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Bilateral hip replacement surgery

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Bilateral hip replacement surgery

Old 07-14-2015, 09:55 AM
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Default Bilateral hip replacement surgery

Who's had it? Give me the good, the bad and the ugly. What was your recovery time like?

I have my surgeon picked out, I just need to make room in my schedule for it
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Old 07-14-2015, 10:09 AM
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Sorry L, I know I meant to talk to my buddy about his and get with you. Age 50+/- he had one done and from my perspective had a good recovery and is doing great. His wife is an RN and Occupational Therapist so she was all over his prior and is extremely knowledgeable as well. If you want to talk with him/them let me know.

Otherwise, wishing you the best.
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Old 07-14-2015, 10:58 AM
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Originally Posted by kone View Post
Sorry L, I know I meant to talk to my buddy about his and get with you. Age 50+/- he had one done and from my perspective had a good recovery and is doing great. His wife is an RN and Occupational Therapist so she was all over his prior and is extremely knowledgeable as well. If you want to talk with him/them let me know.

Otherwise, wishing you the best.
No worries C, I've seen 3 doctors the last 4-5 months. Going to have it done at Abington, Dr. Craft.....my GP had his hip done by him and loves the guy. I'm hearing 8-10 weeks until I get back to work, not that do any heaving lifting. I'm 99% sure I'm going to have both done at the same time. Recovery is a little longer and a little more difficult when having both done but I would rather go thru it one time and not twice
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Old 07-14-2015, 11:04 AM
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44 years old and had left total posterior mini on Feb 11th. Left the hospital the next day after seeing PT once. I ain't even close to what I was but I'm everyday functional. I would suggest one this year and one next. 10 weeks for both is a bit aggressive. With the one good wheel I could have worked the following week with minor restrictions. With both your gonna be out for a while. Due to AVN we are monitoring my right which is mod.
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Old 07-14-2015, 11:08 AM
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This is the "in" surgery this year. I know 8-10 people who have been through it this year. There are 2 types; old style on the side and newer in front. MiL has had it done 3 times, wife is next in line. Top Dr is in Chicago at Rush if you op for the new procedure. You walk out of the hospital in a few hours. With the older type it's usually an over night stay but the recovery time is a little longer. Never heard of both being done at the same time.
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Old 07-14-2015, 11:17 AM
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Originally Posted by BSpot View Post
This is the "in" surgery this year. I know 8-10 people who have been through it this year. There are 2 types; old style on the side and newer in front. MiL has had it done 3 times, wife is next in line. Top Dr is in Chicago at Rush if you op for the new procedure. You walk out of the hospital in a few hours. With the older type it's usually an over night stay but the recovery time is a little longer. Never heard of both being done at the same time.
There are actually 3 acceptable routes. Posterior(old way, cut through muscle causing longer heal time), front (newer but carries 10% or greater chance of nerve damage) and the posterior mini( newer, muscle is spread apart and procedure done in the space the size of a soup can with the aid of computer guided arm to assist with proper length).
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Old 07-14-2015, 11:22 AM
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Having the "New" way done. Neither hip is good, right is basically bone on bone, left has about 15% cart left
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Old 07-14-2015, 04:10 PM
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I am fully recovered after having both replaced 4 months apart. Did it from the back and only have 4 inch scars. No regrets and now pain free.
Back to work after 5 weeks and 80 percent recovery after 6 months. Fully recovered. After 8 months. Physical therapy is the key.
Doubt having both done at the same time would have been good for me. I really needed 1good leg each time.
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Old 07-14-2015, 04:17 PM
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Originally Posted by SeaNile Boater View Post
I am fully recovered after having both replaced 4 months apart. Did it from the back and only have 4 inch scars. No regrets and now pain free.
Back to work after 5 weeks and 80 percent recovery after 6 months. Fully recovered. After 8 months. Physical therapy is the key.
Doubt having both done at the same time would have been good for me. I really needed 1good leg each time.
Thanks for the info, any issues sleeping? My problem I see is I like to sleep on my side even though it hurts. I'm told I'll need to learn to sleep on my back for at least the first 3 months
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Old 07-14-2015, 04:20 PM
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Originally Posted by FASTFJR View Post
Having the "New" way done. Neither hip is good, right is basically bone on bone, left has about 15% cart left
If you're having bilateral hip replacements then the anterior (front) approach is the only way to go in my opinion. Much less chance of dislocation.
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Old 07-14-2015, 04:55 PM
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I had both done 2 years ago 8 weeks apart..

Traditional entry with ceramic balls and poly cups on titanium everything else.

I knew the surgeon a bit and he offered me a slot for the second one at 6 weeks, knowing I am pretty staunch. I waited until the original 8 week date and that was fine.

It is a long run, not a sprint..

I think doing both at once is probably a stretch, myself.

In other news, I only took one pain pill once they let me out of the hospital.. Watch those things..

Things are fine now, way better than pre surgery. Just don't get infected and it should be surprisingly good...
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Old 07-14-2015, 05:00 PM
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Thanks again for the info guys. I'm not 100% sold on getting both done at the same time but pretty dam close.
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Old 07-14-2015, 06:50 PM
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Originally Posted by rusbob View Post
If you're having bilateral hip replacements then the anterior (front) approach is the only way to go in my opinion. Much less chance of dislocation.

Depending on who is doing the research, the posterior approach and anterior approach have equal dislocation rates for high volume surgeons and equal functional outcomes after recovery. The anterior approach does get up and moving faster, but that surgery is more difficult, generally takes more time and if things go bad, the revision likely has to be done posteriorly anyways.

Bilaterals are being done more common. Mortality and other complications appear similar, but higher risk of per-operative complications suck as anemia, DVT and pulmonary issues. The plus side is u only have to rehab once, leg lengths are typically matched well and only on anesthesia. Typically I see them only done on younger patients.

The most important factor to having a good hip done is finding a high volume guy that is fellowship trained. Ask your doctor how many of these they do a week. A high volume guy will replace at least 5-10 a week. I know some guys that perform about 16-24 a week.
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Old 07-14-2015, 07:00 PM
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Originally Posted by out2dasea View Post
Depending on who is doing the research, the posterior approach and anterior approach have equal dislocation rates for high volume surgeons and equal functional outcomes after recovery. The anterior approach does get up and moving faster, but that surgery is more difficult, generally takes more time and if things go bad, the revision likely has to be done posteriorly anyways.

Bilaterals are being done more common. Mortality and other complications appear similar, but higher risk of per-operative complications suck as anemia, DVT and pulmonary issues. The plus side is u only have to rehab once, leg lengths are typically matched well and only on anesthesia. Typically I see them only done on younger patients.

The most important factor to having a good hip done is finding a high volume guy that is fellowship trained. Ask your doctor how many of these they do a week. A high volume guy will replace at least 5-10 a week. I know some guys that perform about 16-24 a week.
I would agree the outcomes are the same. Assuming you're in the healthcare field, I guess my point is this. With a single hip(posterior approach) you can follow hip precautions fairly easily. With both hips and posterior approach maintaining precautions is much more difficult and could lead to dislocation.
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Old 07-14-2015, 07:45 PM
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Dislocation............one word which makes me cringe
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Old 07-14-2015, 08:58 PM
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If your doc is not offering the posterior mini computer guided he/she is not up to date and is sticking to what they have been doing rather than offering the latest treatment/training. Again one good leg will assist with the rehab as well as avoid exceeding restriction.
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Old 07-15-2015, 03:50 AM
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Originally Posted by FASTFJR View Post
Thanks for the info, any issues sleeping? My problem I see is I like to sleep on my side even though it hurts. I'm told I'll need to learn to sleep on my back for at least the first 3 months
I was able to sleep on my good side by keeping a pillow between my knees. One of the advantages of having 1 hip done at a time.
I took the pain pills as prescribed and they worked fine. No after effects.
For me, the real key was physical therapy. It was no fun but the pain pills made it much easier. The harder you work the better things are in the recovery period.

I was back at work 5 weeks after surgery each time. Full recovery to the point you never think about it is around 8 months.

Good luck.
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Old 07-16-2015, 02:24 PM
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Oh, I forgot to tell you about the scars. They are on my butt cheeks and the wife says they look like teeth marks ... way cool
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