Pins, SCFE and total hip replacement ...

Pins, SCFE and total hip replacement - decisions! please read!

Posted in the Hip Replacement Forum

Jcbella

West Lebanon, NH

#1 Jun 25, 2012
I am 42 with a history of hip problems since age 11 - currently have 3 pins in each hip. Left hip is very bothersome, pain with any activity. Severe osteoarthritis and bone spurs make bending painful. I consulted 3 doctors (one visit was useless - young Dr and he has never had a patient with my history).
Two of the 3 would use the anterior method to do a THR on the left hip. The third, Dr. Gregory Brick, of Brigham and Women's in Boston - clearly the most experienced and an amazing reputation in the field (a rock star based on US News report) would do the posterior method and I would have a 3 month recovery - elevated toilet seat, etc.
However, the doctor in NH I liked the most would perform 2 surgeries, first to remove the pins, and 6-8 wks later a THR - Dr. Brick did not think that was necessary. He does not believe the bone needs time to heal after pin removal (Dr Brick was the final visit).
Has anyone had a similar situation? I want to have this done before the fall when I travel a lot for work and I plan to ski a lot this winter.
Thank you for reading my post. And thank you in advance for any advice - I love to play tennis, ski, bike, ice-skate, etc and I want to be more active after the surgery. I want to get it right the first time!
Brenda

Hillsboro, OR

#2 Sep 14, 2012
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Thea

Moorpark, CA

#3 Mar 21, 2013
I am a 52 year old female who had SCFE in both hips at the age of 11. Three Pins still in both hips. I have not found ONE web site that gives any information about ANYONE who has successfully had pin removal and Total hip replacement. IS there Anyone out there who is not just anticipating the surgery? Has anyone had it done? It would be very helpful to know what procedure the Doctor used and how long the recovery was. Should have the surgery soon but most surgeons I see have not performed a removal and then replacement.(especially when the pins have been in the bone for so long)Thanks, any advice would be helpful.
Ted

Anderson, IN

#4 Mar 21, 2013
Thea,
I had 2 pins placed in my acetabulum after a 1973 car accident. I had a posterior THR in December, 2011.
From what I read in my "Operative Notes" my surgeon simply removed those as a matter of course during the procedure. His comment before the surgery was to the effect "no big deal, I'll handle them in real time as I see fit.

Like many here, I really wanted an anterior approach procedure, but the 2 NY area anterior-types that I spoke to thought the pins and the accident history itself made me a poor choice for that method. The good news for me was that by April, 2012 I was fine; by that time it didn't matter whether I had a posterior, lateral or anterior approach surgery!

I'm not sure how femur pins would be handled, but from the little I know about bone growth and healing, I suspect that you likely would be a candidate for an in situ procedure.

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