Hip Replacement Surgery Experiences

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Cataceous

Super Moderator
How is your recovery going Cataceous? ... So fingers crossed, although i'd rather not need surgery at all, if i end up having to, and i'm a suitable candidate, i might get the doctor who invented the proceedure.
So far I am very happy with the results. With debilitation coming on slowly I wasn't fully acknowledging how bad it had become. But with it suddenly fixed in a relatively short period of a few weeks I can appreciate what it's like to be normal—for example, being able to put on a pair of pants while standing up. When all restrictions were lifted at seven weeks out I immediately started cycling outside. Two weeks later I rode 75 miles with a group and no holding back—I had no problems at all with the hip. The soft tissue isn't totally healed yet, as there's still occasional minor discomfort when I turn the hip certain ways. Nonetheless, overall it feels like a return to youthfulness after a bout with old age.

With hip resurfacing the outcome is perhaps somewhat more dependent on the surgeon. Sounds like you might have the best if you need it. In my research I think I came across a talk by the same guy in which he presented some reassuring statistics on the outcomes. My own surgeon suggested that the Birmingham device has been unfairly lumped in with other MoM implants that had design flaws.

You can see the bone-sparing nature of the device in my radiograph below. This implant also avoids the high internal pressure in the femur created when a conventional implant is forced into place. This pressure extrudes fat, which can end up in the brain.[R]

1661734944120.png
 
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seppuku

Active Member
So far I am very happy with the results. With debilitation coming on slowly I wasn't fully acknowledging how bad it had become. But with it suddenly fixed in a relatively short period of a few weeks I can appreciate what it's like to be normal—for example, being able to put on a pair of pants while standing up. When all restrictions were lifted at seven weeks out I immediately started cycling outside. Two weeks later I rode 75 miles with a group and no holding back—I had no problems at all with the hip. The soft tissue isn't totally healed yet, as there's still occasional minor discomfort when I turn the hip certain ways. Nonetheless, overall it feels like a return to youthfulness after a bout with old age.

With hip resurfacing the outcome is perhaps somewhat more dependent on the surgeon. Sounds like you might have the best if you need it. In my research I think I came across a talk by the same guy in which he presented some reassuring statistics on the outcomes. My own surgeon suggested that the Birmingham device has been unfairly lumped in with other MoM implants that had design flaws.

You can see the bone-sparing nature of the device in my radiograph below. This implant also avoids the high internal pressure in the femur created when a conventional implant is forced into place. This pressure extrudes fat, which can end up in the brain.[R]

View attachment 25101

Hi Cataceous, glad to hear your recovery's going well. I'm hoping that my x-ray won't show that i need surgery and that my symptoms come from my back instead, but the more i read about hip osteoarthritis the more it seems that's what i've got. And it's not that the surgery itself is worrying me, more that, unlike previous jobs i had where sick pay was paid at full wage rate, my current job doesn't. So taking weeks off recovering would be difficult for me financially. I guess i'll be finding out in the next week or two. Good luck with your cycling, must feel grwat to not be in pain any more.
 

seppuku

Active Member
@Nelson Vergel and @Cataceous - just wondering how you two are both doing with your hip surgery recoveries now some time's passed. At the end of September i got results back from an xray on my hips. Wasn't good news, report said "advanced hip osteoarthritis bilaterally", and a few other terms i can't remember off the top of my head. Apparently though i'm basically 'bone on bone' now, and it feels like it. Just waiting for the hip replacement triage service to see me to find out what happens next.
 

Cataceous

Super Moderator
@Nelson Vergel and @Cataceous - just wondering how you two are both doing with your hip surgery recoveries now some time's passed. At the end of September i got results back from an xray on my hips. Wasn't good news, report said "advanced hip osteoarthritis bilaterally", and a few other terms i can't remember off the top of my head. Apparently though i'm basically 'bone on bone' now, and it feels like it. Just waiting for the hip replacement triage service to see me to find out what happens next.
Still doing great with it. The soft tissue is further along with healing, and it's less common to feel any discomfort, even with unusual movements. I've had incremental improvements in the range of motion. I still can't bring my knee all the way up to my chest, but I'm working on that. Over time I'm becoming less and less aware that anything was wrong with the hip.

Statistically speaking I'm not totally in the clear. I recall that certain failure modes are more likely in the first three years. In addition, the risk of infection is elevated for a couple years, and antibiotics are prescribed for routine dental work. I believe at my one year followup visit they will begin monitoring serum metal ions to ensure they remain low.

It's unfortunate you're in the position of needing replacement(s). At least the risk in such hip surgeries isn't high and the resulting satisfaction is usually good. Anecdotally I see a lot more problems with knees. You should add your experience to the thread if you proceed with it.
 

seppuku

Active Member
Still doing great with it. The soft tissue is further along with healing, and it's less common to feel any discomfort, even with unusual movements. I've had incremental improvements in the range of motion. I still can't bring my knee all the way up to my chest, but I'm working on that. Over time I'm becoming less and less aware that anything was wrong with the hip.

Statistically speaking I'm not totally in the clear. I recall that certain failure modes are more likely in the first three years. In addition, the risk of infection is elevated for a couple years, and antibiotics are prescribed for routine dental work. I believe at my one year followup visit they will begin monitoring serum metal ions to ensure they remain low.

It's unfortunate you're in the position of needing replacement(s). At least the risk in such hip surgeries isn't high and the resulting satisfaction is usually good. Anecdotally I see a lot more problems with knees. You should add your experience to the thread if you proceed with it.

Glad to hear you're doing well, it sounds like it's been a success for you so that's great. And yes, i'll definitely keep this thread updated with my treatment, whatever that ends up being. I was hoping there'd be a point in the future where i could get under a bar and do squats again. I'm not sure if these procedures allow for that, but after 20 odd months of pain and limping, i'll be happy to just be able to go out for a normal walk again
 

Vince

Super Moderator
Glad to hear you're doing well, it sounds like it's been a success for you so that's great. And yes, i'll definitely keep this thread updated with my treatment, whatever that ends up being. I was hoping there'd be a point in the future where i could get under a bar and do squats again. I'm not sure if these procedures allow for that, but after 20 odd months of pain and limping, i'll be happy to just be able to go out for a normal walk again
I don't mean to interrupt, but I've been following this threat. After reading your post. I wondered if you can do squats and deadlifts after hip surgery. It sounds like it's recommended also helps the life of your hip replacement.
 

Guided_by_Voices

Well-Known Member
Dan John and Rickey Dale Crain are two high-level strength athletes I am aware of who were able to squat and deadlift well after their hip replacements. There may be some commentary on Dan's blog or podcast. The person I know who had a hip replaced does leg presses as part of his physical therapy program.
 

Nelson Vergel

Founder, ExcelMale.com
@Nelson Vergel and @Cataceous - just wondering how you two are both doing with your hip surgery recoveries now some time's passed. At the end of September i got results back from an xray on my hips. Wasn't good news, report said "advanced hip osteoarthritis bilaterally", and a few other terms i can't remember off the top of my head. Apparently though i'm basically 'bone on bone' now, and it feels like it. Just waiting for the hip replacement triage service to see me to find out what happens next.

People kept telling me it would be an easy surgery. It was not.

It took me at least 3 months to be almost pain-free. The hip that was replaced was great, but past sciatica problems on the other side flared up while I was learning to walk and balance my body. Gladly, that has gotten better.

I had a horrible issue with Charlie Horse on my glute on the other side during the first two days of recovery. I realized it was dehydration. So, make sure that you drink Pedialyte or other hydration drinks right after the surgery.

These are some suggestions for you:

1- Get something to raise your toilet seat that has a handle on each side, as it is hard to go that low when you need to poop.

Any of these would do.

2- Get a rail to get out of bed.

This is the one I got.

3- Make sure you walk frequently with your walker; otherwise, you will get stiff. Put yourself on a 30-minute timer. Stiffness after seating is an issue.

4- Purchase a cushion to elevate any seat while sitting. For some reason, I needed to sit more elevated to prevent pain.

I was on pain meds just for the first week. I drove carefully at week 4.

5- Sleeping on your back during the first few days is a must. After a while, you will be able to sleep on either side. I used a large pillow in between my legs to stabilize my hips while sleeping on my sides.

6- Get yourself some slip on shoes or sandals since you will not be able to tie shoe laces or put socks on by yourself for a month at least.

7- I was able to take my first shower on day 3. It helps to have a walk-in shower with no tub. At first, raising the leg on the operated side is difficult.

I will think of other suggestions.

I went to the gym after 3 weeks to do light upper body machine workouts. I used the recumbent bike, also. I had no physical therapy as my surgeon thought I was in good shape and could do it myself.
 

seppuku

Active Member
People kept telling me it would be an easy surgery. It was not.

It took me at least 3 months to be almost pain-free. The hip that was replaced was great, but past sciatica problems on the other side flared up while I was learning to walk and balance my body. Gladly, that has gotten better.

I had a horrible issue with Charlie Horse on my glute on the other side during the first two days of recovery. I realized it was dehydration. So, make sure that you drink Pedialyte or other hydration drinks right after the surgery.

These are some suggestions for you:

1- Get something to raise your toilet seat that has a handle on each side, as it is hard to go that low when you need to poop.

Any of these would do.

2- Get a rail to get out of bed.

This is the one I got.

3- Make sure you walk frequently with your walker; otherwise, you will get stiff. Put yourself on a 30-minute timer. Stiffness after seating is an issue.

4- Purchase a cushion to elevate any seat while sitting. For some reason, I needed to sit more elevated to prevent pain.

I was on pain meds just for the first week. I drove carefully at week 4.

5- Sleeping on your back during the first few days is a must. After a while, you will be able to sleep on either side. I used a large pillow in between my legs to stabilize the hip while sleeping on my sides.

6- Get yourself some slip on shoes or sandals since you will not be able to tie shoe laces or put socks on by yourself for a month at least.

I will think of others.

I went to the gym after 3 weeks to do light upper body machine workouts. I used the recumbent bike, also. I had no physical therapy as my surgeon thought I was in good shape and could do it myself.

Thanks Nelson, some great tips there i'll definitely look into the raised toilet seat (it's a struggle at the moment for me anyhow). I guess slow and steady would be the main takeaway from the experiences i've read here and elsewhere. I was reading about a guy earlier who had a replacement and didn't take enough time to recover. His thing was brazilian jiu jitsu - he went at things full pace too soon, felt a click in his hip, so managed to dislodge the implant. Even after that, he still kept on with his jiu jitsu. He was told if he fractured his femur he'd be in serious trouble. The post was a few years ago with no follow up, but it sent a shiver down my spine. There's a time where i'd have been that gung ho about my training, and probably done something just as stupid. Hopefully i'm a bit wiser now i'm older.....
 

Nelson Vergel

Founder, ExcelMale.com
I would also make sure you get a DEXA scan to make sure your pelvic bone density is good.

It is a humbling experience that really tests your patience and resilience. But it really is worth it in the end.

I just came back from Mexico, where I climbed pyramids and walked up slopes. It all went OK.
 

andrewBwinter

Active Member
It is a humbling experience that really tests your patience and resilience. But it really is worth it in the end.
I am going through the review process now with physio first and then referral to a specialist for my left hip. I haven't spoken to anyone who has regretted it. They all have said they didn't remember what pain free living was like once they recovered and they felt brand new again. Chronic pain is extremely tiring however body-weight squats have been very beneficial in the short term. The progression from July 2020 (L) is noticeable at the crest as of yesterday the 20th of January (R):
1674303227115.png
1674303239534.png
 

andrewBwinter

Active Member
Booked! August 17 2023 I will get a full hip arthroplasty. Day surgery, posterior. When speaking with the ortho he commented that posterior doesn't require "detaching" certain muscles. Yikes. However there is a small muscle that is incised. Generally speaking I'm terrified, but the 3 month recovery and thought of being able to walk without pain again is enticing to say the least. After all, it's only three months for another 25 years of comfort. I can only hope he levels out the length of my legs and he doesn't make my super suit green or animated.

One interesting comment he made when replacing hips for patients in their 50's, "You'll have the mobility and activity level of the average 65 year old." I'm 58. At that point it became clear that I won't be regressing to my 30s and 40s even though I still believe I can perform at those levels.

One thing that hasn't been covered in this thread is suggested supplementation. When I had my ankle scoped and micro-fractured, I read an article on l-citrulline and it's positive effects on rabbit non-union fractures. The result were excellent compared to placebo. I continued using l-citrulline during my recovery.

I can only find a mouse study here:
 

Nelson Vergel

Founder, ExcelMale.com
You will be OK. The trick is to walk every day several times for a few minutes (with a walker for a week or so).

Make sure you do the suggestions I posted above.

Good to know about citrulline. I put two grams in my coffee every day. I use a tasteless product.

Kaged Muscle Premium L-Citrulline Powder, Enhance Muscle Pumps, Improve Muscle Vascularity, Nitric Oxide Booster, Citrulline, Unflavored, 100 Servings, white, 7.05 ounce (pack of 1) (KM-CITP-200) https://a.co/d/2I9W3Oc
 

BigTex

Well-Known Member
Booked! August 17 2023 I will get a full hip arthroplasty. Day surgery, posterior. When speaking with the ortho he commented that posterior doesn't require "detaching" certain muscles. Yikes. However there is a small muscle that is incised. Generally speaking I'm terrified, but the 3 month recovery and thought of being able to walk without pain again is enticing to say the least. After all, it's only three months for another 25 years of comfort. I can only hope he levels out the length of my legs and he doesn't make my super suit green or animated.

One interesting comment he made when replacing hips for patients in their 50's, "You'll have the mobility and activity level of the average 65 year old." I'm 58. At that point it became clear that I won't be regressing to my 30s and 40s even though I still believe I can perform at those levels.

One thing that hasn't been covered in this thread is suggested supplementation. When I had my ankle scoped and micro-fractured, I read an article on l-citrulline and it's positive effects on rabbit non-union fractures. The result were excellent compared to placebo. I continued using l-citrulline during my recovery.

I can only find a mouse study here:
GOOD LUCK!
 

Keepfit1

Active Member
You will be OK. The trick is to walk every day several times for a few minutes (with a walker for a week or so).

Make sure you do the suggestions I posted above.

Good to know about citrulline. I put two grams in my coffee every day. I use a tasteless product.

Kaged Muscle Premium L-Citrulline Powder, Enhance Muscle Pumps, Improve Muscle Vascularity, Nitric Oxide Booster, Citrulline, Unflavored, 100 Servings, white, 7.05 ounce (pack of 1) (KM-CITP-200) https://a.co/d/2I9W3Oc
I am planning a hip op also and read your recommendations, my partner got hers done and your suggestions are spot on, I clicked on the rail for getting out of bed but its gone, can you help please?

2- Get a rail to get out of bed.

This is the one I got.
 

Guided_by_Voices

Well-Known Member
Booked! August 17 2023 I will get a full hip arthroplasty. Day surgery, posterior. When speaking with the ortho he commented that posterior doesn't require "detaching" certain muscles. Yikes. However there is a small muscle that is incised. Generally speaking I'm terrified, but the 3 month recovery and thought of being able to walk without pain again is enticing to say the least. After all, it's only three months for another 25 years of comfort. I can only hope he levels out the length of my legs and he doesn't make my super suit green or animated.

One interesting comment he made when replacing hips for patients in their 50's, "You'll have the mobility and activity level of the average 65 year old." I'm 58. At that point it became clear that I won't be regressing to my 30s and 40s even though I still believe I can perform at those levels.

One thing that hasn't been covered in this thread is suggested supplementation. When I had my ankle scoped and micro-fractured, I read an article on l-citrulline and it's positive effects on rabbit non-union fractures. The result were excellent compared to placebo. I continued using l-citrulline during my recovery.

I can only find a mouse study here:
Regarding healing, several things. You might look into PEMF which has a lot of science behind it for accelerated healing. I have a very basic battery powered one (about $400) but there are much larger ones used in a medical setting that you might be able to get a prescription to access. The usual suspects like BPC and GH secretagouges are also something to have on hand. Good luck!
 

seppuku

Active Member
Booked! August 17 2023 I will get a full hip arthroplasty. Day surgery, posterior. When speaking with the ortho he commented that posterior doesn't require "detaching" certain muscles. Yikes. However there is a small muscle that is incised. Generally speaking I'm terrified, but the 3 month recovery and thought of being able to walk without pain again is enticing to say the least. After all, it's only three months for another 25 years of comfort. I can only hope he levels out the length of my legs and he doesn't make my super suit green or animated.

One interesting comment he made when replacing hips for patients in their 50's, "You'll have the mobility and activity level of the average 65 year old." I'm 58. At that point it became clear that I won't be regressing to my 30s and 40s even though I still believe I can perform at those levels.

One thing that hasn't been covered in this thread is suggested supplementation. When I had my ankle scoped and micro-fractured, I read an article on l-citrulline and it's positive effects on rabbit non-union fractures. The result were excellent compared to placebo. I continued using l-citrulline during my recovery.

I can only find a mouse study here:

Good luck! You're doing better than i am - i saw my (future) surgeon for the first time yesterday. I had seen the triage service in March who said i had to try and lose 9kg before my appointment with him, as my bmi was above the limit for surgery. Well i failed, but i did shift 6kg so thought he might give me a surgery date in maybe 4 to 6 weeks by which time i'd have lost the other 3kg. Nope, he wants my bmi at 35 or below, meaning i'll need to lose nearly 15kg more to get my op. I know i'm far from being lean, but i'm not exactly covered in blubber and i carry a fair amount of muscle on my frame. Body composition seems to be unimportant though, and i've gotta shift that weight in the next couple of months or he said he'll have to discharge me ( maybe if i get both arms amputated i'll make the weight in time...).
Interestingly though, the surgeon wants me to consider letting him do the operation by robot! He's a member of a team pioneering robotic surgery for hip replacement here in B'ham (UK). I need to read up on it first though.
 

Old_Lifter_65

New Member
Booked! August 17 2023 I will get a full hip arthroplasty. Day surgery, posterior. When speaking with the ortho he commented that posterior doesn't require "detaching" certain muscles. Yikes. However there is a small muscle that is incised. Generally speaking I'm terrified, but the 3 month recovery and thought of being able to walk without pain again is enticing to say the least. After all, it's only three months for another 25 years of comfort. I can only hope he levels out the length of my legs and he doesn't make my super suit green or animated.

One interesting comment he made when replacing hips for patients in their 50's, "You'll have the mobility and activity level of the average 65 year old." I'm 58. At that point it became clear that I won't be regressing to my 30s and 40s even though I still believe I can perform at those levels.

One thing that hasn't been covered in this thread is suggested supplementation. When I had my ankle scoped and micro-fractured, I read an article on l-citrulline and it's positive effects on rabbit non-union fractures. The result were excellent compared to placebo. I continued using l-citrulline during my recovery.

I can only find a mouse study here:
This is an interesting thread. I think he may have been looking at this article, no rabbits though:
 
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