healing time than cemented replacements. The surgeon must be very precise in preparing the femur for a cementless impact. The implant channel must match the shape of the implant itself very closely. New bone growth cannot bridge gaps larger than 1mm to 2 mm. A 6- to 12-week period of protected weightbearing (using crutches or a walker) is needed to give the bone time to attach itself to the implant. This protected weightbearing helps to ensure there is no movement between the implant and bone so a durable connection can be established. It is probably fair to say that MOST cementless hip replacemtns will come with a recommendation of limited weight bearing for the first few weeks. Obviously a few (it sounds like two) of you have had different experiences. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2006 Report Share Posted August 22, 2006 My experience was different, as it sounds was a few other peoples. Since we are here to share information, I was sharing my experience. >>> It's like you stated Aimee... all to the doctors discretion. And some doctors are just more caustion then others depending upon a patients needs. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2006 Report Share Posted August 22, 2006 I'm wondering what happens if part of a cementless implant fails. If the bone has grown into the stem of the implant, how could they extract it? >>> It's removed just the same.... only cemented implants tend to loose more bone as a result. That's why most physicians perfer cementless implants if it's at all feasible in their case... because patients can get to the point that there isn't bone destiny enough to do anything more during revisions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2006 Report Share Posted August 22, 2006 I am very interested in those of us who have had revisions. Do you mind sharing dates of initial THRs and of the revision? Would also know the reason for the revision. >>> Lane my actual THR was done June 2003 ceramic on ceramic, first revision was July 2004 because my socket had a "gap" (for lack of better words)... and the implant was shifting around due to no bone growth. My stem did great but the socket was like it was in anothers body. That revision was done for the "milder side of fixes" to merely add additional mounts in the hopes of holding my implant in place until bone growth could do it's thing... which didn't pan out. Jan 2005 was my second revision which actually switched out the socket and has since "stablized" my implant.... I guess my bone only wants to grow when you get what IT likes in there. LOL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2006 Report Share Posted August 22, 2006 I was not implying that anyone " made up " any information they posted. I was simply adding my 2 cents in to the statement that said everyone is non weight bearing for at least 6 weeks. My experience was different, as it sounds was a few other peoples. Since we are here to share information, I was sharing my experience. I was not non-weight bearing, but weight bearing as tolerated from the get go. And as I also mentioned, the experience you have will depend on your surgeon and their preferences because each surgeon has definite ideas about how they handle replacements. Aimee > > > I've seen a comment similar to this posted a couple of times in the > > last few weeks and I just wanted to reply while I had a few > > minutes. When I had my LTHR last year I had a cementless > > replacement. I was NOT non weight bearing. I was weight bearing as > > tolerated from the moment I was out of surgery. The reason I didn't > > use full weight was that the pain was too intollerable. My surgeon > > believes in a philosophy that suggests bone growth is stimulated by > > using the joint. > > aimay73, > > I'm not making this stuff up. The following comes from the > The American Association of Orthopedic Surgeons web site: > > http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=271 > > Cementless THR > In the 1980s, new implant designs were introduced to attach directly to bone without the > use of cement. In general, these designs are larger and longer than those used with > cement. They also have a surface topography that is conducive to attracting new bone > growth. Most are textured or have a surface coating around much of the implant so that > the new bone actually grows into the surface of the implant. Because they depend on new > bone growth for stability, cementless implants require a longer healing time than > cemented replacements. > The surgeon must be very precise in preparing the femur for a cementless impact. The > implant channel must match the shape of the implant itself very closely. New bone growth > cannot bridge gaps larger than 1mm to 2 mm. A 6- to 12-week period of protected > weightbearing (using crutches or a walker) is needed to give the bone time to attach itself > to the implant. This protected weightbearing helps to ensure there is no movement > between the implant and bone so a durable connection can be established. > > It is probably fair to say that MOST cementless hip replacemtns will come with a > recommendation of limited weight bearing for the first few weeks. Obviously a few (it > sounds like two) of you have had different experiences. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2006 Report Share Posted August 22, 2006 Hi V I had mine done in UK but if you join surface hippy you will get info on good Dr's near you. It is important to talk to a Dr who does full modern MOM (metal-on-metal) resurfacing, this op is a little more tricky than THR but there are some great Dr's in US, and until it was recently approved in US by FDA many US people go abroad either to Europe or India, there are some great Dr's there who are much less expensive than in US, they all trained with the inventors of modern resurfacing in UK. Best Wishes jane in Wales -- In Joint Replacement , Jess Villagomez <vickynicky@...> wrote: > > Wow. that sounds great where did you have your surfacing? Thanks > > > > laeticiajane <laeticia_demorte@...> wrote: > > Hi V > > When my hips were resurfaced I was off work for exactly six weeks but this was because that > was the time I had booked off, I could easily have gone back sooner, many people depending > on their jobs start after two or three weeks. > > I was on crutches for for a few days after the op, then used a cane for a little while and was > able to walk limp free and without assistance in a very short time. I was walking a mile (in > one go) a day by two weeks post op. > > I know I had a quick recovery but I think it was partly because I am young and although > pretty well crippled pre-op I had tried to stay fairly fit, plus it was just so wonderful to be > able to move and not be stiff anymore. > > jane in Wales > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2006 Report Share Posted August 22, 2006 I also had a cementless hip replacement done 2 weeks ago. I have a Stryker, large ball (32 mm), of Titanium and Cobalt. I was weight bearing from the 2nd day. I saw my surgeon today, had x-rays, and everything looks good so far. The implant is right where it should be and it is healing nicely. The only restrictions I have is not bending down to the floor to pick something up, and not crossing my operated leg over the other leg. Arianne > > > I've seen a comment similar to this posted a couple of times in the > > last few weeks and I just wanted to reply while I had a few > > minutes. When I had my LTHR last year I had a cementless > > replacement. I was NOT non weight bearing. I was weight bearing as > > tolerated from the moment I was out of surgery. The reason I didn't > > use full weight was that the pain was too intollerable. My surgeon > > believes in a philosophy that suggests bone growth is stimulated by > > using the joint. > > aimay73, > > I'm not making this stuff up. The following comes from the > The American Association of Orthopedic Surgeons web site: > > http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=271 > > Cementless THR > In the 1980s, new implant designs were introduced to attach directly to bone without the > use of cement. In general, these designs are larger and longer than those used with > cement. They also have a surface topography that is conducive to attracting new bone > growth. Most are textured or have a surface coating around much of the implant so that > the new bone actually grows into the surface of the implant. Because they depend on new > bone growth for stability, cementless implants require a longer healing time than > cemented replacements. > The surgeon must be very precise in preparing the femur for a cementless impact. The > implant channel must match the shape of the implant itself very closely. New bone growth > cannot bridge gaps larger than 1mm to 2 mm. A 6- to 12-week period of protected > weightbearing (using crutches or a walker) is needed to give the bone time to attach itself > to the implant. This protected weightbearing helps to ensure there is no movement > between the implant and bone so a durable connection can be established. > > It is probably fair to say that MOST cementless hip replacemtns will come with a > recommendation of limited weight bearing for the first few weeks. Obviously a few (it > sounds like two) of you have had different experiences. > Quote Link to comment Share on other sites More sharing options...
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