02-07-2011, 12:10 AM | #1 |
Major
49
Rep 1,265
Posts
Drives: 2011 BMW X5 Sport
Join Date: Jan 2008
Location: Escondido, Ca
|
Hip Replacement
Does anyone here have any experience with this ? I was diagnosed with Necrosis in my hips. My right hip is in constant pain and after an MRI, they found that I have this condition in both hips. I see the specialist on Friday. They want to operate on my right one, and eventually , I will need to have surgery on my left one too. Any info from you guys on this would be appreciated !
__________________
2011 X5 Sport
Black Sapphire w/ Black Perforated Nevada/ DK Bmboo Technology/ Vented Seats/ Cold & Convenience / Multi Contour seats/ 20" wheels and more... 2004 Mustang GT Vert. - Modded |
02-07-2011, 12:21 AM | #3 |
Captain
124
Rep 695
Posts |
|
Appreciate
0
|
02-07-2011, 12:21 AM | #4 |
Jet Black 135cic
2
Rep 156
Posts |
That is a pretty open-ended question....As an Orthopaedic Surgeon myself, I could give you some very general or very specific answers to questions that you may have, but what you really need is a visit with the surgeon.
In general: 1.) Very common, very safe, very effective operation 2.) OPTIONAL surgery. We are not trying to save your life, but trying to increase your quality of life. YOU DON"T HAVE TO HAVE SURGERY, it is your choice. 3.) You must be comfortable with everything...the surgeon, the procedure, the facility...etc. If you don't like it, don't do it. Go elsewhere. There are hundreds of qualified surgeons out there. 4.) Find a qualified surgeon! There are hundreds of butchers out there. Just like plumbers, carpenters, mechanics, etc....there are good ones and there are bad ones, you do have a choice. The more the surgeon does, the better they tend to be at that operation. 5.) You are already doing the right thing, asking questions and getting informed. You don't have to know everything about the procedure, the indications, etc, but you should feel comfortable (catching a trend here?). On the other side, it is possible to be too wrapped up in it, to over analyze the process and try to micromanage, but that patient is fairly rare.
__________________
2011 Jet Black 135i Vert
2011 Diamond White GL450 |
Appreciate
0
|
02-07-2011, 12:51 AM | #5 |
Captain
124
Rep 695
Posts |
Are you saying the more times they have done the surgery or the more they do during the surgery?
|
Appreciate
0
|
02-07-2011, 12:56 AM | #6 |
Major
49
Rep 1,265
Posts
Drives: 2011 BMW X5 Sport
Join Date: Jan 2008
Location: Escondido, Ca
|
Thanks. Currently, I am getting through my days with Ibuprofen , and when I get home I take pain killers. I don't see a way to avoid surgery. The pain is just too much. I am overweight and am currently in the process of losing as many lbs as possible before surgery. My general DR thinks this may also help reduce the pain. I am very comfortable with my general Physician , but will see how I feel about the Ortho specialist. I really appreciate your feedback. I'm 37 years old, and want to keep a good quality of life.
__________________
2011 X5 Sport
Black Sapphire w/ Black Perforated Nevada/ DK Bmboo Technology/ Vented Seats/ Cold & Convenience / Multi Contour seats/ 20" wheels and more... 2004 Mustang GT Vert. - Modded |
Appreciate
0
|
02-07-2011, 12:58 AM | #7 |
boku no namae ha...
342
Rep 11,023
Posts
Drives: 2006 BS 330i
Join Date: Feb 2006
Location: S. Bay Area, CA + Newark, NJ + ChiCity + True Blue
|
thats what he's implying. some surgeons only do a couple of procedures because they're the shit at those surgeries.
__________________
looking for a PreLCI Black Sapphire e90 front bumper without license plate holes
"Akimbo shotguns. Broken wrists anyone? And don't give me that 'it's just a game' bull****. Where the **** are my akimbo interventions then?! One scope on each eye mother****er!!" |
Appreciate
0
|
02-07-2011, 03:40 AM | #8 |
Banned
63
Rep 638
Posts |
You are doing the right thing by losing as much weight as is safe.
Hip replacement surgery is very successful these days. I had mine done 34 years ago and it's still going strong. |
Appreciate
0
|
02-07-2011, 04:00 AM | #9 |
Dr. Dound
0
Rep 6
Posts
Drives: '11, Plat Gray, X5 xDrive 3.5d
Join Date: Oct 2007
Location: Old, FL
|
Find out what company your doctor uses then go search the FDA database for radiological devices and study the recall lists. I worked in the industry for 15 years. Some docs (the big cutters) would get paid by one company $200K/yr to use a hip or knee. If we offered them $100K/yr more, guess what? Company B replaced Company A overnight! Sick, really. All of the firms make decent implants. All the firms have had problem joints, too. Hopefully your doctor has done a lot of the same brand over 6-10 years. It takes 18 months for your bone to remodel from the new stresses of the metal placed into your bones and is a function of how the bone is "loaded;" where it is not stressed, the bone will shield (literally, disappear). This is called stress-shielding and reflects Wolf's Law. This is also why people put the surgery out as long as possible. Ask to talk to other patients of your doctor (possible HIPPA issues) and spend time online finding out which implants people seem happiest with over an extended time. If the surgeon is a joint replacement specialist and has been in the same town for over 8 years he is probably using good products or he would be sued too many times. The body is the harshest environment in the world so you should put it off until you do not want to live "this way" any longer. I think if you get 10-12 years out of an implant you are phenomenally lucky.
Take time with your search. It will pay off in the long term. * www.fda.gov Go here and search for the Center for 'drugs and radiological devices' and start a search for the major orthopedic companies referencing recalls and device failures. Their database just started getting accurate in the last 10 years (after 60 years of performing replacements). Good luck and God's speed regarding your health. |
Appreciate
0
|
02-07-2011, 06:51 PM | #10 |
Major
49
Rep 1,265
Posts
Drives: 2011 BMW X5 Sport
Join Date: Jan 2008
Location: Escondido, Ca
|
Wow. I can't tell you how much I appreciate all the info. I'm doing as much homework on the subject as I can. I will get more info when I see him Friday. I'm hoping they put me on disability because I frankly cannot function anymore at work without taking pills like they are Tic Tacs.
__________________
2011 X5 Sport
Black Sapphire w/ Black Perforated Nevada/ DK Bmboo Technology/ Vented Seats/ Cold & Convenience / Multi Contour seats/ 20" wheels and more... 2004 Mustang GT Vert. - Modded |
Appreciate
0
|
02-07-2011, 08:25 PM | #11 | |
NCO
13
Rep 641
Posts |
Quote:
You might ask your physician for a better NASID, I personally found ibuprofen worthless even at a daily 1800 mg level. AVN is an insidious condition, I have absolutely no cartilage in my right hip and I find myself not wanting to do anything that requires effort. Not much of a lifestyle, hun. I've opted for the surgery without a second thought, even though fairly routine now, no surgery is 100% safe and fault free. Good luck! pge |
|
Appreciate
0
|
02-07-2011, 11:35 PM | #12 |
Major
49
Rep 1,265
Posts
Drives: 2011 BMW X5 Sport
Join Date: Jan 2008
Location: Escondido, Ca
|
I am currently on Percocet and Tramadol. But when working, I just use Ibuprofen. As you know it's a horrible condition. I am only 37 , so the DR says it must be hereditary. I have it in both hips.
__________________
2011 X5 Sport
Black Sapphire w/ Black Perforated Nevada/ DK Bmboo Technology/ Vented Seats/ Cold & Convenience / Multi Contour seats/ 20" wheels and more... 2004 Mustang GT Vert. - Modded |
Appreciate
0
|
02-07-2011, 11:44 PM | #13 | |
Ninja
450
Rep 4,030
Posts |
Quote:
37 y/o, that's pretty young, I guess due to the hip jt. degen you are not a candidate for hip resurfacing. I think there are only 1 or 2 MD's in your area (San Diego IIRC) that perform this procedure, but my patients that I've treated that have underwent this procedure return to function faster and with less complications. The inclusion factor for resurfacing is more demanding than a THR. GL with your surgeries...
__________________
2019 AW G30 530e l ZPP l ZMP l ZDH
Retired: 2016 F80 M3, 2012 E90 M3, 2008 535i |
|
Appreciate
0
|
02-08-2011, 12:13 AM | #14 |
Jet Black 135cic
2
Rep 156
Posts |
37 is too young to have a THA...if it can be avoided. Hopefully you are at an earlier stage and can avoid a total hip arthroplasty (THA). Lots of good advice above.
I don't see many doctors contracting with prosthetic companies, but I work in a more academic environment (more teaching, less getting paid). Some of my partners are consultants and real designers of implants, but most of that money goes back to the "Foundation" (the institution that we work for). The bottom line is that at 37 you will have more than one hip surgery...and likely one infection...in your lifetime. As for minimally invasive hip surgery...that was a big fad a few years back, lots of studies (some of them ours, so I might be a little biased) proved that there was not all that much benefit of the minimally invasive techniques. The orignal series (out of Chicago, Dick Burger if I recall correctly) included a lot of young men than bounced back from surgery very quickly due to lots of physical reserve and psychological anticipation. Best of luck!
__________________
2011 Jet Black 135i Vert
2011 Diamond White GL450 |
Appreciate
0
|
02-08-2011, 01:19 AM | #15 |
Major
49
Rep 1,265
Posts
Drives: 2011 BMW X5 Sport
Join Date: Jan 2008
Location: Escondido, Ca
|
My general DR said no PT after seeing my MRI results. Like I said, my first visit to the ortho is Friday. I think you guy have educated me more here in a day, than all the other websites I have read up on. I cannot thank you guys enough.
__________________
2011 X5 Sport
Black Sapphire w/ Black Perforated Nevada/ DK Bmboo Technology/ Vented Seats/ Cold & Convenience / Multi Contour seats/ 20" wheels and more... 2004 Mustang GT Vert. - Modded |
Appreciate
0
|
03-16-2011, 03:23 AM | #16 |
Major
49
Rep 1,265
Posts
Drives: 2011 BMW X5 Sport
Join Date: Jan 2008
Location: Escondido, Ca
|
Well, it's been a while. I have seen 2 Dr's who have not really agreed with much. One wants to do a replacement, the other wants to do a procedure where they drill holes into the bone to stimulate blood flow. That procedure requires a longer healing time, and according to the DR, it also weakens the bone, so you have to be careful not to fracture it while it heals. He also mentioned he has yet to see it work on anyone he has done it to. I asked him what the point was, if he's had zero success. He said because of my age he would want to try everything first.
I kept all your suggestions in mind and took notes with me about what to ask. I went back to my regular DR, and told him neither DR really satisfied me. Sohe now reffered me to the Head ortho Surgeon at their network. When I called to make an appointment, his next slot to see me was in June....WTF. So my DR spoke to him and mentioned my situation. He will be seeing me the second week of April. The pain has not died down at all. When I first posted this, I was weighing 280 lbs. I have been on a mission to lose as much weight as possible by eating right. Hoping all this time that the pain would stop. I am currently at 253, and dropping. I would like to get to 200 by early summer. I take 2-4 Percocets a day to get me through with the pain. I can no longer play golf. Work is very difficult. I take about 8 Ibuprofens just to get through a day at work. So my condition isn't getting better. I really just want my hip replaced. I don't want to miss a lot of time at work, because I have very large responsabilities there. So that is my update as of now. Any further suggestions are welcome. Oh, my left hip which does not hurt, is 15% damaged also according to the MRI. I have no pain there. My DR says if I lose more weight, I can prolong the need for that one to be replaced.
__________________
2011 X5 Sport
Black Sapphire w/ Black Perforated Nevada/ DK Bmboo Technology/ Vented Seats/ Cold & Convenience / Multi Contour seats/ 20" wheels and more... 2004 Mustang GT Vert. - Modded |
Appreciate
0
|
03-16-2011, 10:51 PM | #17 | ||
Colonel
123
Rep 2,695
Posts |
Dude, you need to resolve this issue. Long term Oxycodone use plus Ibuprofen at a high level daily. There's side effects there you don't want. Not to mention the NASIDs are not going to promote any bone healing.
I agree you need an Orthopedic Surgeon opinion (more than one opinion if you want) that takes into account your current drug use and pain levels. I'd be insisting on total hip replacement ASAFP, 37 year of age or not. The younger you are at surgery, the faster you're going to heal it up. Don't limp on a few more years popping oxy every day to manage pain. It's madness. Quote:
Quote:
__________________
.-=[ Kenny ]=-. 1999 BMW M Coupe 10.775 @ 134.35 mph w/1.600 60' (Best 136.07 mph) 25th August 2004. +2010 X5 35D+
Check out the 1Addicts Drag Racing Standings and Drag Racing 101. |
||
Appreciate
0
|
03-16-2011, 11:05 PM | #18 |
4th down; 4th quarter? Renegade.
93
Rep 3,851
Posts |
My only advice is to do some serious research on the doctor and ask around. Really try to find the most skilled physician available to you. If you can get a guy that does high profile pro athletes, that is a good bet. Good luck!
|
Appreciate
0
|
03-17-2011, 12:54 AM | #19 |
Major
49
Rep 1,265
Posts
Drives: 2011 BMW X5 Sport
Join Date: Jan 2008
Location: Escondido, Ca
|
MrBlonde, I am totally aware of the danger and I agree with you. I just can't make it through the day without medication. As soon as I see this final Dr this should be taken care of. I am not looking to be on meds for a long time.
__________________
2011 X5 Sport
Black Sapphire w/ Black Perforated Nevada/ DK Bmboo Technology/ Vented Seats/ Cold & Convenience / Multi Contour seats/ 20" wheels and more... 2004 Mustang GT Vert. - Modded |
Appreciate
0
|
03-22-2011, 01:09 AM | #20 |
Colonel
123
Rep 2,695
Posts |
Good call dude. You'er already going to need to withdraw from oxy, good luck.
__________________
.-=[ Kenny ]=-. 1999 BMW M Coupe 10.775 @ 134.35 mph w/1.600 60' (Best 136.07 mph) 25th August 2004. +2010 X5 35D+
Check out the 1Addicts Drag Racing Standings and Drag Racing 101. |
Appreciate
0
|
03-22-2011, 01:20 AM | #21 |
Jet Black 135cic
2
Rep 156
Posts |
I disagree with the ASAP arthroplasty (total hip). Although core decompression (drilling holes) and even a vascularized free-fibula graft has spotty success, really depending on how bad the disease is, a total hip at 37 is a BIG DEAL...I would say a much bigger deal than 4 percs and a handfull of Advil daily.
As for the recommendation of a "doc that does high-profile athletes"...that is maybe not the best advice. In our business, a physician or group can buy the rights to market themselves as the "team doctor". The players will actually go somewhere else, usually directed by the team/coach/manager. The high-profile surgeons (a la Jimmy Andrews) do SPORTS MEDICINE and not large joint arthropasty. Best of luck in your quest!
__________________
2011 Jet Black 135i Vert
2011 Diamond White GL450 |
Appreciate
0
|
03-22-2011, 10:57 PM | #22 | |
4th down; 4th quarter? Renegade.
93
Rep 3,851
Posts |
Quote:
In Pittsburgh though, that has not been my experience. All the teams here have doctors the athletes can use, or they can obviously choose to use someone else - which sometimes happens of course. In my particular case, for a knee surgery, I found out who actually did the work on several indispensable athletes and then went to him to have mine done. |
|
Appreciate
0
|
Post Reply |
Bookmarks |
|
|