Hip Surgery Experience

When I broke my Tibia and Fibula playing football my sophomore year of high school, I started to really think about what I wanted to do with my life. I had a lot of love for playing football, and I knew that I did not want to stray too far away from the sport. It wasn’t until I started going to physical therapy that I realized that I didn’t have to, so I decided that I wanted to be a physical therapist, to help other people get back on their feet. However, my junior year, we got a new athletic trainer at my high school. So, I decided to ask Mrs. Pam if she would mind if I shadowed her, to learn more about what she did, and how to help other players with their injuries. She agreed, and I spent my junior and seniors years shadowing her. I learned

I'm professor of biology and chemistry. I'm 26 and from Croatia so sorry for my bad english. I went trough hell lest couple of years. I was in wheelchair because of my hips and my back. I had two hip surgeries (left and right). I was suffering from back pain and sciatica last 10 years. Last year was the most difficult but I recovered successfully.

During the weeks of February 7 through February 17, I observed a total hip arthroplasty on a 56-year-old Caucasian female patient who suffered from a femoral neck fracture and damage to the acetabulum. The fracture was a result from a car accident where the patient's knees collided with the dashboard, forcing the femur into the hip and breaking the femur.

Through a debilitating scoliosis resultant of poliomyelitis, my grandmother found herself in need of a total hip arthroplasty. Following her journey and meeting the doctors, surgeons and nurses responsible for her procedure and recovery offered my first insight into the medical profession. All members of the team displayed vital interpersonal skills I have since developed in myself, through work experience and volunteering. They presented information in a clear, understandable fashion, and were compassionate and attentive; listening to everything she said.

Regardless of two wrong surgeries, I was back to living each day pain free. The struggles I had overcome throughout the whole year shaped me into the person I am today. Likewise, I couldn’t believe how lucky I was to have a surgeon and physical therapists who dedicated their own personal time to help me recover. Nonetheless, their inspiration is what helped me decide what I wanted to do for the rest of my life. I knew from the moment I met all of them, physical therapy was what I wanted to do for the rest of my life.

Hip arthroplasty is the replacement of the hip joint with a prosthesis, and is one of the most common reconstructive operations (Huo et al 2008). Hip arthroplasty may be performed when irreversible damage has occurred to the joint; this damage often causes pain, dysfunction and reduced quality of life.

Arthritis or rheumatism is the leading cause of disability [1]. Arthritis is inflammation of one or more of the joints and the main symptoms of arthritis are joint pain and stiffness, which typically worsen with age [1]. More than 20 million individuals with arthritis have severe limitations in function on a daily basis [2]. Majority of the patients, who goes through this disability, finds their solution by doing Total Hip Replacement (THR) surgery. More than 285,000 hip replacements are performed in the U.S. each year [3]. It is estimated that by 2030 there will be an increment of 175% in the THR surgeries rising the numbers to 0.5 Million [3].Thus, these numbers portray the importance of hip replacement surgeries in the near future. Hip joint deterioration can lead to pain, stiffness or difficulty walking. When these symptoms do not respond to conservative treatment, such as physical therapy, patients may be advised to undergo total hip replacement or hip resurfacing. As part of this treatment, they may receive a “metal-on-metal” hip implant in which the “ball and socket” of the device are both made from metal as shown in Figure 1. These metal implants have been used in total hip replacement (THR) surgeries and hip resurfacing procedures. Because of metal's durability, MoM devices were expected

We went into the doctor's office and it turns how that I have a rare bone disease. Osteochondral disease which is where blood doesn’t get to all my bones and they break. I went in for an MRI and I fractured my femur bone. They explained what the treatments were and it was surgery go figure! It wasn’t going to be a huge surgery well not this one at least. I ended up going through four surgeries in one year. My sports career ended my sophomore year. I ended up sitting on the bench my junior year and moving on my senior year. I am still going through physical therapy for a full year. It has taught me that when life gets hard you have to keep pushing through. My surgeries have made me a stronger person and now I know that know matter what life throws at you you just have to get right back up and keep pushing

The second surgery that I had was very involved and included breaking my hip bone, twisting it, and screwing it back into place. This type of surgery is called a periacetabular osteotomy, which is to fix dysplasia of the hip which is what I was diagnosed with during the last surgery. In order to help the pain, the anesthesiologist gave me an epidural after he gave me the same drug as last time that made me completely unaware. Unlike before, the medication started to wear off before they put me completely under. When I started to wake up as they were wheeling me back into the surgery room I started telling the people wheeling me in that I was awake. To my complete and utter shock they didn’t believe me, and the anesthesiologist even told

Rehabilitation for the hip joint is a long, strenuous recovery because it is the major weight bearing joint for the body as well as providing several ranges of motion. Following hip arthroplasty surgery patients are non weight bearing. Initial physical therapy rehabilitation focuses on stretching the hamstrings, quadriceps, hip flexors, abductors muscles. To maintain range of motion, passive and active exercises of the hip and knee are performed. To avoid atrophy of the muscles, strengthening exercises are progressively intertwined at very low intensity levels. As the patient continues muscle strengthening activities, they will begin weight bearing with normal gait. The next stage of rehab is in the closed kinetic chain, which lowers the

Nowadays total hip replacement surgery is a common procedure with statistics continuing to show a raised numbers of operations taking place and, steadily increasing. From 2010-2011 in England and Wales, over 77,800 total hip replacements and more than 9,000 hip revisions were carried out (National Joint Registry 2011, p35). Also the routine elective surgery period between admission and discharge has been reduced in recent years. In England during 2009/2010 the length of stay was recorded as 5 days for total hip replacement (Health Service Journal 2011)

The next day I saw the surgeon. He reviewed the x-rays and explained his plans for repairing the break. Throughout the course of the treatment he consistently inquired about the team and how I was handling not playing. His actions revealed that he was not only interested in my medical health. With a few weeks left in the season, I entered his office with the notion that he would release me for play again. He looked at the x-rays and did his usual examination. Once completed, he said “I know you want to play, but one bump the wrong way and we’ll be in surgery.” He glanced at my mom and said “If you were my daughter I wouldn’t let you play the rest of the season.” While I respected his opinion, I did not like it. I knew there was no way my parents would not follow the physician’s advice. My season was done, but my interest in the field of medicine had just begun.

Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement (or) a hemi (half) replacement. In a total hip replacement the damaged bone and cartilage is removed and replaced with prosthetic components. The damaged femoral head is removed and replaced with a metal stem that is placed into the hollow center of the femur .A hemiarthroplasty involves half of the hip ,which replaces only the ball portion of hip joint, not the socket portion. In total hip replacement, the socket is also replaced.

The higher risk of surgery in a cirrhotic patient is due to the fact that the liver normally performs myriad metabolic and synthetic functions in the body. The liver is vital for protein synthesis, coagulation homeostasis, glucose homeostasis, bilirubin excretion, drug metabolism, and toxin removal, among other critical functions. The optimal management of a cirrhotic patient for elective total hip replacement surgery would involve:

Looking back, because I wasn’t able to play sports I got introduced to an amazing program at Alma. Joining sports medicine and being a student athletic trainer for football have helped me make friends and memories that will last a lifetime. If it wasn’t for the problem with my leg I would’ve never been a part of such an amazing