Revision question

Posted , 6 users are following.

Merry Christmas to everyone. Thanks for all the support you give to all. I have a question I'm hoping someone can help with. I have an old hip replacement to be replaced on Wednesday. It was cemented in which surprised my surgeon but I guess I'm looking at having the femur broken and the cement "melted". I know the recovery will be slower but has anyone else had this procedure. A little apprehensive about the immediate recovery

But truly looking forward to being on the other side, of the surgery, that is and recovering! Happy Holidays?

2 likes, 12 replies

12 Replies

  • Posted

    Candice

    I just did a google search for "replace cemented hip joint" and found this

    "Cemented replacements are more frequently used for older, less active people and people with weak bones, such as those who have osteoporosis, while uncemented replacements are more frequently used for younger, more active people.

    Studies show that cemented and uncemented prostheses have comparable rates of success. Studies also indicate that if you need an additional hip replacement, or revision, the rates of success for cemented and uncemented prostheses are comparable. However, more long-term data are available in the United States for hip replacements with cemented prostheses, because doctors have been using them here since the late 1960s, whereas uncemented prostheses were not introduced until the late 1970s.

    The primary disadvantage of an uncemented prosthesis is the extended recovery period. Because it takes a long time for the natural bone to grow and attach to the prosthesis, a person with uncemented replacements must limit activities for up to 3 months to protect the hip joint. Also, it is more common for someone with an uncemented prosthesis to experience thigh pain in the months following the surgery, while the bone is growing into the prosthesis."

    So according to this it may be better replacing a cemented joint.

    Mine is being removed next month but I haven't asked about cement. I will now do so at my Pre Op.

    Good luck and let us all know how you get on.

    Mike

    • Posted

      Thank you! I haven't seen that in my searches. Thanks for the info and good luck in your recovery.

    • Posted

      Hi Michael. I have had both types cemented with antibiotic cement and press fit. They both have had bone growth to stabalize the hip. Inside and out most femur devices have a ruff surface for bone to attach to on the top portion of the out 4"" of the implant.

      The many factors to keep the joints from dislocation is the biggest problem with both types, generally the muscles and ligaments are loose for the first few weeks from surgery.

      After implant due to a portion of the ligament attached to the femur bone it is gently removed for removal from old bone for implant . 

      My surgeon explained the bone grows within the first 2-3 weeks and very important to walk for blood and oxygen circulation for good bone growth, & prevent blood clots.

      Revision is always a bit more tricky and complicated. Well trained physicians and a good team is key! 

      I go in Jan 3 for revision and ther othe one needs a new cup. Hopfully by summer I'll be back in business. 😄🙏🏽

  • Posted

    Sometimes they can wiggle it out if it's been in there a while. I to have to have femur replaced in Jan. Usually it's on you tube shown in virtual view. It helps me understand all the tools made just for removing the femur device. Now once removed it's called a X-Plant. Is that like a X- boyfriend. LOL

    cement can usually be removed easily once the seal from the implant is initially cleared for removal. Be sure to watch the removal. It helps us understand. Recovery is longer and it will be marked with determination, strength and willpower. Drink lots of protien shakes always gives the emergency to resolve all the overwhelming rehab involved.

    i will go into convalescent care after released from hospital there is PT AVAILABLE AND A CAR TO SIMULATE DRIVING;of course I'd rather it was a vertical,house to ride you use more muscles. 🏇

    NOT TO WORRY ! I have done enough for the both of us. Will just be glad to get my life back. We will hold each other's hands thru this virtually. Candice I will mark you special on this board and contact you see how it went. 

    I am am having anesthesia and leg block so it will last a few days after surgery. No pain for awhile. Always take pain meds important for heeling and PT. 

    IM WITH You all the way! 👍Heeling blessings sent ur way from western US. 🙏🏽

    Enjoy your Christmas and a toast to a new hip! 🎄🍸and all goes WELL !

    Hopexxx😊

     

    • Posted

      Thank you! It would be so nice to keep in touch through our recoveries. Good luck and thank you for the encouragement!
    • Posted

      Got you on my ck in list. 

      A little THR humor

       one horse talks to the other with a zebra stripped hip.the horse with srtipped hip says, " I can't say I'm entirely pleased with my hip replacement",😀

       

  • Posted

    hi candice,  I am not sure what to tell you .. I had 2 THR surgeries but no experience in revision ...How is your health otherwise ?  Apparently you are cleared to have this surgery and having faith is all that is left ... I mean, this is how I would feel, and moments of sher pninc too of course .... I think this is normal..What did your surgeon tell you ? would you be full weightbearing right away or not ...recovery will be different for sure ..thinking of you and sending you love, light and healing ... wishing you and your loved ones a warm and loving Christmas ..please let us know how you are getting on,okay - so come back here any time-big warm hugrenee
    • Posted

      No full weight bearing at first. It's all having faith the the surgeon and the team. My revision is jan 3 ready to start pavkinhpg will be in convalescence rehab for 14-20'days. 

      Thank youn Renee form helpin so manyn all you kind support.

    • Posted

      I've got a talented surgeon but now will have a young surgeon ( who's 31) who is taking over for him. My original surgeon may be there to assist. That's slightly panicking but I have to believe that my doctor has confidence on his ability. I'm not sure if I'll be weight bearing right away but I'll only be in the hospital for 2-3 days. He said it'll be a success if I can walk without a cane and pain in 3 months. I'm fairly young and fairly healthy but I wish I was about 50 pounds lighter!😂 So, just worried about the pain, more than anything and terrified of dislocating it. Thank you for support. It's hard to talk to my family and friends about worries so it's so nice to come here. Merry Christmas!

  • Posted

    Hi Candace. I am ten years on from having a cemented hip implant revised. From the patient's perspective, it's similar to a primary THR. From the surgeon's point of view, it is a tougher assignment, but still well within a standard day's work for a joint replacement specialist. Clearing out the worn out hardware can be a chore. Exposing the cement may involve an extra procedure: trochanteric osteotomy (sawing a piece of thigh bone off). If so, the surgeon will add extra clamps to hold the thigh pieces together, then hammer in the stem as usual. If that is what you have in store, the post-op X-rays will be very impressive, to say the least.

    The pain control docs are very good these days; there is no extra pain associated with a revision. My experience is that complete recovery is a bit of a longer road as compared to a primary THR. But I had a complication that, with any luck, you will avoid. Regardless, your surgeon will be explicit regarding do's and don'ts; obey of course.

    Schedule yourself for a 6 week surgical recovery time; try for another 6 weeks to finish a course of physical therapy. You will do fine.

    Hope this helps/

    • Posted

      Thank you! That is so reassuring. It helps ease my mind so much. Thank you!

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