1. Community
  2. Operations and surgical procedures
  3. Hip Replacement

2 stage hip revision surgery

Posted , 7 users are following.

lesleyb28
lesleyb28

Hi all. New to this forum y hubby is due e to have 2 stage hip revision surgery part one on Tuesday. He has severe rheumatoid arthritis and has been off his biolog meds for nearly 19 months because of the hip. Been waiting ages for "urgent" surgery as he's has listeria in his hip. Been leaking for 10 months

Luckily my practice nurse came up with the plan to put a urology bag over the wound and the fluid just leaks into there so we don't have dressings to change 3 times a day. He's dreading the surgery as we live in York and it's being done in the Sheffield specialised centre. Any advice at all??

His mobility is generally rubbish with the rheumatoid but otherwise he's healthy

Thanks in advance

Lesley

0 likes, 6 replies

6 Replies

  • julie1717
    julie1717 lesleyb28

    Posted

    firstly good luck to both of you and hope it goes well. I'm pre OP atm on the urgent list hoping for surgery soon. think best advice is listen and do what they suggest to you both. seems to vary from place to place as to what happens eg when can start to lie on side and not just back etc.

    best wishes x

    • lesleyb28
      lesleyb28 julie1717

      Posted

      4hanks Julie

      Will let you know how it goes. Good luck to you too.

  • georgette2152
    georgette2152 lesleyb28

    Posted

    I'm so sorry - I hope all goes well. I had both knees replaced at HSS in New York and less then 3 months ago, had TRHP at HSS. They are #1 in the USA - lowest infection rate. I will keep you and your husband in my prayers.

    Georgette

  • maree32074
    maree32074 lesleyb28

    Posted

    Hello Lesley

    I am interested in what you mean by 2 stage hip revision. I have rheumatoid arthritis in by fingers, hands and arms to elbows and also have osteo in my shoulder, feet and wrists. I had a faulty hip replaced in January 2017 and found that after being slowly taken off medication (Methotrexate and Prednisone) for rheumatoid arthritis (my fingers and hands blew up with fluid after surgery but this settled down once I was back on my medication 2 weeks after surgery). However, my osteo accelerated around 6 months after surgery. I now have an issue with the replacement hip and am seeing my orthopedic surgeon on Wednesday as I feel the stem/ball have come loose. I am dreading what may lie ahead but am wondering what you mean about 2 stage and if this would be helpful for me. I have now had 3 hip replacements (the last 1 to replace a faulty one).

    As hubby is healthy, I guess, just like myself, you look to the future positively that technology is there to help you. It has to be better than what is happening to him at the moment and I wish you all the very best.

    • lesleyb28
      lesleyb28 maree32074

      Posted

      Hi marree.

      Thanks for your good wishes.

      The 2 stage hip revision surgery is done because he has a hip joint infection. Listeria! god only knows where that has come from. He has a leaking leg and has had this for a while. He's been off his rheumatoid drugs for a long time cos he developed neutropenic sepsis due to the biolog drug rituximab that was controlling the rheumatoid. He had rheumatoid for over 25 years so in the early stages of it there were no really good drugs. He's healthy in the fact that he has no blood pressure problems or diabetes etc but his body is well and truly hammered and deformed by the rheumatoid he's 70 by the way . They take the infected hip out and replace it with a spacer coated in antibiotics for 3 months to get rid of the joint infection then they take that out and put a new hip on again. He has a metal on metal hip joint in now and the rubbing of the metal in metal has caused something called Alval. They don't use these hips anymore thank god. There was a big thing in the papers about them a few years ago i think about them being faulty. Being without the biolog drugs is having an awful effect on his mobility and the disease is having a whale of a time destroying his body bless him. He camt go back into the rheumatoid drugs until 3 months after the 2nd operation because of course they dampen down the immune system so he's open to any infection that comes along.

      The surgery is only done in Sheffield, Oxford and London as they are specialised joint infection centres. Ww live in York so it's a pain getting backwards and forwards to there but hey ho. He stays so positive about it all, he's amazing. Hope that you get sorted out with your hip. Rheumatoid is a b***h!!!!!

Back to top

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.