Tiff-Dysplasia: PRE-OP

Friday, September 4, 2009

PRE-OP

LET ME JUST START OFF WITH GOOOOOOO GAMECOCKS!!!
WE WON OUR FIRST GAME LAST NIGHT AGAINST NC STATE
THE REF'S MADE SOME RATHER CRAPPY CALLS BUT NONE THE LESS
WE STILL WON!!!!!!!!

Well I had my last appointment before my surgery.

The Dr. listened to my heart and explained my surgery to me and let me know I would be on a morphine pump after surgery to manage my pain.

He also said hospital stay would most likely be 4 days maybe 5 depends on my progress.

He said that I will not be using the CPM machine due to the fear of me falling asleep or moving my foot the wrong way and aggrivating the incision and the screws.

My mother had a neat cooler thing that wraps the hip and pumps cool water around the hip so he said it was ok to use that so I was excited about that, hopefully that will help with swelling and pain.

He also said that he would put me on blood thinner shots YIKES
I dont do shots very well and having to administer them myself might not go so well
I suggested my mother do it since she had to do them for her prior two hip surgeries

my mother also asked the Dr since we live in a two story house and I am in the basement if I needed to be living on the upper level and not do stairs he responded with a yes you should def not do stairs for 3-4 weeks for fear of falling down them since I will be so unstable, this is a HUGE bummer since being in my own bed and my own oasis (my bedroom) will help
but I guess since my parents will be taking care of me anything to help them out the better and I sure dont want to end up down the stairs thats for sure.

After my appointment I left the office with a sense of reassurance that everything is going to be fine and I will soon be on the road to recovery!!!

Thank you again to all my wonderful friends and family that have stood by my side!!!!!

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HELPFUL DEFINITIONS

Hip dysplasia
Hip dysplasia is a congenital condition in which the ball and socket joint don't fit together the way they should. In my case, the socket is too shallow, which causes uneven pressure on the joint, a premature breakdown of cartilage and early osteoarthritis.
PAO surgery
involves cutting the pelvis in a few places and screwing it back together in a way that makes the socket joint less shallow and more accepting of the ball joint. It's meant to preserve the hip and prevent further arthritis and pain. A PAO is not a hip replacement, which is not ideal for people my age because they only last 10 years or so and require additional surgeries for revisions.
Femoroacetabular impingement (FAI)
previously termed acetabular rim syndrome, is a major factor in early development of osteoarthritis of the hip. This syndrome is caused by abnormal contact between the osseous protrusions of the acetabulum and the femur during hip joint movement.1 In patients with femoroacetabular impingement, repetitive microtrauma from the osseous impingement leads to recurring irritation, degenerative changes of the labrum, and ultimately irreversible cartilaginous damage. Femoroacetabular impingement tends to involve young, active patients and can be debilitating. Femoroacetabular impingement is often bilateral, but may be symptomatic on only one side. Femoroacetabular impingement is diagnosed and classified into two types, pincer and cam, by the clinical and radiologic presentation. However, most cases of femoroacetabular impingement are a combination of the two subtypes.Pincer impingement is caused by acetabular overcoverage with normal femoral head sphericity. The pincer effect is the linear contact between a normal neck and an overcovering acetabular rim, which can lead to labral damage. Pincer impingement is more common in middle-aged women with abnormalities of acetabular morphology.
Hip Labral Tear
The other name of hip labral tear is Acetabular Labral Tear. Labral tears frequently takes place in the front and top segments of the labrum. Hip labral (labrum) tear is a medical condition within the hip where a sort of cartilage takes place. The damage to the cartilage inside the socket of the hip joint makes your thighbone less stable inside the joint. Because of this complication the fluid may leak from the joint which may result with a friction in your hip. The cartilage is important for the hip joint for stability. The cartilage cushions the hip joint providing mobility to a person by giving autonomy and flexibility for movement.
Heterotopic Ossification
is the process by which bone tissue forms outside of the skeleton. Heterotopic ossifications will develop in 10% to 80% of cases with varying severity after surgery or trauma to the hip and lower legs. About every third patient who has to face heterotopic ossification following total hip arthoplasty (replacement) or severe fracture of the long bones of the lower extremities will develop pain and dysfunction resulting from extensive heterotopic ossification. Heterotopic ossification jeopardizes functional outcome, impairs rehabilitation and is costly because of secondary surgical procedures. Pain first arises a few days after surgery with calcified structures appearing as blurred contours on x-rays at 3 to 6 weeks postoperatively. Patients with heterotopic ossification after a previous hip arthoplasty are at greatest risk of developing additional heterotopic ossification, with incidence between 50% and 90%