From the photo on the left to the photo on the right only took 3 1/2 months!
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I was recently diagnosed with congenital hip dysplasia and miserable malalignment. This blog will be a chronicle of my journey through diagnosis, surgery, and physical therapy.
At first I was confused when I got taken back for the doctor-they didn't take me straight to x-ray. But Dr. Scheid said they were going to limit my radiation exposure and do my next x-ray when I go back in four weeks. He asked how things were going and looked over my incision and stitches where they scoped. He was concerned about the weeping along the bottom of my incision. I can uncover that part in the shower but then I have to put a clean dressing over it tightly. He also prescribed me some antibiotics in case of infection there. Still no weight on the leg until I go back. I am supposed to mimic walking with crutches by putting the foot of my bad leg flat on the ground. Only the weight of the leg can go on it. He doesn't want me driving until I clear out some pain meds but I can use the recumbant bike. I just need to get to where I can drive myself to the gym. Lastly Denise popped out all of my stiches. Yay! I follow up with him July 28th. I had to do five weeks because of the transition from one job's insurance to the next. I don't want to have to deal with sending bills to Cobra.
Next big milestone: I'm getting all fancied up for a wedding on Saturday. Definitely using the wheelchair for this one!
How many PAOs have you done? How many do you perform per year? He performs between 20 and 30 PAOs per year. He actually just did two yesterday.
Why do you think previous PAO’s you have performed have failed? Everyone's hip anatomy is different. Sometimes it is difficult to see how a person's femoral head is shaped and how it needs to be corrected prior to surgery.
Do you foresee any issues that could cause my PAO to fail? No, everything looks normal and pretty straight-forward in what needs to be corrected. He is going to pay special attention to my femoral head to make sure that it does not need any reshaping. He is also going to be making adjustments to make sure my rear coverage is corrected as well.
Should I have an updated MRI prior to surgery? Not necessary since I am having Dr. Maiers repair my cartilage.
What is the worst case scenario for surgery? Death, infection, all the normal complications that come with any major surgery. Biggest risk with the joint is that there is an over correction and an impingement occurs.
Can I get my knee screws removed? Yes.
How long will the surgery last? 2-3.5 hours for PAO. Dr. Maiers will take about an hour.
How long should I be in recovery? 2 hours
How long should I be in the hospital? 4 days
What kind of room will I have in the hospital? A private room with space for a cot if anyone wants to sleep over.
How long on crutches? Will I need to use a walker? 10 weeks on crutches and possibly use a walker at first.
How long no weight bearing? Will start to put weight on leg at 5 weeks.
When will I start PT? At 6 weeks.
What will my pain management plan be like? This will be discussed with anesthisiologist the morning of surgery. Most likely epidural, then pain pump, then have to be on oral medication for 24 hours before I can be released from the hospital.
Will I need a catheter? Yes, it will be put in while I am asleep and I will wake up with it in.
Will you be using anything to accelerate bone growth? Was this used during my knee surgery? No and no. It has been shown to cause excess bone growth in some patients and my bone should heal easily without it.
Will I be using a CPM machine? No
Can I get a temporary handicap tag? Yes, I have the application that can be taken to the BMV right after surgery. Can use the tag for 3 months.
How can I get a wheelchair to use at home? Yes, will be arranged before I leave the hospital.
Any equipment that I need to acquire prior to surgery or will it be provided when I leave the hospital? All of this will be arranged while I am in the hospital.
Any nerve damage expected? Will probably have a numb patch like I do on my knee.
Will I have to do lovinox shots or can I take aspirin like after the knee surgery? I will have to do the shots this time. Once a day for about a month after surgery.
When will I be able to shower? 7 days after surgery. Can shower before hand, but can't get incision wet.
It is so hard to believe that this surgery I have been planning to have for about 2 years is finally happening in 28 days. I am ready now to just have it over with so I can move on with my life.