Am I Too Young Or Old For A Hip Replacement
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- čas přidán 25. 11. 2017
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In this video the surgeons discuss how a person's age impacts the decision of whether or not to have a total hip replacement.
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I’m 65 and just had my 2nd hip replacement. Don’t know why/how I developed severe arthritis but I did. In bot( hips. My life was MISERABLE. I lived on Tylenol/ibuprofen & oxycodone. LOTS of oxycodone just to ambulate through my home. I couldn’t sleep the pain was so bad. I couldn’t participate in the activities my husband & I used to enjoy together. I was left at home while he went out to have fun, get some fresh air. He was great at spending time with me but sometimes he needed to get out, ya know? I had to lose 50 pounds and wait at least 5 years before one doc would consider a THR. So, I shopped docs and finally found one that would do it. OH MY LORD! I HAVE MY LIFE BACK! I’m sooo happy! So is my husband. Just to take a walk with him. So I outlive the hardware, oh well, I hope I do but without the surgery I wouldn’t be LIVING. Love you guys!!
You guys are very reassuring, I love your sense of humour and how you bounce ideas off each other. Thanks for making these videos
Thanks so much John. We try to keep it light and informative. All the best. Thanks for watching
Your videos about THR are spot on. I’ve had both hips replaced (several months apart) at age 59 -neither too young or too old I guess. I went as long as I could, putting off the inevitable Until I couldn’t stand it any more. When I experienced what a difference it made in my r. Hip, I was back in the surgeon’s office telling him I wanted a matching pair! If I had not had the surgeries, I do not doubt that I’d have been in a wheelchair or housebound within a few months.
It’s been 19 yrs and still going strong. No high impact activities. Moderate exercise.
Thank you for sharing your story Eli. Glad you are doing so well! Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs yes indeed..hw did u cope wd pain?,my creatinine level is not gud,so i cnt tke d regular otc painkillers like ibufren etc..dat i worry about
I'm 22 and 3 weeks post op now. We had been discussing a hip replacement since I was 17. I had legg calve perthes at 10 yrs old, and 4 surgeries before this to try and salvage my hip from the results of the disease. Had a surgery to try and put it off in 2014, but it didn't work and actually sped up the deterioration of my femoral head. We decided to put it off as long as i could handle it, and at 22, it finally got to be too much. I couldnt walk, sleep, sitting hurt. I had been on opiate pain medications for 2 years. So we did it, and apparently my femoral head was so flat and dead, it was shaped like a flat mushroom, and was squishy. Im glad I did it. I'm glad my doctor allowed it to happen. I've heard of a few people being turned away for being too young, when they are much older than me. I am ceramic on plastic. :) lateral approach. Walking without assistance at 2 weeks, restrictions lifted, and at 3 weeks I am back to normal minus the awful pre-OP pain.
Hi Haiden. Sounds like you have had a very successful post-operative course and a long road leading up to surgery. Glad it all worked out for you. It is always difficult to make the decision to proceed with younger patients but if the pain is severe and drastically limits the quality of life of the patient, it should be considered. Good luck going forward.
36yrs old having surgery total hip april 19th 2018. Nervous as hell.
I’m 16 and I have also perthes but they say I’ve to wait for a hip replacement. I don’t want to wait until I’m a living zombie. I want to be a normal teenager again. I’m locked in my own body.
@@sam1706 if you need to talk, let me know. I know it sucks. Sending you love. ❤
Hi, I’m 23 & was born with hip dysplasia! I had my first two surgeries at 17 & they really didn’t correct the problem at all. It’s gotten to the point where I literally cannot function as a normal young adult & i am in excruciating pain 24/7. Where did you get your surgery, if you’re in the US? The dr I go to now is trying his hardest to not do a replacement at my age but lemme tell ya I’m so damn miserable
Great stuff Dr. Brad and Dr. Zalzal.😊💓..very informative and helpful too.🤗
Thanks Sandy. Glad you found it helpful
Excellent information on hip replacement. Thanks!
Always so educational and straightforward to understand.
Had my hip replaced at 59. No more pain which I'm grateful for but don't have strength, mobility and stamina I used to have. Been 16 months post surgery.
With some more time and exercise it will often improve David. Best of luck. Thanks for watching and subscribing
The oldest hip replacement operation in the UK was on a woman who was 112.
Hi tom amos. That is incredible. As well, recently the Prince had a hip replacement performed. We have performed joint replacements on patients in their 90s. It is the new reality of our world.
tom amos @ how is the patient now.?
Very useful conversation…as are all your videos!
Thanks Sam
you two are great ! Wonderful info. In addition you make a fabulous comedy Team. !! KUDOS
Thanks Suzanne. Thanks for watching and subscribing
THANK YOU BOTH AGAIN WITH ALL MY HEART FOR PUTTING MY MIND TO REST BEFORE AND AFTER SURGERY.
🥰A BIG HUG FROM ISRAEL
Vry grateful docs like u hu go out their way to xplain etc..does so much help..thnks docs
Very welcome Jose
This is a great video I've been told way to many times people I'm to young to have thr I'm 41 with almost stage 3 Avn I use a cane. I Tell People some can have heart attacks strokes and cancer at a very young age why not a joint replacement especially with something that insanely rarely just goes away. It changes some aspects of there decision on saying that but why should I have to explain it. Once again thank you so much I've been binge watching all your videos. Very informative and helps people like myself be put at ease
Glad we can help Paul. Good luck! Thanks for watching and subscribing
Glad we can help Paul. Good luck! Thanks for watching and subscribing
Films nd talk programs like dis help so much..tnx so much docs..God bless
Glad to help Jose
Like “dis”. ????
What is that? Urban street talk?
Merry Christmas Docs!
You too Darlene. All the best and Happy New Year. Thanks for watching and subscribing if you did.
@@TalkingWithDocs Thanks again Docs, your answers help many. Thank you for caring!
Friend 78 had both hips replaced, a total success. Another friend 92 had successful knee replacement and my wife 82 is getting THR with same doctor. If medical clearances are good why live with pain and inactivity. Going to follow your other videos too. Very helpful.
Agree John. Thanks for watching and subscribing
Wonderful discussion! Hello, I'm a 66yrs of age male and I've come to the conclusion that anything is better than that sharp aching burning pain no matter what age. Why can't there be different kinds of hip and knee replacements for different ages?
Hi jonathan. Thanks for your question. There are different types of implants but the principal is primarily the same for all ages. Unfortunately some younger patients do require joint replacement surgery. It is then up to them to take care of it after surgery. Hope that helps.
I'm 60 waiting on a THR and I hope to hike for over 2 hours in the future too!!! I know I won't jump of the operating table and do it though...lots of work involved. Mentally and physically challenging recovery process.
Hi Kat59. You have the right attitude Kat! Good luck and thanks for watching.
Hello doc's thanks for all the important things your giving us !!!! My question is if givin a choice on material used for the artificial hip wich one in your opinion is the most effective ( will last the longest ) I'm 51 I walk about 40 miles a week.
Hi Michael. You are very welcome. So the options would be metal on metal, metal on plastic, ceramic on ceramic and ceramic on plastic. The most common one is metal on plastic which is safe and reliable. Metal on metal has had some problems in the recent years. Ceramic on plastic has been gaining popularity. Best to discuss with your treating surgeon. Good luck to you! Thanks for watching and subscribing if you did.
Docs: your information, humor, and expertise have been so helpful to me. I’ve needed a new hip for at least 15 years. But I put it off as long as I possibly could. Most of your videos are 5 to 6 years old. I’m wondering: did I give myself any advantage by waiting so long, besides the obvious age issue. In other words, are there advancements in the last 5 to 10 years that made it all worth it? Hardware tech? Thanks so much. Pat.
Hi Patrick. So not really. Implants are about the same. The anterior approach has gained some traction but it has been around for awhike. But the wait was worth it. Thanks for watching and subscribing
An important matter that is not discussed as much as it deserves concerns cognitive impairment caused by general anesthesia particularly in elderly patients. I'm familiar with several joint replacement cases where the impairment was severe and permanent.
We would agree Bart but general anesthesia for this in our practice is almost never performed. Only last resort. Thanks for watching and subscribing if you did
Had my 1st [LH] at 68...Had my 2nd [RH] at 71...Both OP's were great & the pain went immediately
Amazing Loue
I had multiple doctors tell me i was too young for knee replacement. Finally one said, "You're knee caps are in the qrong place. That's what's causing the problem. I don't know how to fix that." Google searched for knee alignment specialist. Had to travel 6 hours. He did a more thorough physical exam, took measurements from the x-rays, and was the only one who asked to see me walk.
My right leg is shorter and was knocked knee. Ive had partial patella femural replacement in both knees. The right knee has been straightened out, and I've got height adjusted shoes. Three months between right and left surgeries, and i turned 37 during that time.
I had gone through 7 years of conservative treatments without relief because the local doctors did not look at the whole picture. I was told I'll need full knee replacement, likely in 15-20 years. The other doctors wanted me to wait at least another 25 years. I had to use a cane if i over did things. If i would have waited, i would not have been able to walk at all.
Before the surgery, i got the height adjusted shoe. Just getting that made a world of difference qith howni walk. (Too late to avoid the knee problems.) I didn't know it was off because that's all i ever knew. When I put those shoes on, I realized hownoff my walk had been. It's been about 6 months, and it still blows my mind that that is what normal is. If someone would have caught that early, my knees might not have been so bad.
Finding a good doctor can literally change your life!
You guys come across as serious and helpful Docs, and you both have a great sense of humor at the same time! I’m an active 68 year old, have pain in my right hip from playing pickle ball and high intensity dancing. I was diagnosed with osteoporosis years ago, I couldn’t tolerate any of the medications used to treat that problem. Is it ok to have a hip replacement if you have low bone density? Thanks in advance.
Hi Terri. Thanks so much. So many of our patients would have osteoporosis and often go on to have successful knee and hip replacements. May be worth looking into other options to help reduce the risk of a fracture going forward. Best of luck! Thanks for watching, subscribing and sharing with someone if you did.
I was 48 with my hip replacement... osteoarthritis got me very young..
It sure did Donna. Hope you are ok now. Thanks for watching and subscribing
Thanks!
Very welcome Kathy
Chronological age vs physiological age. Quite right! I’m 58 but I’ve been extremely active my entire life. I became a personal trainer. When I learned how to exercise, I kinda went crazy with it. Pushed myself harder than I pushed my clients. So I do feel older than my chronological age. I’m going to see an orthopedic next week. My mobility has been reduced to getting myself to the bathroom. I walk like a one legged pirate. And I cannot move in the transverse plane of motion. It’s a military march of sorts. Walk a straight line, then left face to turn. It will no longer rotate within the joint capsule. It’s made my knee unstable. I now walk as if I’m going to fall after the next step. I already know that the doctor is going to want to treat it as conservatively as possible. Anti inflammatories, steroid injections and physical therapy before even considering a hip replacement. Well, I did become a physical therapy aide after working as a personal trainer for awhile. I know all the modalities to alleviate tightness and strengthen the area without stressing the joint itself. I need to get on a foam roller to bust up these adhesions that have formed in my muscles and IT band. It’s a truly painful form of flexibility, but the best one for this chronic use injury. I’m not up to it until the current pain is manageable. Thanks for the info.
Best of luck to you Slam. Thanks for watching and subscribing
Love you guys
Thanks so much Gordon. Thanks for watching, subscribing and sharing with someone if you did.
I am having a full hip replacement in 2 weeks. I am 21 years old, already had an hip arthroscopy at 19 but now am needing the hip replacement. I was diagnosed with osteoarthritis in the left hip. On CZcams now looking for more information to give me reassurance. Thank you for the video.
Hi Zack. You are very welcome. Good luck with your upcoming procedure. Be sure to watch our other videos that discuss pre and post op care, physio as well as activities after joint replacement. Keep us posted and thanks for watching.
how u doing now
I am 24 and I am getting a THR on the 2nd of March and then getting the ball rolling to get the second hip replaced too. I just thought I'd throw that out there as your young was mid 30s 😂😂 anyway thanks for these videos they are a real help to me at the minute because I am so nervous and want to know every last bit of information I need to know.
Hi TonyandZivaUK. Good luck with your surgery. The definition of young is certainly a broad range. We have operated on patients in their 20s usually with advanced rheumatoid arthritis or severe post traumatic arthritis. Glad that we could be a part of your preparation.
Talking With Docs Thanks for your reply! Yeah I understand that, I just found it funny 😊 Mine is due to developmental bilateral hip dysplasia that was left un noticed and eventually developed into arthritis in both. It all happened so quickly. Never had anything wrong with my legs until 2 years ago when I played paintball one day and I was never able to walk properly again. Had so many different methods tried so that I could avoid getting a THR this early in life but the damage was already done. My life has just stopped. I trained as a teacher during the beginning stages which was hard in its self without, health problems. And now because I can not walk and I've been on a list for a while, no school will hire me till they are both sorted.
Don't think people realise how much arthritis can damage a person's life and restrict them.
Thanks again for your reply. After watching all your videos about hip replacement, I do feel more prepared and feel a little less stressed out about it.
TonyandZivaUK good luck! I hope it goes well. You got this! I'm 22 and just had mine done 3 weeks ago. I am pretty much back to normal now. :)
I'm 25 and just had a left anterior hip replacement, currently 3 weeks post surgery! I find this funny too, every time i watch video's everyone considers 40's as 'young'. With our forever growing knowledge of medicine who knows what they will come up with in 10-30 years when i need another one. Unfortunately for my case my shallow socket caused hip dysplasia and my surgeon explained that the hip they removed was like a nasty knuckle! just bone on bone.
Thank you for the video though Talking with docs!
Hi guys
I'm 23 and I developed AVN due to chemotherapy at the age of 16.
In June I'm going for THR finally and hoping for the best.
One thing I rarely hear mentioned is whether a required revision carries risks outside of those posed by needing surgeries x2, with the 2nd at an older age and recovery at an older age.
Hi Todd R. So there are more risks that would include less pain relief, more chance of stiffness and challenges related to the amount of bone that is left to work with. Hope that answers your question. Thanks for watching and subscribing if you did.
When doing thr, can both hips be done at once or how long between surgeries?I need both due to avn and I'm so scared..
Perfect just what I wanted to hear I'm 33 an is scheduled for a hip replacement in may now I no that certain things I have to cut back on sports wise but I don't care just wanna get the hip done cause its killing me
Hi Antwoine. Good luck with your surgery and keep us posted on your progress. Thanks for watching.
Hi. How is it now?
Fantastic video! I am a 31 year old guy from brisbane, Queensland in Australia. I fell over on wet concrete, and I fractured my femoral neck, the neck bone actually impacted into the ball joint of the hip. This was misdiagnosed for about 9 weeks. I kept going to physio and saying “I can feel a click in the hip bone (femer) and when I was going to lie down in bed or the couch, when I pulled my foot towards me , like a letter “A” shape, I could feel a quite prominent click. This was eventually diagnosed with the X-ray. Dr’s couldn’t believe that I could have broken that joint.
I had private health insurance, but one of the exclusions was “total hip replacement” dr’s said unless I had top level coverage, it wouldn’t be covered for someone my age. Our public system is still fantastic here, and I got in within 2 weeks with one of the best surgeons in our state he did the “anterior” approach, and is one of the best at that surgery. I did not have any complications such as nerves damaged.
I do have a mild case of marfans syndrome (heart valves etc are fine, minute regurgitation). Dr’s have said that condition can affect the bone mass, so they are sending me for a bone density test, to rule out osteoporosis. They did a CT scan also to rule out a pathological fracture, that was negative.
My GP was pretty apologetic when I went back with the x ray he said “now when I think about it, muscle atrophy, clicking, can’t weight bare properly (leg could take about 68kg but was unstable). Loss of upper thigh movement and strength ; it suggested a fracture, but someone of your age, it is quite rare”
I will be 2 weeks post surgery on Monday coming. The dr’s and physio couldn’t believe I was told to weightbare on the leg originally.
I am recovering well, learning to walk properly again, and with no limp! Physio said if I do the exercises, probably about 2 weeks.
Thank you for such a informative video I am just posting this to show people, fractures can happen to anybody, even when you are relatively healthy. I work indoors and my job is a lot of walking around, so I was quite active before the operation:)
Hi Kane K! Wow that is an incredible story. Glad to hear you are doing well and that you enjoyed our videos. And yes, anything can happen to anyone - regardless of age. Good luck with the rest of your recovery.
Thank you so much for the reply! Recovery is going well! I am down to one crutch on the opposite side of my body. I went to my usual dr today, he is sending me for a bone density screen and most likely to a endochronologist. he said "I can't believe you suffered for 9 weeks, and were putting weight through that leg!"
I still have a slight clicking at the side of my hip like pre-surgery, leg is fine, takes weight everyway, in any direction., I assume this is due to the muscles being damaged, they X-rayed at the hospital, and everything was normal post op. I did think that with a uncemented THR, you have to wait until it starts growing bone. Is this anything I should be worried about? (physio kept saying pre-surgery that the muscle over the hip bone was very tight). Apart from that, I am doing well:) Also with the Marfan's Syndrome, can that affect your bone density (hospital said extremely rare) ?
thanks:)
Kane K just read through your story mate, glad to hear it all went well for you! I’m 33 in Melbourne had my surgery in May still laid up in bed, I got RSD in the foot from surgery, this RSD is worse than the 22 years I spent with a bad hip. Glad you had no complications, hope you recover flawlessly mate!
Hi Pat! ,
Thanks for the Well Wishes:) Yeah I seem to be recovering quite well. I am on 2 legs at the moment without a crutch. I do walk a little bit "tilted" as in instead of walking normally, my body will "shift" my weight onto my operated hip. The physio said to just try walking around with one crutch, he said if you get off them really soon, you seem to have the balance problem. he did put me on a exercise bike, and I then went to kmart and purchased one for $89. he said the bike would address my muscle wastage, from the injury. I see the surgeon Friday coming, hopefully all is well, as I want to start working again:) I still have muscle pain when standing or walking, again all from the muscle atrophy. On the exercise bike, I had no pain at all:) so I am going to go hard with the exercises this week, as I want to walk normally. RSD? I assume that is a complication? and you had a bad hip since 11? that is pretty bad:( I think I just had a awkward fall, but my gp dr is going to test me for osteoporosis. It was amazing, how quickly I was able to begin walking (im not working perfectly, really self conscious shopping).
Kane K that’s great mate, I hope you get some good results by the end of the week as I know how frustrating this is. thanks for the tip on the excercise bike! My operated leg muscle is completely depleted also. RSD is like a nerve problem so my foot is completely inactive but starting to feel a lot better than it was, I just want to get back to work also. Ride that bike like crazy 😝 I know I will be when I get mine!
Hi sir🙋♀️I'm from fiji and I had that problem hip dis located almost 25yrs now and I'm 55yrs old,staying wid my sister and I'm sorry to say that I haven't got any $$ so that I can have hip replacement...thank you sir!
Sorry to hear that Maki. Hip dysplasia is a complicated problem for sure. Best of luck. Thanks for watching, subscribing and sharing with someone if you did
I’m a 30 year old male and just had total hip replacement. 2 months post op and I’m 95% back to normal. Was a fluke thing for someone my age but it’s been life changing and I couldn’t be happier. Walking everyday prior to surgery helped me recover quickly.
Awesome
What was the issue if you dont mind sharing?
Dear Doctors, love ALL your videos, you give WONDERFUL information and make watching you two fun too!! 😃 I had a total hip replacement 23 years ago, it's Titanium and wonder how long it might last? I was 46 years old then and now I'm 69 years. I walk every day but do no crazy exercising and, wonder your thoughts on crossing legs after a THR .... Thank YOU BOTH so very much!!!!!!!!! 😊
It may be 25-30 years. Worth an X-ray every now and then. So very welcome!!
@@TalkingWithDocs Oh THANK YOU BOTH, 🌞 that's reassuring and how very kind of you to reply so quickly, very much appreciated!! 😊 Now then, keep making your FUN, BRILLIANT videos dear Doctor's, from a big fan of yours in Ireland ☘
My late grandmother broke a hip and had a replacement at 99 years old. Recovered from it, but did pass away about a year later at 100.
Sorry to hear that Abbotsford. A full life for sure. Thanks for watching and subscribing
I’m just wondering which is better when having the operation done. Epidural or anesthesia? I am 31 and I will be getting a hip replacement come next week. This situation happened to me at birth. I can’t wait another 31 years or a year. I’m tired, very limited, find myself stumbling over myself, can’t be a great mom for my boys, hardly can work, etc.... I’m over the pain. I can’t and won’t stand it any longer. And believe me I’m going to take great care of that hip once it’s done ✅
Hi Precious Rush. This should be discussed with your surgeon and anesthetist but we would typically recommend spinal anesthetic for post operative pain control. Thanks for watching, subscribing and sharing with someone if you did.
I have a left leg knee disarticulation as of 2008 and have lived an active lifestyle since. In 2019 I broke my left hip, the ball of my femur had completely separated from my femur, and a large rod was installed. Over the last year I have developed pain in my left hip so my doctor ordered x-rays. They have discovered avascular necrosis and osteoarthritis in my left hip.
My doctor mentioned doing a total hip replacement but I am concerned about frequent hip dislocations because of the muscle atrophy of my residual limb. What is the likelyhood of hip dislocation of the residual limb with sever muscle atrophy? What is the likelyhood of breaking my femur since the bone density has degraded? In your opinion, will I be on very limiting work restrictions based on the high level of these risks? Is there anything else I should be concerned about?
Hi Phil. The risk of dislocation is low just not zero. We assume your hip muscles can be strengthened. The bone quality also is somewhat concerning but many patients have osteoporosis which is treatable. Best of luck to you
In less than a week I'm getting a total hip replacement, and I'm only 26. I suffered for 13-14 years due to a SCFE Slipped capital femoral epiphysis injury that was never taken care of. SCFE caused my femur to break through my growth plate and shift outward and regrow. Due to the injury my femeral head is disformed and caused my leg to an inch shorter than my other leg. The disformity is wearing down the socket causing a lot of pain. Physical therapy helped for getting strength back but not helping my pain. Tried a shoe lift still didn't help. Just hoping this discussion with help.
Hi PROB3ARWrestler. Good luck with your upcoming surgery. Yes SCFE can be hard to diagnose and treat and can often lead to degenerative changes in the hip leading to hip replacement. Hopefully after your surgery you will have less pain and closer to equal leg lengths. Please keep us posted. Thanks for watching.
I'm 19 and looking at a possible THR.. I've been on crutches for the past month because of pain so anything to get me back to a bit more of a normal life would be great!
Hi Veronica. Sorry to hear that. Medication and Physio can help some. Others need the surgery. Best of luck. Thanks for watching and subscribing if you did
@@TalkingWithDocs thanks!
I’ve had both of my hips replaced. My first one was 24 and my second was at 27.
Dear talking with docs hi this is going to be my first time have a hip replacement surgery and I am very worried and scared to I am nerves about staying in the hospital after a hip replacement surgery thanks from Rachel Grant
Good luck to you Rachel. Thanks for watching, subscribing and sharing with someone if you did.
Is there any way you could talk a little about osteomyelitis? I was just told I have that. I enjoy and learn a lot from your videos. I do have to have a portionof my toe amputated. Thanks
We can add it to the list Joyce. Thanks for watching and subscribing if you did
Dear talking with docs hi my name is Rachel and I want to know what hip surgery would they do on hip arthritis in the hip joint
Hi Rachel. Likely a total hip but you would need to talk to your surgeon. All the best. Thanks for watching and subscribing if you did
Thank you docs you r amazing
You are very welcome. We are simply trying to provide as much useful information as possible. Thanks for watching.
Dear talking with docs hi my name is Rachel and I am 45 years old woman am I to young for a hip replacement surgery thanks for Rachel Grant
HI Rachel. Everyone should wait as long as they can. That is up to you. Thanks for watching, subscribing and sharing with someone if you did.
Hi I have soft tissue inflammation on 1st metatarsal.I am taking 600mg of ibuprofen every 7/8 hours , applying ice 2/3 times a day and wearing a hard heavy boot podiatrist gave me.I have been with this pain for 2 months now, and the progress is very little and slow.Please advise me what to do, if what I am doing is ok, etc...etc...Please,Please,Please....thank you.I am 67 years old and I love to walk.I got this on my foot and also hip bursitis but the bursitis went away with exercises...
Hi Kate. Really depends on your fracture type and location. Would need to discuss with your local doctor. Thanks for watching and subscribing if you did
what are your thoughts on hip labral tear 60yr old female? Any chance recommend arthroscopic surgery repair? I've been told, patients over 40, automatic hip replacement because chance of needing a hip replacement in the future is likely.
It depends on the amount of arthritis but yes often it is a hip replacement
found out i tore the joint to the ball and socket to my right hip i see the dr this week im nervous about it
Hi Renee. Hopefully they can provide some answers as well as some options for treatment. Good luck and keep us posted. Thanks for watching.
if these replacements were guaranteed not to loosen or dislocate, then most everyone would likely go ahead and have this procedure.
what was not mentioned is the facts that after these surgeries, you have to be careful not to sit in low chairs, you can't cross your legs, or move in certain ways because if you do, the possibility of dislocating the artificial hip is increased. revision surgeries are also less successful than your original surgery.
Hi Paul. You are correct that there are limitations after getting an artificial hip. Thankfully dislocation is very uncommon - less than 1 percent - and yes revision surgery is less successful than the original one. That is why we advise all patients to wait as long as you can before consider this. Thanks for watching.
There are some prosthesis that eliminate potential for dislocation, dual motion or something its called.
Hi docs,
I fractured my femoral neck and underwent surgery for an IM Nail. I am 22 years old and 3 months post op I can tell something is wrong with my hip still. My PT told me that if I was older I would have been given a hip replacement. Any tips you can give me on what to do?
Hi spencrob. It is somewhat difficult to give a definitive answer without a proper physical examination and review of your xrays. If you feel that things are deteriorating, it would be important to follow up with your surgeon and be assessed, possibly with new xrays. It is important that the bone is healing properly. The majority of treatment after such an operation is physiotherapy to strengthen the muscles and retrain your gait. Hope that helps.
I've heard of a 'forever hip' replacement from a friend who was in an accident and had one , is there such a thing?
Hi Paul. We have not heard of the forever hip replacement. It sounds like something that might be sold at a jewelry store or possibly a flea market. Seriously, implants are lasting much longer however there are no guarantees and forever is a long time. Hope that helps.
I am 9 weeks post op neck femur fracture witj dynamic hip screw and doctor instructed me partial weight bearing after he saw my x ray after 6 weeks. This arab doctor not explaining properly about weight bearing how much percentage and i ask physiotherapy but he is not suggesting just he told do my own so i wish your 2nd opinion cause im worried because i develop pain at thr back of my knee. I wish i could send you my x ray but i failed here to send. People has fear of unknown if the situation like this is not properly explain.
Hi Pedro Lim. You should watch our hip fracture video. Femoral neck fractures are a type of hip fracture. Weightbearing is typically decided on the stability of the fracture and fixation. Usually by 6 weeks this would be considered. Ultimately it should be discussed with your surgeon. If you have pain at the back of your knee you should be assessed by a doctor to make sure that you do not have a blood clot which can occur in the setting of a hip fracture. Hope that helps.
Dear talking with docs hi do you think that I will do good with hip replacement surgery or total hip replacement surgery thanks from Rachel Grant
Best of luck Rachel. Thanks for watching, subscribing and sharing with someone if you did.
Do you ever start a total hip or knee replacement and for some problem with the patients anatomy you have to abort the replacement? Thanks for your videos.
Hi P G. Not yet. We plan very carefully before. Thanks for watching and subscribing if you did
Dear talking with docs hi my name is Rachel I want to know if a hip replacement surgery would help me with arthritis of the hip joint
Hi Rachel. It may. Best to discuss with your surgeon. Good luck. Thanks for watching and subscribing if you did
Birmingham is a good option for hips, it only resurfaces the ball and you are able to return to most activities.
Hi dapper dog. Yes a hip resurfacing is an option for some people with advanced arthritis of the hip. There are specific risks and considerations for that procedure compared to a complete hip replacement. Thanks for watching.
@@TalkingWithDocs Do you have a video about risks/considerations for resurfacing vs replacement? Consensus that I have found so far seems to almost universally be that once the arthritis is advanced they don't want to consider surgical alternatives... they just want to replace. I am 50, with dysplastic hips (incidental recent discovery although I did wear the shoes with the bar as an infant, and always had slight functional differences described to doctors abstractly and summarily dismissed ;-) ). On the more "severely dysplastic" side (by which I mean the head of my femur is more clearly not within the socket, sticks out more) I have severe, bone-on-bone arthritis, replete with very ugly surfaces on ball and socket. Replacement is scheduled in mid September, but I'm not fully committed yet.
Dear talking with docs hi I want to know if hip dysplasia causes a weak quad muscle in the leg from Rachel Grant
Usually not
I am 78 and had minor stroke 2020 during Covid. I had a mild heart attack in 2012 and I’m on blood thinners and Bo meds. I’m active and cardiologist says I’m good to go but I’m very concerned about the dangers. It’s not that I don’t trust my doctor but I have done a lot of reading and I don’t want to role the dice on another stroke. Any advice..?
Hi Lynne. So optimize medically before which it sounds like you have. All surgery has risk. It really depends on the severity of your pain. Best of luck. Thanks for watching and subscribing
My dad is going through this constant pain in his right Leg and Hip. Seems to be endless.. He just turned 70 years old. And was told by other doctors that he's too old for Hip and Knee replacement. And It sleep deprived him. And has overweight problems too. And has to walk with a walker because of this constant pain. Struggles to even shower because of this. He was normal until May of 2019. He's planning to see the surgical doctor on 16th of this month. But seriously needs this type of surgery bad. Extremely it seems. I really hope they do something about this that been happening since months. Or he's will lose the will to live..
Hi Chris. So depending on other factors we would not say that 70 is particularly old. Best to see the surgeon and discuss all the risks and benefits that are specific to your dad. We suspect someone can help him. Good luck and thanks for watching.
Hi. Thank you so much for the video. I'm a woman of 35 years old, suffering from genetic spondilo arthritis for the last 20 years. No treatment would work for me, so now my hip joints went already deformed so badly that i hardly can walk and the pain is too severe. I wanted to ask you, in case of hip replacement at 35, when it will be worn out let's say after 15-20 years, can the same surgery of hip replacement be done again by changing it for the new artificial joint? Or the replacement can be done only once in life? And also one more question, can i give birth to a child with replaced hip joints? Thank you very much.
Hi Nilambari. Yes once your THR has worn out, revision (or repeat) surgery can be done. This is more difficult and does not have the same results as the first one but can be done. As for childbearing, yes you can have a child however the position of your legs during delivery has to be more carefully planned out as extreme positions could potentially lead to dislocation. This should be discussed with your obstetrician. Thanks for watching and good luck.
Talking With Docs i understood, thank you so much for such a nice reply!
Talking With Docs ´
Can you explain a back eblasion (wrong spelling) to me for arthritis in my lower back
Hi Adeline. We can add it to our topic list for another guest speaker. Ablation simply means trying to nullify the pain by addressing the nerves one way or another. Thanks for watching and subscribing if you did
I had a THL little over 2 weeks ago. Advanced osteoarthritis and collapsed hip. 2 years of 24 7 pain. I am....was an avid runner. And 3 different ortho drs said it was not running that caused the arthritis, but at a certain point certainly wasnt helping. I had signs of necrosis from years back that probably determined i would hip issues, regardless. What is confusing and frustrating is to be told, nope, no more running....ever. Makes me question getting the surgery. Particularly now in the early recovery stage and more sore and pain than the past 2 years presurgery. That should resolve in time. More confusing is hearing drs say they are concerned about having to do another surgery down the road when the hip wears out. Why is that such a concern? People need to live their life. And if its such a big concern, they why do surgeries on anyone younger than 60s or 70s???
Hi Neil. The only reason they are concerned is because it gets more difficult and there is bone loss. It is what it is though. People need to live their lives. Hope it works out for you. Thanks for watching and subscribing
I was also an avid runner for many years. I had to give it up when I turned 50 due to chronic achilles tendinitis and plantar fascitis. I really miss it, but have since gotten into biking and open water swimming. And now I have severe arthritis in my right hip at almost 59. The standard advice is not to run after hip replacement because the high impact can cause the artificial joint to wear out much faster. Additionally, not to play soccer, football or basketball. But low impact activities are totally OK. It's also harder to do revision surgery after the initial replacement wears out, so it benefits you to try and make the first one last as long as possible.
My hip was toast at 18. Waited till 27 to get the BHR. Still have pain but I regret losing a decade of my youth. Wish I had gone with Dr. James Pritchett's newer ceramicized metal ball and double crosslinked polyethylene cup for resurfacing but like I said, my quality of life was zero. If it's zero, then why wait till you're older and let life pass you by? Also, the newer hips not only last a lot longer they believe, but at revision they can just change the ball and liner and leave in the stem and cup..so a revision is not as big of a deal as it once was correct?
Hi Vince. Yes we are better at revisions than we used to be in part because of better implant choices and techniques. It is all about quality of life and sometimes you do have to have surgery before you want to. Hope yours lasts another 40 years! Best of luck to you. Thanks for watching and be safe.
@@TalkingWithDocs thank you. I hope so too. The lingering issue remains metal ions. Mine are low. But they remain inside of me day after day.
Hv seen a lot of post surgery films,,luks definitely one cnt do it alone
No you need help for sure
Dear talking with docs hi my name is Rachel Grant I am 45 years old and I want to know if I am to young for a hip replacement or a total hip replacement can you let me know ps please thanks for your help from Rachel Grant
Hi Rachel. We have responded to your other comments. Thanks for watching, subscribing and sharing with someone if you did.
Hey Docs , how about 2 or 3 herniated discs in lower back. Am I safe for surgery at 69 almost ?
Heartwise Im still ok. I get some irregular heart beats occasionally.
Hi Victor. Many patients do have disc disease. It is not a contraindication to surgery. Best to discuss with your surgeon and the anesthetist. Best of luck to you and thanks for watching.
Dr i have l3l4l5 fecet disease but hip arithrits in my hips. The great trachanter has arithritis due to few major falls. I am 50 but i suffered 17 years with pain.i am trying traveling to india to get fix all the problems.
Hi Docs
I Had a Few Mild Strokes. No lost Of Functions . A Little Slower Thinking.
5 years Ago On Blood Thinners And Presure Pills. BP aroung 140 most the time 130-150
1 yr Ago Had Xrays On Hips Both Bone On Bone
64 Yrs Old Torn Cart. In Right Knee Since High School. Can Live With That.
BUT I Need Hips Fixed!!
Does The Stroke Make My Operation More Dangerous ?
TIA Mike
Ps: No Insurance Waiting To Get On Medicare.;-))
Hi mike. Sorry to hear about the difficult medical path you have been on thus far. The short answer is that yes you are at a higher risk of stroke during and after surgery than the average patient due to your medical history. Only your cardiologist and neurologist can determine the severity of the risk. It does not necessarily mean that you are not a candidate for surgery but that some extra tests would be done beforehand to determine if it was safe and possibly some special measures in and around surgery to reduce your risk further. Good luck.
Thank You Docs;-))
Hope Things Will be Ok When I Get On Medicare?????
Yes good luck mike.
@@MrNetnut Did you get on Medicare and get the surgery Mr Digit? I'm trying to get people to answer a few years later on these threads but no one ever does and I wonder what became of them and if they got fixed. I'm on this path now.
Having mine soon
Good luck!
I am due hip replacement in couple weeks and have had ME for 30 years which has been disabling. I wonder if I will make good recovery.
Fingers crossed Jean. Thanks for watching and subscribing
Am I too young ? 39 will have Mako (left) hip replacement next week 😔many people seems wondering why I need hip replacement???? I have thalassemia and many doctors here in london said we don’t no why you got this problem . I feel very sorry to my life .
Hi Panida. Yes this is young but I’d you have severe pain and advanced arthritis often this is the only choice. Thanks for watching and subscribing
Sir my both hip stage 3rd and stage 4rth .And orthopedic doctor told me only replacement not other way .I m to young 30 only .And doctor said hip replacement life only 10 to 15 years only .After replacement u cannot sit down and many things.please advice me what I have to do.any other option without replacement
Hi Tahir. It is difficult to give specific advice without examining you or reviewing your films. Often total hip replacement is the only option left. This procedure does have a limited finite life span however that needs to be weighed against your quality of life. It is often a difficult decision and one that should be made with the assistance of your surgeon. Hope that helps.
Im 23 year now i have hip pain when i was 20 yrs i cannot sit on short chair,,my left leg is started thin and short....but the ortho doctor said im too young to do hip replacement......but the pain cannot stop ....
Please help me how can i do...??
Hi Elas. The treatment will really depend on what the problem is. If you have hip dysplasia often those patients will need a hip replacement at a younger age. You may have to find a surgeon that is more experienced treating younger patients. Good luck and thanks for watching.
after a year of hip replacement can you play soccer and run docs?
Hi SwJohan. So you physically could do those things however we recommend avoiding running for exercise to preserve the lifespan of your implant. Hope that helps. Good luck. Thanks for watching, subscribing and sharing if you did.
I was in a car accident about 6months ago and shattered my pelvis. Recently I had an appointment with my surgeon and was advised to have a hip replacement. As of now my hip is the only thing really holding me back from moving forward. I am only 25 and have my surgery scheduled three weeks from now, could use any advice possible. Thank you
Hi Jason C. So sorry to hear about your accident. Having a hip replacement at a young age is a difficult decision however if your life is severely compromised you are someone that will likely benefit greatly from the procedure. There is the risk that the hip will require a revision down the road but you can't change what has happened to you. Delay as long as you can and once you have it protect it. Good luck
For a youngster, surely option no 1 must be to attempt to fix the hip or knee through exercise. I am now 67, and about 8 years ago I hurt my right knee doing low squats. I went to a biokineticist, and she gave me a set of exercises to do. About six weeks later, I was fine. Around 5 years ago ago, I started suffering from a pinched sciatic nerve, very painful when walking. Went back to same biokineticist, and again a full set of exercises was given to me. A little longer this time, but two months after rigorously doing the exercises, the problem was gone. A friend of mine, same age, is currently experiencing pretty severe discomfort in his left hip, and he is currently going through some exercises as prescribed by a physiotherapist. It will be interesting to see what his outcome is.
Hi Stefan. Physio is always a great starting point but if your arthritis is advanced it will likely not be enough to avoid surgery. But it is all about pain control and having a quality of life that is acceptable to you. Thanks for watching and subscribing
Hey do I have a opinion on which material I would like them to use for hip replacement
Hi Edward. Very good question. Depending on the hospital you may have a choice however typically you want your surgeon to use whatever implant they are comfortable and familiar with. Thanks for watching.
Hello doctor, my mom is 82 years.. She had hip surgery 3 months back, she is not able to walk , she feels soo much pain while walking with walker. She is doing exercise also. Can u tell me how to make her walk without pain.
Hi sunitha. There are many reasons that patients have difficulty walking after hip surgery. It can be related to the implant or the muscles and the bones. It could potentially be related to a complication like an infection. The best way to get this properly assessed is to return to your surgeon for a proper examination and investigations. Hope that helps. Good luck. Thanks for watching and subscribing if you did.
@Talking With Docs .Thank you sir for replying. My mom is not having any infection. Her wound is healed completely. She don't have bp and sugar. She is healthy. She is feeling pain while standing. That's it.
Dear talking with docs hi am I old for a hip replacement I am 45 year old woman
Hi Rachel. Not too old. Some would say too young. Thanks for watching and subscribing if you did
I’m 38 getting a thr nov19 and I need a knee as well i zero quality of life. I can’t even get a fucking pill because of these jerk offs overdosing so I litteraly in every sense of the word suffer everyday 24 hrs a day because even on ambien I can’t sleep because of the pain. If this doesn’t work I’m not morbid I’m ready to “go home” and those close to me will understand and be happy I’m no longer suffering
Ahh! It's The 2 ELITE Men :) :) I Am 48 Years Young And I Am Due "A Hip Replacement Due To What My ELITE Men / Consultant Orthopaedic Surgeons X 3 Call "Medically Induced Osteo Arthritis" I CANNOT WAIT For Them "TO FIX Me Once Last Time" I HOPE LOL!! :) :) :) :)
Good luck!
Hi love your advice on CZcams.. i am 51 yrs old i fell fractured my ankle it has been in casts then the moon boot. I now walk with a splint because I have foot drop.. The doctor at the hospital said that i could continue to walk with the splint... and not have an operation some docs say i need an operation. The doctor told me if i had an issue..for me i have no idea what sirt of issue i should be looking for. I only know when i cannot walk on it When i walk the fractured bone tends to swell up becomes hot and when rested goes back to normal. I am waiting for an operation for my footdrop. Why are doctors so indecisive?
Hi Figen figgy. Thanks for sharing your story. Sounds like your case is not totally straightforward. That is usually the reason for being indecisive as often there are multiple options with no guarantee. Hopefully you continue to improve. Thanks for watching.
@@TalkingWithDocs Thank you for your prompt reply..I had another doctors advice..i am happy with my condition.. I will not get an operation done..I will wait it out..
Thank you again
Hi Figen figgy. Waiting is most often a reasonable choice when it comes to joint replacement. You can always change your mind and have the operation later. We advise our patients to try and remain as active as you can for as long as you can. Good luck.
@@TalkingWithDocs Thank you so much..I aaain my feet everyday 🥰😘😍
I tell you, my dear friend must have weighed in at 250+ . She needed a hip replacement.. but 11 of them?? They kept breaking 😢 anatomical issues maybe??
Oh wow Rob. Hard to say
I found 11 hip replacements to be more than unusual.. she died of
RAD. .I believe the weight killed her in a disease way. Plus stress.
I am a 29-year-old female with avascular necrosis of my right hip. I have had hip pain ever since I was in my late teen's early twenties. I noticed that I walked funny in grade school but now as an adult, I'm in so much pain. I don't work because my leg hurts so bad. The doctors say that I need a replacement but I'm too young. They say that it will wear out and I will need a second surgery. They want me to walk with a cane or crutches. I have tried a cortisone shot and keeping off of my leg but the pain came back. I also have type 1 diabetes and tuners syndrome. I have read that cortisone shots can raise your blood sugar and I'm not too thrilled with the idea of pain pills as a long-term solution. I wear a continuous glucose monitor and pain meds can mess with the readings that it gives. I know that I want the hip replacement because no matter what, my hip is still decaying and just waiting around won't stop that. I know that diabetes puts me at higher risks of complications but if doing the surgery will help with the pain isn't it worth doing? I can't do the things that I used to do and I can't pay my bills. This is misery. Any advice people can give helps.
Hi Hannah nur. It sounds like you have endured your fair share of pain. It is always difficult when patients have pathology that requires a hip or knee replacement at a young age. Like the video says, it is always better to wait as long as you can however eventually you get to the point where your quality of life is so bad and the pain is not tolerable. At that point, you have to consider a joint replacement. There are consequences to having this type of surgery at a young age - primarily the risk of requiring a revision. This does not change the fact that you are in severe pain. If the patient is willing to accept the risks, it is not unreasonable to perform the operation at a younger age. The purpose of the surgery is to improve your quality of life and it will likely do that. Hope that helps. Good luck.
I'm suffering from the same problem too. I'm 23 and I'm fully dependent. Going for THR next month.
Hoping for the best.
Wanna embrace the life once again.