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Rods fixed above the knee and hip to groin due to fractures - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi I fractured my femur and two rods were place down my thigh above my knee and the other from hip to groin area. I heard conversion can take the hip rod out and do hip replacemnt
Doctor :   Hi
User :   Hi Doctor
Doctor :   Was it a Dynamic Hip Fracture Surgery ?
Doctor :   Yes , A Conversion can take place and do a total Hip Replacement Surgery.
User :   No A fractured femur hip nnear hip
User :   Will I have to live with the other rod all my life that goes down the thigh to the knee
Doctor :   These days THR is considred the best .
User :   what is thr?
Doctor :   Total Hip replacement
User :   My question is after hip surgery can both rods be removed since femur has heaed
Doctor :   Yes, they can be removed , but may i know your age please ?
Doctor :   And it has been how long since you had the surgery ?
User :   I am 69 and operation was 10/09 and I still have terrible pain
Doctor :   Ok.
User :   6weeks of rehab and 6 months of PT I have over stayed my welcome
Doctor :   Ok.
User :   What is the considered sucess rate of this kind of surgery
User :   I plan to be treated by a doctor from theRothman Institute here in New Jersey
Doctor :   It is 95 % below the age of 60, and 70% above it
User :   Does it depend on my ability to recover or the skiils of the doctor
Doctor :   Very much

Doctor :   Usually both on the skills of the ortho-surgeon and the physio.
User :   Right now I was told by a seond opinion from Unv Hosp of Pa. the rods were too long taht surgeon use in operation
Doctor :   What is the size or length of the incision ?
User :   there was a couple of holes a an incision near my hip just about an inch. I qwas awake during surgery and heard the banging of the rods into my bone I guess
Doctor :   Ok.
User :   In essense I just want some relief from these rods that are causing a great deal of pain since day one
Doctor :   That might be a arthroscopic surgery.
Doctor :   Where he would have done a surgery with guided camera and C-arm help .
Doctor :   You can vet well get all those screws and plate removed and get a THR done
Doctor :   Which heels in 3 months.
User :   I should be walking better after alll this time and therapy. I know my years belie that wish but I have seen others older than myself who are still active that had this condition
Doctor :   And has no further complications of improper healing , or blood supply problems.
Doctor :   Yes. How did your physical therapy go on ?
User :   I stayed in PT for 6 months and did not get on my feet sans cane until the fourth month. Therapist said I had a balance problem
Doctor :   Did you have any prior to surgery ?
Doctor :   Any difference in femur lengths , etc ?
User :   to this day I do my exercises 2daily. No not even a stitch in 65 years of living
Doctor :   Any gait issues ?
User :   not till after surgery. I asked surgeon to measure both legs to see if one became shorther and he said it did not
Doctor :   Ok . Then I would advise you to consider A THR - please get all these plates and screws removed , they would fix a acetabulum/ball and also a socket into the femur and there would be no problem .
Doctor :   Ok.
User :   can I push the surgeon to remove the rod that was put to heal the femur the one down the thigh
User :   can I push the surgeon to remove the rod that was put to heal the femur the one down the thigh
Doctor :   He has to consider different things though you can surely ask him for that
Doctor :   Usually the rod is removed after 1 to 2 yrs
Doctor :   depending on the bony strength and how well they have united.
User :   Thanks am I allowed to print this?
Doctor :   Cedars-Sinai Medical Center, Los Angeles is the best Ortho center, why dont you get a second opinion from here ?
Doctor :   Yes
Doctor :   Please go into your acc, and you can see chat history and take a print.
Doctor :   Thank you for ocnsulting me
Doctor :   take care
Doctor :   bye for now
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