PAO hip surgery

[tsteele316]

Has anyone here ever had, or know anyone that's ever had a periacetabular osteotomy done on their hip?

I'm grappling with determining whether or not this is the proper course of action since I have hip dysplasia that's only getting worse, and the ortho is recommending this procedure. but there are a lot of stories of procedures that didn't actually remedy the constant pain.

 

[Taosman]

It comes down to the quality of your life. If it will improve the quality of your life have it done. We have a friend who has Rheumatoid Arthritis and could hardly walk. After surgery she is moving much better and is more active. Several other friends have had hip surgery and it's made the quality of their lives better. These are all people in their 60s-70s.
YMMV

 

[Fungo Squiggly]

Has anyone here ever had, or know anyone that's ever had a periacetabular osteotomy done on their hip?

I'm grappling with determining whether or not this is the proper course of action since I have hip dysplasia that's only getting worse, and the ortho is recommending this procedure. but there are a lot of stories of procedures that didn't actually remedy the constant pain.

Oof. There look to be some horror stories on the internet. Is this the only option? Is total replacement on the table?

My wife had her hip totally replaced at the end of 2010. Other than the blood clot the size of Texas (doctor's description, not mine) running from her foot to her stomach, everything went smoothly and the procedure took care of her hip pain completely.

 

[FCollinsBuckeye]

My dad had one of his hips replaced - total replacement. Had it re-replaced this January since the original one wore out. I think it was 15+ years old...

If you're having any trepidation, I'd get a second ortho opinion if I were you...

 

[Gatorubet]

My dad had one of his hips replaced - total replacement. Had it re-replaced this January since the original one wore out. I think it was 15+ years old...

If you're having any trepidation, I'd get a second ortho opinion if I were you...

And no matter what, if you have a choice I'd use a guy who has done a bazillion of them. And I'd look to see if there are reported malpractice complaints against him or her, as a small % of bad docs tend to make up a majority of claims. If you have doctor friends (or good long term relations) in a different specialty, do not tell him or her who your ortho is, but ask them who has the best reputation. They won't say who is a a bad doc, but they will tell you who the good ones are.

And never use the M word with any of the doctors.

 

[tsteele316]

the ortho i went to has done tons of these things. he recently wrote a journal article on the procedure.

they say i'm too young to do hip replacement and that this could delay the need for total replacement by 10+ years. i'm only 32 and don't feel like stockpiling a cache of artificial joints.

 

[Fungo Squiggly]

the ortho i went to has done tons of these things. he recently wrote a journal article on the procedure.

they say i'm too young to do hip replacement and that this could delay the need for total replacement by 10+ years. i'm only 32 and don't feel like stockpiling a cache of artificial joints.

Obviously a different situation as my wife was dealing with degeneration of the joint and her hip had eroded tremendously, but she was only 30 when they replaced hers.

And they say that the current replacements may last up to 30 years. Our logic was that she can get it done at 30, again at 60, and probably not a third time.....or she can tough it out for 10 years, get it done at 40, again at 70, and then almost certainly not a 3rd time.

Either way, we figure that she's probably going to have it done again later, so why go through the agony for 10 years. And it was agony. God, it was awful to watch her walk.

Her surgeon did say that her X-ray was the worst he would see in a month and that it looked like an 80-year old's hip.

And as a guy (I assume you're a guy), I'm thinking they would be able to use a metal replacement which should last even longer than the ceramic/plastic ones.

I guess I don't see the point in not going with the THR.

Good luck either way!

 

[JohnnyCockfight]

Has anyone here ever had, or know anyone that's ever had a periacetabular osteotomy done on their hip?

I'm grappling with determining whether or not this is the proper course of action since I have hip dysplasia that's only getting worse, and the ortho is recommending this procedure. but there are a lot of stories of procedures that didn't actually remedy the constant pain.

Have you gotten a second opinion from another ortho doc? My advice should be apparent if you haven't already gotten a second opinion. And if both docs recommend the same thing, then that should give you more comfort with the choice.

It's a shame to hear that you have hip dysplasia, as nowadays they almost always catch and treat that at a very early stage in infancy (in this country at least). My father-in-law had it and had a hip replacement a long time ago, and will likely need another soon.