Tiff-Dysplasia: 7/8 weeks post-op

Friday, November 20, 2009

7/8 weeks post-op

Dr. Frederick Piehl, me and his Physician's Assistant

Sorry I am a little late on updating for the 7 week post-op I have been busy trying to get out of the house at every possibly moment.

Here is my 7 week incision photo!!

It is looking AWESOME!!!! -------- Only thing I have used is Vitamin E oil ;)

I had my 7 week follow appointment last Friday November 13th and got some NOT SO GREAT news I am not allowed to put any weight on my leg still and I will be out of work until February 1st instead of January 1st as my bones are not healing as fast as Dr. Piehl would like. I am pretty disappointed about this because I am so ready to get back into the swing of things and get a full paycheck but I guess better to be safe than sorry and have to go through this all over again on the same leg. Dr. Piehl did say that I could start putting weight on my foot assisted with crutches on Thanksgiving so hopefully that will go well. I will start Physical therapy at some point after my next appointment which is December 11th. Dr Piehl did give me the clear to drive which was nice although Sunday afternoon my harmonic balancer on my car decided to break so my car has been sitting in front of the house ever since ( so much for car privileges) I guess it happened at a good time seeing as how I am not working right now so no rush to fix it.

I was able to go to Newberry on Saturday last weekend and spent the whole day with Wesley which was AWESOME!!!! It is so gorgeous out in Newberry, and the smells and scenery remind me a lot of McBain where my father's side of the family lives. I was able to meet Wesley's parent's and grandparent's and they were so welcoming!!!!! I cannot wait to get back out there again!!! Hopefully this Sunday if my car is fixed!!!!

This past week I was able to take Hunter's Education classe which are required if you were born after 1979 in the State of SC you have to take this class in order to be able to get your hunting license so I completed that and passed my test with 100% so now I am able to go hunting with Wesley!!! I am really excited about this although I am sure it will take me awhile to learn exactly what to do it will be fun while trying!!!!!!

I have tried to start a little Christmas shopping picking up things here and there my goal was to be DONE by Black Friday but I am thinking that is not going to happen but that is OK with me I will just have to finish when I finish its hard to hit a lot of places at once on crutches anyways.

I have officially lost 30lbs post op!!!! I am in a size 8 now as opposed to a size 12 before surgery so I am pretty pumped about that. I can get my size 6 jeans on but they are still a little tight for my comfort so hopefully once Physical Therapy starts I can shed some more weight and get into those!!!!!

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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%