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upcoming hip replacement

trinkd

Diva in Training
Hi all,
I lurk here mostly, but am going to chime in now. I've made a decision, will keep you updated on progress if anyone is interested.

We're spending our current "summer of sugery" in Vail/Frisco, becoming best friends with all the good folks at Steadman Vail. [lol, I see "summer of surgery" is a thing - not just what we call it!]

Hubs had hip labral repairs done to both hips 8 and 7 years ago, and one had gone bad, so he's just had a Dr Philippon "revision." Things are going well, albeit slowly, but he's in good shape and should be skiing (maybe gently...) by winter. We travel full time, living in hotels and airbnbs, and our winters are skiing.

I've known my left hip was headed to repair for years now (since at least 2013). By the time my FAI was "discovered" it'd been a lifetime of impingement and tearing and, well, it's just yuk. Even Philippon said he *could* try, but repair might not last very long. I'm not losing a summer/fall/perhaps winter to a repair only to do it again in 2 years for replacement; I'm 63 and fully recognize the need to keep on keepin' on. Foot on the throttle and all that. He referred me to Dr Kim here at Steadman, who I gather is quite "the" replacement doctor. I only say that to acknowledge my confidence that I'm in very good hands. The driving force with every person we've encountered here, including patients, has been a very true desire to get you back to doing the things you want to do - to hell with "I'm 63": so what? (I agree!) That's the benefit from sports clinic - and yes, the signed jerseys lining the walls are indeed impressive here.

I'm scheduled for late August. Everyone from the doctor to all the PAs to the physical therapists agree that I'll be skiing by January. I was already skiing easier (no blacks unless really wide and smooth, groomers only) because of some pretty severe osteoporosis in my spine. I have no effects from that, but falls bear a higher risk than they used to. :smile: Oh, and did I mention the two femoral cartilage transplants in the opposite leg's knee I had almost 10 years ago? Yes, I'll go through hell and high water to keep active! Anyway, they say that once I'm through the first 6 weeks of just walking, then 6 more weeks of increasing activities, activity is supposedly unlimited at 12 weeks. Really, NO limitations. SKi, hike, yoga, whatever. OK, I admit, they suggest no marathons, but there was no danger of that: I'm not a runner. I have friends with replaced hips who have been told odd things like no yoga down dog pose, but these guys... nope, nothing. I admit I'm waiting for the other shoe to drop, it sounds too good to be true.

The hip decision was tough: I move just fine, mostly, from years of just living with it. Skiing and hiking and tennis and whatnot, I'm able to do things right up until my hip is "dinged." When that happens, usually in spring skiing, I am in for a world of hurt for a while - and each year how long it takes to get over an injury gets longer and longer. This year's ding included a "snap" with stepping up that made going up a stair painfully nearly impossible for weeks. Aching badly enough to prevent sleep at the end of the day has persisted for months but IS waning. Even I have to admit it has finally gotten to where I hesitate to do some things like longer hikes because I'm afraid my hip might "go bad" at an inopportune time (like at the top of a mountain). Ok, and yes, I guess I've been limiting other things as well. Time to be honest with myself.

My husband had been keeping quiet, I found out, but finally this year also chimed in that I was starting to slow myself down not because of age but because of my hip. That came with a loving "stop it!" We're here in Vail, so as soon as he's recovered enough, here I go (gulp).

They assured me that 63 is exactly the average age of a hip replacement currently, and that I could expect at least 20 years, more likely 30, on this hip. When I do the math, that sounds ok. It's a research institute, too, and I have been told I must return at 1 year, 2, 5, 10, and every 5 thereafter to be followed.

It feels surreal. Any positive comments? No fear mongering here, ladies, please, my decision has been made.
 

skibum4ever

Ski Diva Extraordinaire
No advice on your hip; I'm a leg person.

But I do know that Steadman is the best. Go for it.
 

WaterGirl

Ski Diva Extraordinaire
DH went bionic - a full 2.5 year process, two hips and then one knee. Same amazing surgeon who has a reputation and very specific protocol for how the healing process goes. DH went from not being able to sit on his longboard to now a few years after ripping on his shortboard like he did 20 years ago, snowboarding (backcountry split also) and has now taken up skiing (easier when icy to get off lifts etc).
Pain and Inability to do what he loved were the motivating factor. Like at Steadman, his surgeon is know for working with athletes and expects a high level return to play recovery. I *think* a lot of it in the beginning is just trusting that your new parts are as good as the old ones.......

Edit @trinkd I am assuming this is anterior approach?
 
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scandium

Ski Diva Extraordinaire
Hips are a really stable joint because of the ball and socket, and I expect that following the program is exactly how you'll get back to doing things! I know a number of people on snow with at least 2 joint replacements.
 

BlizzardBabe

Ski Diva Extraordinaire
Angel Diva
Hubby had a hip replacement last year. They really know what they are doing these days. He was up and about right away and gradually increased his walking, etc. each day. All went smoothly and, watching him move, I honestly can't recall which hip it was he had replaced. You'll do great - he is a lot older than you!
 

GladeDuchess

Ski Diva Extraordinaire
It is so amazing what they can do these days. So many options including customized implants made to specifically fit individuals.
Many years ago, my great grandmother fell and broke her hip in her 60s or 70. It sentenced her to be wheelchair bound the rest of her life. Many years later, like 10 years ago perhaps, her son fell and broke his hip at 93. They replaced it and he was up and walking on it the next day!

@trinkd at 63 this may be the best time. I've a friend who put this off for YEARS. She kept getting slower and had increasingly more pain when walking. She just kept avoiding it till she could hardly move. She just had both hips done in the past year at 71, and can't believe she put it off so long. She walks without pain, travels again, and is living life once more!

Best of luck, and keep us posted how you do!
 

trinkd

Diva in Training
DH went bionic - a full 2.5 year process, two hips and then one knee. Same amazing surgeon who has a reputation and very specific protocol for how the healing process goes. DH went from not being able to sit on his longboard to now a few years after ripping on his shortboard like he did 20 years ago, snowboarding (backcountry split also) and has now taken up skiing (easier when icy to get off lifts etc).
Pain and Inability to do what he loved were the motivating factor. Like at Steadman, his surgeon is know for working with athletes and expects a high level return to play recovery. I *think* a lot of it in the beginning is just trusting that your new parts are as good as the old ones.......

Edit @trinkd I am assuming this is anterior approach?
absolutely.
 

trinkd

Diva in Training
It is so amazing what they can do these days. So many options including customized implants made to specifically fit individuals.
Many years ago, my great grandmother fell and broke her hip in her 60s or 70. It sentenced her to be wheelchair bound the rest of her life. Many years later, like 10 years ago perhaps, her son fell and broke his hip at 93. They replaced it and he was up and walking on it the next day!

@trinkd at 63 this may be the best time. I've a friend who put this off for YEARS. She kept getting slower and had increasingly more pain when walking. She just kept avoiding it till she could hardly move. She just had both hips done in the past year at 71, and can't believe she put it off so long. She walks without pain, travels again, and is living life once more!

Best of luck, and keep us posted how you do!
Thanks,
Yup, I'm taking the plunge exactly at a time when my hip is under control - to get that pre-op strength in preparation! I've been blasting straight up the black diamond trails at the base of the Vail resort when my husband is in PT for the last few weeks. When I tell the PTs what I've been doing but that I'm getting it replaced in a few weeks they just don't even bat an eye. No excuses to be made - your hip ain't working right, get it fixed by whatever means available.

Honestly, it still works "ok" some or most of the time, but the "dings" just last longer and longer at this point when they do happen, and the final straw (as I said) was not being able to go up stairs comfortably for weeks. (!!) Nope nope nope.

My hip helps out my fears by *mostly* being ok, but at least once a day I feel a sharp pinch or something else fleeting that reminds me that yup, this hip did its best for me over the years and I love it for that, but time to move on.

Keep the positive stories coming!
(p.s. I'm 63?! Huh, I feel about 35... ;P)
 

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