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spinal cord injury and hip fracture

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  • #16
    they are doing anterior replacements now a days which is supposed to be much easier. if your still having issues i suggest you ask about doing this type of surgery. it generally is day surgery or it is now at my local hospital. my father had one done a couple of years ago and was push mowing our lawn 2 days later. mind you he is not sci but it is a fairly easy surgery these days.
    T6 Incomplete due to a Spinal cord infarction July 2009

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    • #17
      I had the right hip replaced back in 2014 in FL, don't know if they were doing anterior at that point, would have made my recovery easier. It was supposed to be 2 weeks of rehab, which turned out to be a nursing home...which didn't start off very well. Because the transfer was done in the evening, they didn't have any of the meds that I was on and said they could not get them till the morning. Really??? Within a few hrs I was dealing with 9 outa 10 pain. I'm not usually a pain in the ass, but as the hrs went on I was livid. I was ready to call a friggin cab to take me home.

      They finally called a supervisor who said to give me 2 percocets from their emergency box. Didn't do much, as I was on MS Contin 30 TID and percs for break thru. Finally nodded off around 3am, only to have a lab person come in at 4 for blood. Really, in a nursing home? I'm a very light sleeper, so by the end of the 1st week...sleep deprivation. Told them I wanted to talk with the doc about being discharged...I was blown off. I hated it there, talk about feeling out of place, everyone was over 80+. I was 58 at the time. I was doing great in PT, told them I wanted out by mid week...2 weeks was ridiculous. Guess they took me seriously this time, cause I did go home midweek.

      Fast forward to late 2018, now the left one is bone on bone...so they want to replace. I said it would have to wait till spring as I live on the driveway from hell. I have a jeep, so 3 seasons it's doable, it's not usable in the winter, and walking up that hill was out of the question.

      I definitely want to go the anterior route, glad to hear your dad did well with it.....I also had a friend that had it, and she also had good things to say about it...don't know if they will let me do it and go home the same day, as I live alone with a 4 legged kid...but I know that I'm not going to do a nursing home again.

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      • #18
        as i said if they do the anterior approach it is basically day surgery if you have help, however he didn't even need help or a walker or crutches afterward. i was home and he was restricted to driving basically because of the pain meds. but he only took 1 of them. then used tylenol or ibprophen the rest of the time. it may be feasible if you have someone who can stay with you at least the first couple of nights to make sure you are ok and do shopping and such if needed.
        T6 Incomplete due to a Spinal cord infarction July 2009

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        • #19
          I don't tend to come off the hill much in the winter, usually once a month. I've been l lucky this winter as I'm still parked up top as we've only gotten a little snow, but that's ending lol, as we've got 12-24" starting tomorrow night...so it's time to move it down.
          I've got a great neighbor that I can call to grab me a few things at the grocery store if needed, she called me earlier today to see if I needed anything as they were going to the store to get some last minute stuff before the snow hits.

          Don't have anyone I can get to stay here...since I'm no longer in NH, most are too far away or working. I already use forearm crutches and/or a wheelchair, and still have the walker I can pull out if needed for after the surgery.
          If I run into any serious problems I have a 911 Help Now emergency pendant that my last doc suggested getting because of severe hypoglycemia (39) so hopefully I'll have all bases covered.

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          • #20
            I will quiz the ortho on anterior replacement and see what he says. I have to see about upping my meds to try to calm down the muscle spasms. they are not helpful when trying to heal up anything. the only surgery I ever had was when they fixed my neck after my accident. should I be concerned about dysreflexia during surgery? thx for the replies.

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            • #21
              Yes, dysreflexia can result both from the fracture itself, and is a risk during surgery (depending upon the anesthesia use) and during the post-op recovery period. You should discuss both monitoring for this and treatment of any dysreflexia that should occur with the surgeon and anesthesiologist prior to any surgical procedure below the level of your injury.

              (KLD)
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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