Re: Hip replacement Revision

[Guest guest]

Hi, I'm new here because my doctor told me last week that my liner

is wearing, my bone shows some thinning and I may need a revision

next year. I'm 56 and I had my THR in 1993 with great results. I

would like to hear what everyone has to say on revisions.

Thanks,

Debbie

>

> Has anyone had to have revision of their hip replacement? If so

how is it?

> Is it bad? Is it harder to recover? It looks like I am going to

need it

> but, how do I know that if I have it, I won't have to have it

done again?

>

> Connie

>

[Guest guest]

Hi Connie

So sorry to hear you are looking towards a revision, I know you have suffered a

lot with

your hip.

Revision is a more complicated operation and I have read on here that some

people

recover quickly, some find it a little harder. But my advice to you is don't

think of it in

those terms.

You have been suffering such a lot that your revision will make this better, you

should

hopefully be far better off.... look forwards to a better time.

It is easy for me to say as I haven't had revisions, but virtually every one of

us with an

artificial hip who is young will need this done at some point in the future, it

is a great

shame that you are facing it now, but in many ways it could be the best thing

you do as it

should rid you of the terrible discomfort you have had this past year.

My Very Best Wishes to you

jane in Wales

Bilateral BHR's

[Guest guest]

Is it bad? Is it harder to recover? It looks like I am going to need it but, how do I know that if I have it, I won't have to have it done again? >>> It's no worse in terms of the surgery itself. I actually recovered faster after my revisions then the actual THR. It does however run with greater risks of complication like for example during the operation vascular damage is 0.1% risk for primary replacements and less than 1% for revision, fracture less than 1% for primary and 3% for revision, leg length discrepancy 6% verse 7.5%, post-op troubles include but are not limited to~ ectopic ossification is 7% for primary and 15% for revision. Although it's not much of a difference revisions are considered to be more complex then the orginal operation.

As to knowing whether your going to need another~ you won't until the time comes. It's the same as "knowing" whether you'll need a THR from the start~ your body will speak loudly! The majority of THR implant life is "generally" 5~15 yrs. before a revision is needed in some cases... they luck out and have went longer. While other cases are like mine and don't do so hot. My actual THR was June 2003, first revision was July 2004 and second revision done Jan 2005.... there will be a third if & when my body can actually tolerate it & I've still got any bone density left~ that's the problem with younger patients making the decision.... you don't know~ and what you might think to be the perfect choice might not get you the perfect out come. At 35 I don't want to think wheelchair is in the mix down the road ever but especially not before I start into my 50's-60's... but that is a real possible reality in my case. All you can truly do Connie... is exactly what you did prior to making your choice for THR. Research your alternatives in treatment... maybe a cortizone shot would help... maybe a prescription for pain killers & anti-inflammatories. Just know all your options before making a choice that's right for you~ but ultimately... you have to question your needs for a quality life and seek what you think will help you achieve it! I'm not one to worry about what's ahead~ there's little I truly control the out come on happening NOW~ I'm a believer in if it's meant to happen.... it's gonna so why waste the time worrying over something your not going to be able to change. You have to remember in this life... it's not what you've got that truly matters it's more important what you choose to do with what your given! Regardless of what your hip is or isn't as a result of your choice.... your life will only be what you make of it. Even when things don't go... "as planned"... life is still good if you settle for nothing less. Best of luck in making the choice that's best fitting for your needs and well walking 2 ya~

[Guest guest]

A hip revision can have many aspects. It all boils down to exactly "what" part of the original prothesis needs to be replaced or revised. Alot of people hear the term "revision" and understand that to mean that the entire prothesis needs to come out and be replaced, but thats not always the case.

I had a revision done 6 years ago. I had a new liner inserted (much thicker this time), new ball, new socket and alot of bone grafting behind the cup area. It was a piece of cake recovery wise and I was climbing the walls at the Hospital the next day begging to go home. My stem was and still is solid.

I also had a TKR-revision done over 10 yrs ago. That too was easy for me, just a new liner inserted and I was good to go again.

The hardest part of both revisions was that in my area, there are no Surgeons that do actual "joint revisions", so I had to travel 200 miles to a large city (Seattle) to have those surgeries completed.

TACHANKA SIBERIANS

"All Four Paws Rolling"

Wenatchee, WA

[Guest guest]

Barb -- yes, I've had all my primary surgeries here in Wenatchee. I started replacements 25 yrs ago, I'm almost 48 right now. I went to Swedish Hospital in Seattle and was under the care of (LOL), Dr. Crutcher. He came highly recommended/trained in revision surgeries. Its always hard finding a Surgeon you like as well as "trust", but I really got along well with Dr. Crutcher. And the Nurses at Swedish helped put me at ease *knowing* I was several hundred miles from home/family. I'm one of those patients that if I don't like a Surgeon, there's NO way they are cutting on me!!

<<, did you have the primary surgery in Wenatchee? And did you go to the University hospital in Seattle for revisions?

I'm still collecting doc recommendations in Washington state. Is there a particular OS you recommend in Seattle? -

TACHANKA SIBERIANS

"All Four Paws Rolling"

Wenatchee, WA

[Guest guest]

, did you have the primary surgery in Wenatchee? And did you go to the University hospital in Seattle for revisions?

I'm still collecting doc recommendations in Washington state. Is there a particular OS you recommend in Seattle? -Barb

Re: Hip replacement Revision

A hip revision can have many aspects. It all boils down to exactly "what" part of the original prothesis needs to be replaced or revised. Alot of people hear the term "revision" and understand that to mean that the entire prothesis needs to come out and be replaced, but thats not always the case.

I had a revision done 6 years ago. I had a new liner inserted (much thicker this time), new ball, new socket and alot of bone grafting behind the cup area. It was a piece of cake recovery wise and I was climbing the walls at the Hospital the next day begging to go home. My stem was and still is solid.

I also had a TKR-revision done over 10 yrs ago. That too was easy for me, just a new liner inserted and I was good to go again.

The hardest part of both revisions was that in my area, there are no Surgeons that do actual "joint revisions", so I had to travel 200 miles to a large city (Seattle) to have those surgeries completed.

TACHANKA SIBERIANS

"All Four Paws Rolling"

Wenatchee, WA

[Guest guest]

Don't know that is site will actually help ya in finding patient recommendations on the physicians Barb... but at least you can get a full listing in your surrounding area of specialists~ maybe even visit a few offices close to ya and question patients in the waiting room ? Just an idea~

American Association Hip & Knee Surgeons Orthopedic professionals.

http://www.aahks.org/index.asp/fuseaction/patients.locator

[Guest guest]

Thanks for the info. I'm still searching for Mr or Ms Right! (I have not met a lady OS yet.) -Barb

Re: Hip replacement Revision

Barb -- yes, I've had all my primary surgeries here in Wenatchee. I started replacements 25 yrs ago, I'm almost 48 right now. I went to Swedish Hospital in Seattle and was under the care of (LOL), Dr. Crutcher. He came highly recommended/trained in revision surgeries. Its always hard finding a Surgeon you like as well as "trust", but I really got along well with Dr. Crutcher. And the Nurses at Swedish helped put me at ease *knowing* I was several hundred miles from home/family. I'm one of those patients that if I don't like a Surgeon, there's NO way they are cutting on me!!

<<, did you have the primary surgery in Wenatchee? And did you go to the University hospital in Seattle for revisions? I'm still collecting doc recommendations in Washington state. Is there a particular OS you recommend in Seattle? -

TACHANKA SIBERIANS

"All Four Paws Rolling"

Wenatchee, WA

[Guest guest]

Thanks! The site is new to me. -Barb

Re: Hip replacement Revision

Don't know that is site will actually help ya in finding patient recommendations on the physicians Barb... but at least you can get a full listing in your surrounding area of specialists~ maybe even visit a few offices close to ya and question patients in the waiting room ? Just an idea~American Association Hip & Knee Surgeons Orthopedic professionals.http://www.aahks.org/index.asp/fuseaction/patients.locator

[Guest guest]

Thanks! The site is new to me. >>> Hope it helps ya out with finding the doctor that's right for you & your needs.