In the past, hip replacement also called total hip arthroplasty THA was an option primarily for people over 60 years of age. Typically, older people are less active and put less strain on the artificial hip than younger, more active people. However, with the advent of new prosthetic designs and advances in surgical techniques, total hip arthroplasty is now a viable treatment option for younger patients suffering from hip conditions such as hip dyplasia or dislocation, juvenile inflammatory arthritis and hip fractures or trauma —conditions that can affect females of childbearing age. According to the National Center for Health Statistics, National Hospital Discharge Survey, , over 5, total hip arthroplasties were performed on women 45 and under. The study found that vaginal delivery is possible in the majority of patients with a total hip arthroplasty.
They went through everything from childhood cancer to just saying they don't know. No radiographs were taken during pregnancy. There were no reoperations in either group. In regards to revision rates, of the 57 patients who had a pregnancy after their primary total hip arthroplasty, 24 were revised. Good luck with everything.
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The mean age at surgery was 35 years 18 to
- An anterior hip replacement is a surgical procedure in which damaged bones in your hip joint are replaced with an artificial hip total hip arthroplasty.
- In the past, hip replacement also called total hip arthroplasty THA was an option primarily for people over 60 years of age.
- I was wondering if anyone knows any stories or has been through a vaginal birth after a recent hip replacement.
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The mean age at surgery was 35 years 18 to The mean length of follow-up after the initial arthroplasty was 16 years 6 to Of these women, 47 The first baby after a THA was delivered vaginally in 30 patients and by Caesarean section in Of the patients, underwent a revision. After adjusting for age at surgical intervention, the risk of revision was not significantly associated with childbirth. Seven patients complained of pain in the groin in the replaced hip after childbirth.
Childbirth is not affected by the presence of a THA. Pregnancy after THA is not associated with decreased survival of the prosthesis. Pain in the hip is common during pregnancy in these patients.
Pain in the groin which persists after delivery commonly leads to revision of the THA.
So really my bad hip didn't affect me. Exercises like these will help keep them strong and stable. An anterior hip replacement is a surgical procedure in which damaged bones in your hip joint are replaced with an artificial hip total hip arthroplasty. Marcho renee My surgeon did not cut through my muscles which made recovery a lot nicer.
Hip replacements and pregnancy. About the Author:
Giving birth with a hip replacement! - April Babies | Forums | What to Expect
The articles prior to January are part of the back file collection and are not available with a current paid subscription. To access the article, you may purchase it or purchase the complete back file collection here. Total hip replacement THR in younger patients is increasing. In the literature, however, little is known about pregnancy and delivery after THR. A year-old woman presented with a traumatic comminutive fracture of the left acetabulum with a central hip luxation. Osteosynthesis of the acetabulum was performed, but because of femoral head necrosis, hip pain and decreased mobility remained.
The fixation material was removed, and 2 years post-trauma THR was performed through a posterolateral approach, using a hydroxy-1apatite coated stem and cup Stryker Howmedica Osteon ics, Rutherford, NJ with additional screws and autograft of the femoral head. Peri- and postoperative courses were uneventful.
One year postoperatively, the woman - until then nulligravida - became pregnant; pregnancy was uneventful. At 3 months' gestation, she was seen for regular follow-up by the orthopedic surgeon. She reported stumbling and hip pain with certain movements. No alteration in hip mobility or any clinical signs of loosening or fracture were found. Radiographs were not taken. Orthopedic examination of the hip during pregnancy showed no pain and a positive Trendelenburg gait on the left.
Radiographs before pregnancy showed good implant fixation. The orthopedist recommended vaginal delivery, special attention to prevent forced hip flexion, and care with internal rotation and adduction to prevent hip luxation. At 39 weeks of pregnancy, prostaglandins were given to induce labor. However, on suspicion of cephalopelvic disproportion, a Caesarean section was performed. At orthopedic consultation 4 montiis postpartum, radiographs showed loosening of the acetabulum cup.
Additional investigation blood test and bone scan indicated no septic loosening. Six months after delivery and 2 years following THR, a cup revision via a posterolateral approach was performed, with allograft and cement cup fixation. Operation and recovery were uneventful. Two years following the delivery of her first child and 1. At 39 weeks of pregnancy, amniotomy and oxytocin induced labor. Epidural anesthesia was applied. Care was taken to prevent hip luxation during vaginal delivery. She delivered spontaneously witfiout any gynecological or orthopedic complications.
Postpartum, the woman had no complaints and orthopedic follow-up 2 months postpartum did not reveal any radiographic or clinical alterations. The literature regarding pregnancy and delivery after THR is scarce. During the first pregnancy, cup loosening was suspected, probably due to trauma prior to pregnancy. Based on the clinical presentation, delivery was carried out before additional investigations were performed.
No radiographs were taken during pregnancy. After delivery, cup loosening was found and revision THR was performed. The cup loosening was probably caused by the trauma in combination with the pregnancy which, due to hormonal influences, created joint laxity and additional physical load. In situations similar to the one presented, vaginal delivery is possible, provided that precautionary measures are taken to avoid dislocation.
It is recommended that the gynecologist contact the orthopedic surgeon before patients with a THR deliver. McLaughlin JR. Lee KR. Total hip arthroplasty in young patients. Clin Orthop. Callaghan JJ. Total hip arthroplasty in the young adult. CKn Orthop. Total hip arthroplasty with cement in patients who are less than fifty years old. A sixteen to twenty-two-year follow-up study. J Bone Joint Surg Am. Chmell MJ. Total hip arthroplasty with cement for juvenile rheumatoid arthritis.
Results at a minimum of ten years in patients less than thirty years old. Total hip arthroplasty with cement in patients less than twenty years old. Long term results. Chandler HP. Reineck FT. Wixson RL. McCarthy JC. Total hip replacement in patients younger than thirty years old. A five-year followup study. Sexual function after total hip arthroplasty.
Pregnancy and vagina! Wittich AC. Successful pregnancy and delivery following bilateral hip replacement; report of case. JAm Osteopath Assoc. Black AJ, Topping J. A detailed assessment of alterations in bone turnover, calcium homeostasis, and bone density in normal pregnancy. J Bone Miner Res. Eastell R. The effect of pregnancy on bone density and bone turnover. Tell us what you think about Healio. Login Register My Saved. Orthopedics The articles prior to January are part of the back file collection and are not available with a current paid subscription.
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