Three days until R-Day!
- Well time flies when you are having fun! Or so my late Dad always used to say – I figured it passed whether it was fun or not!
I went and had my final meeting with my surgeon today and we had a good review of all the things that were most likely to happen on the day – 1 Sept 2011.
He has put the afternoon aside – no golf that day! will take about 3 – 4 hours.
- Open up the hip – have a nice handy road map (read scar) from the last operation.
- Split the femur – effectively take the top off – like a convertible roof on a sports car!
- Dig out the femoral prosthesis and all the excess glue from the last surgery as the original surgeon did not use a glue restriction cup.
- Wire the femur back together again.
- Then most likely press-fit the revision femoral stem which will be a little longer than the stem used first time round. And it will be flanged – a Zimmer implant.
Finished job with the wires should look a little like this:
Most likely there will be a need for a bone graft or some form of packing & screws for the new cup.
Then in goes the ceramic insert and femoral head – presto; a new man!Will probably be staples not sutures as it will be harder to hold together with the normal dissolving sutures – unless he uses non-dissolving sutures – but they hurt on removal as I recall from last time! LOL.
- May need to have a transfusion – getting cross-match done on Wednesday.
- Will have some of my own blood recycled too.
- Cather up the old fella – won’t have to worry about passing urine for a few days!
Had a long discussion about opioid induced constipation and agreed that I would get lots of stuff to help along the bowel motions – and some medication to offset this effect. However, there won’t be much action for about 3 – 4 days I am certain!
The normal stay in hospital for a revision is around 7 – 10 days but I will be keen to make it shorter – but the extent of the operation and the need to get some stability back in the hip may slow things down a little.
A few weeks on crutches is likely.
So I will keep you all informed with my trusty camera and laptop!
Had some new X-rays done today – two months since the last ones – seems to me that there is more osteolysis and bone loss – possibly some fragments but I am not a medical doc and I haven’t discussed these with the surgeon yet. Will do on the day of the surgery.
What is interesting is 3 radio-opaque spots showing up in the pelvic area – not sure what those are.
Will be taking iPhone and laptop to hospital to send you all the holiday snaps!
And these X-rays are much more modest that the last ones!
- Femoral Osteotomy Treatment & Management (earlsview.com)
- Hip revision surgery (earlsview.com)
- Hip Implants – from American Academy of Orthopaedic Surgeons (earlsview.com)
- Femoral Osteotomy – commonly used for adults in the treatment of hip fracture nonunions and malunions (earlsview.com)
- Visit to the Surgeon Monday 18th July 2011 (earlsview.com)
- Birmingham Hip Resurfacing or Surface Replacement Arthroplasty (BHR) With Stem (earlsview.com)
- Total Hip Replacement (earlsview.com)
- Mr. Michael Solomon, Sydney Australia Surgeon Gives Advice on Hip Replacement (earlsview.com)
- UK – Advice for GP’s – Hip Joint Replacements (earlsview.com)
- Revision Hip Replacement (earlsview.com)
- Hip Dysplasia – all you didn’t want to know! (earlsview.com)
- My Revision is Planned for 1 September – Yahoo!!! (earlsview.com)
- Revision Hip Replacement (RHR) (earlsview.com)
- Hip replacement and hip revision (earlsview.com)
- Hip Implant Removal – Total Hip Revision (earlsview.com)
- Revealed: Britain’s top surgeons for hip replacement (earlsview.com)