I want to share with you what helped me before and after my hip replacement…..
Which Hip Implant type and producer are the best in todays market?
One patient’s question:
I’m getting ready to have a total hip replacement due to congenital (born with) hip dysplasia. According to my surgeon, my socket looks good, but the ball has collapsed. I’m 38 y/o woman, a bit overweight with a good strong muscles from years of working out with weights. I was given a choice of metal on metal with colbalt and titanium or titanium with a poly liner.
Things I know…..
Every class needs a class clown — even Joint Replacement class at Regions Hospital in St. Paul — and I had my money on the 40-something mom who sat across the table joking quietly with her teenage daughter.We had gathered in the hospital’s cheery ninth-floor conference room — seven people facing knee or hip surgery — for a two-hour class on how to be good patients. Melinda, a nurse educator, reviewed medications and pain management. Ruby, a surgical nurse, covered pre-admission hygiene and diet. But when Lee, the last speaker, said you face weeks of exercise and physical therapy after a hip replacement, the mom erupted:”I might as well keep the old one!” she said.
In the past, few hip replacement surgeries were performed on people younger than the age of sixty under the theory that older people tend to be less physically active, therefore would place less stress on the artificial hip implant. Over the past decade, however, doctors have been more willing to consider hip replacement surgery in younger people who suffer from chronic inflammatory diseases such as rheumatoid arthritis or those who have had injuries, fractures or bone tumors.
Patients who have undergone a metal-on-metal hip implant may be very concerned about the fairly recent reports of adverse health effects due to metal ion shavings which migrate into the surrounding hip tissue and bloodstream in some patients. The design of the metal-on-metal acetabular cup and ball make it likely that during physical activities the two parts will rub against one another, causing tiny particles of chromium and cobalt to shear off and enter other parts of the body.
The Science behind the DePuy ASR Metal-on-Metal Hip Implant Problems
Hip implant devices are made from several different materials including metal-on-metal, metal-on-polyethylene, metal-on-ceramic as well as those which are made entirely of ceramic or polyethylene. While each type of hip implant has its pros and cons, the metal-on-metal implant was developed as a way of sparing implant recipients the necessity of a revision surgery eight, ten or twelve years down the line. The metal-on-metal implant will typically last from fifteen to twenty years meaning those recipients in their sixties might be spared a revision surgery. As far back as 1937, very crude stainless steel implants attached with bolts and screws was tried then in 1955 a more sophisticated version of the metal-on-metal hip implant was used. The FDA did not actually approve the metal-on-metal implant until 1999 and since that time almost 17,000 problems with the all-metal hip implants have been reported to the FDA, with 12,000 of those reports coming in during 2011 alone.
Arthritis is a disease where you lose cartilage and then you progressively lose bone, and then you progressively stretch out ligaments, in that order. So, if you have arthritis on the inner side of your knee, which is the most common pattern, as the cartilage wears out, the bones go into a bow-legged position, and then, that bone wears, then you actually start to lose bone, and then eventually you actually start to stretch out the tissues on the outside of the knee just from tension, and then they become unstable. People feel the knees are wobbly or they’re afraid to go down a flight of steps normally or carry their laundry down a flight of steps. Or older people will fall.
Please send me YOUR HIP (replacement) stories, and videos for a collection I am putting together.
Please email me your “landscape view” HIP replacement process, covering your emotions, tips, and outcome.
This is of great benefit for others going through this hip initiation.