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Had a total hip replacement aug 2013
I just saw your reply. thank you.
I was already typing this below, I am going to finish it so you can see it.
Could you please send me the Guidelines and Indications for Breast Implant Capsulectomy. My symptoms are so bad. I have over half. I just commented a few days ago but I am really starting to freak out. I have a hard time breathing. Some days are worse than others. I think something is stuck to my ribs and when I work out or just sit up straighter that is smashes my diaphragm (its under my pec muscle), constant nerve pinching, my left side shoulder, back, neck. omg, i am having issues with my woman parts i thought. i dont have periods anymore but this is ridiculous. I am lucky enough to have the VA as my medical. However, I do not know if they will help with this operation. Due to lack of energy, I have not been able to do a regular full time job. It is crazy all these symptoms and all the testing I have been through. Brain, abdomen, chest ctscans, MRIs shoulder, back neck thorax, the ER six times for the same problems with no resolution, no insurance (until I remember I had VA benefits). It is the scariest thing I have ever been through as I have always been SO healthy and strong. I have not been able to work out since January of this year. I have no stamina for cardio any longer. Any help would be great. I would like to email you or call to figure things out as I don’t know where to begin and have become completely overwhelmed. I am responsible for taking care of my 86yr old mother and need to be better for her! She is recovering from a hip replacement this past spring.
The approach into the hip is usually through the same incision used to put in the primary hip replacement. Often times the incision must be extended in one direction or the other to expose the hip joint adequately. Dense scar tissue is always found surrounding the old hip prosthesis and much time and care is devoted to the removal of as much of this deep scar tissue as is needed to allow the hip joint to be positioned in such a way as to allow access to the implants to be removed. There are several clever techniques that each experienced surgeon knows to gain maximum exposure while disrupting as little of the supporting bone, muscles and ligaments as possible.
Total Hip Replacement | Stryker
Despite the success achieved with most primary total hip procedures, factors related to implant longevity and a younger, more active patient population have, for a variety of reasons, led to a steady increase in the number of failed total hip replacements seen every year. In these cases a revision hip replacement will be necessary to replace or revise the failed first replacement. The increasing demands placed on these implants by patients in terms of expected longevity and durability; and the insistence of patients to maintain their active lifestyles, even with a hip replacement, has presented a considerable reconstructive challenge to the surgeon. Currently, it is estimated that 18% of all hip replacement surgeries done each year are revision hip replacement surgical procedures .
The most common situations that lead to the need for a revision hip replacement are instability / dislocation, mechanical loosening and infection. According to one national review study, instability issues account for 22% of all revision hip replacements, aseptic loosening for 20% and infection the cause of 15% of yearly revision hip replacement surgeries . Periprosthetic fracture, component failure and osteolysis-related wear are the causes for the remaining revision hip replacements done each year. Of great concern looking forward is that infection by the year 2030 will account for 48% of all revision hip replacements that will be done . This has grave economic implications as infection is one of the most expensive complicating events related to joint replacement surgery.
1 The cemented total hip prosthesis
Since each failed hip replacement has a different reason for its failure, preparing for the revision hip replacement is also going to be unique. Specialized CAT scans or MRI tests may be needed to evaluate bone loss around the current implant or position of the prosthesis relative to the normal anatomy. Various laboratory or nuclear scans to check for infection may be indicated such as CBC, CRP, Sed. Rate or Bone Scan. An aspiration of the hip joint may yield fluid that can be analyzed by cell count and culture. Finally, consultations with other medical or surgical specialists may be required to evaluate the medical condition or special circumstances of the patient prior to surgery to optimize the outcome.
Despite thorough preparation, the risks involved in revision hip replacement surgery are increased several fold from the level of risk of a primary hip replacement. The surgery is more difficult and time consuming, the soft tissues, nerves and blood vessels more difficult to mobilize and protect and the prostheses are more complex to implant properly into the supporting bone. The soft tissues become more difficult to stretch and the pain of revision hip replacement surgery can be an obstacle to full mobilization of the joint. Notably, it is important that patients realize that the revised hip frequently never reaches the same level of function as did the first hip replacement. Complications and chronic pain are far more common with revision hip replacement surgery than it is with primary hip replacement.
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Hip replacement surgery Bio total hip invention.
In sorting out persistent pain around the hip, infection is a distinct but uncommon diagnosis reported to occur in less than 1% of all total hips ever getting infected in most studies of this issue. Fortunately, there are many other causes for pain around the hip joint other than infection, but infection always remains a diagnosis that must be considered in dealing with painful hip replacements.
Hip replacement surgery history and Bio Total hip
Infection of a hip replacement can occur at any time after surgery, sometimes many years after surgery. The risk, however, is higher in the first few weeks following a surgical procedure. A sudden change in the pain around a hip that has otherwise been recovering normally should be investigated. The challenge in this situation is that many of the laboratory studies will not be helpful in sorting out normal healing from a low-grade infection. Superficial wound infections are typically identified by a dramatic change in the appearance of the incision, but a deep infection around the joint itself can be hard to prove without some interventional study.
Original Charnley total hip prosthesis with Teflon cup ..
Once the decision is made that a hip is infected, the surgical plan is typically as follows involving a two-stage technique. An infected joint routinely requires the removal of all parts of the hip replacement from the bone so that the infection can be cleared. The space occupied by the removed hip prosthesis is filled with an antibiotic laden cement spacer shaped like a hip prosthesis. This spacer serves to keep the soft tissues stretched out to proper length and provides antibiotic which leaches out of the cement spacer directly to the infected area over time. In addition, 6-12 weeks of IV antibiotics are given, depending upon the infecting organism. Once this treatment is completed, it is commonly possible, through a second operation, to implant a new hip replacement into the now sterilized hip area.
Total Hip Replacement Implants - THR System : …
In most hip replacements there is a metal stem that is fixed inside the tube-like femur (thigh bone) upon which is perched an articulating ball bearing; and a metal cup that is fixed within the acetabulum of the pelvis (socket) containing a bearing surface on the opposite side within which rides the ball bearing. The socket bearing surface is commonly a plastic (polyethylene) or a ceramic (glass); the ball bearing is commonly a highly polished metal or ceramic. Each of these come is variable sizes and are mixed and matched by the surgeon for various mechanical properties and chosen as each situation demands.
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