Hip hip boo hoo

Last week I had my follow up appointment after knee replacement surgery. I have to say that I found the knee replacement surgery a doddle and had full mobility after just a week or so, and the pain has been negligible, compared to my hip, but you will find out why that is shortly.

Here’s the X-ray of the said knee replacement, with a side view on the left and front view on the right and yes, I know the X-ray is reversed!

The knee is fully healed and I have full range of motion and what is more…no pain!

My hip replacement however, has not been all that I expected, for a start I have had continual pain, so much so that the past few months I have been unable to sleep and you know what that means? …yes, grumpy Bernice. We knew after the post op checkup X-ray and subsequent MRI that there was a probable crack in the trochanter which I was expecting it to have healed by now. There was also a suggestion at the time (and the reason I had the MRI) that something more sinister could be going on rather than a break.

There was apparently lots of discussion between radiologists and my surgeon as to what was going on but I was pretty confident that the surgeon was right and it was just a break.. did I really say that? “just” a break?

However, my surgeon was adamant that it was stress fracture, the talk of worse things he played down considerably so that I would not worry or panic. He now tells us that he discussed it with his wife, who just so happens to be a cancer specialist, and he was sure he was correct and that there was no need to put me through the trauma of a biopsy, which we discussed at the time of the first MRI when we considered having it done whilst I was under anaesthetic for the knee replacement. But the week before the knee surgery we discussed the biopsy possibilities again and I was more than comfortable with his recommendation that we don’t proceed with it. And at this stage the pain was not so bad and in fact had started to dissipate however, over the last two months the pain has increased, a lot.

Last week during the knee checkup I explained to the specialist that my hip was becoming excruciatingly painful, especially at night, and I was not a happy chappy. He quickly sent me back to the X-ray dept next door for another X-ray, this time of the hip.

And what do you know? It’s definitely fractured, with the offending piece having completely broken off at some stage! No wonder it’s been damn painful. The following pictures are of my X-ray on the lightbox so there is some shadowing and reflection.

the offending trochanter which is the knobbly piece at the top of the femur

The trochanter circled in red, the break is indicated by the yellow arrow. Not only has it completely broken off, it has moved a bit. Ouch!

So another MRI was booked and I had that on Tuesday as well as a follow up appointment with the specialist.

This latest MRI confirmed the specialists view, what has happened is that the stress fracture developed over time to become a full on fracture. I was relieved that a) it was nothing more serious and b) that I had a very reasonable excuse for being in such pain and I wasn’t just being pathetic!

We talked at length about what to do about it, coming to the conclusion that doing nothing for the trochanteric break was the only real option. It is now healing nicely albeit slower than I would like, and further surgery is definitely not in the scheme of things. The thought of them having to do further surgery to rebreak it, then reattach with screws, plates and wires is a daunting prospect particularly as everything I’ve read and studied all come to the same conclusion; the outcomes after 12 months are almost identical wether nothing is done or surgery is performed. So with good pain management the priority, we now have a plan in place and hopefully it will continue to heal and I just have to be patient (not one of my best qualities) and definitely no skydiving or other dangerous activities, even though I’ve been walking around on a fracture for months.

Apparently fractures occur in a very small number of replacements but they are the most common complication after total hip replacement surgery and of those small number of fractures about 5% are trocanteric fractures. So it’s just my shit luck to be part of the very, very small percentage to have this occur! I always knew I was a bit “special” 😉.

One Response to “Hip hip boo hoo”

  1. Jenny Benton Says:

    Oh dear Bernice, you are having a rough time! Although it seems that leaving it alone is the at to go. Happy healing, and dont work too hard!

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