Orthopedics Forum - 35 and getting a hip replacement

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Q: 35 and getting a hip replacement

asked by: dwalch on July 30th, 2003

New User

I have osteoarthritis in my left hip. I had surgeries (core decompressions) on both hips (due to avascular necrosis) back in 1992 to try to prevent arthritis. Needless to say, it only worked on the right hip.

I recently switched doctors and was told in Dec. of 2002 (by my new Dr.) that the main cause of the avascular necrosis was Dexamethasone. This is a medication (corticosteriod) that I took 3-4 years prior to the avascular necrosis surfacing.

I was wondering if this is general knowledge or just something that surfaced recently? I was never informed that avascular necrosis was something that could happen with the use of this drug.

Please respond if you have had/heard of similar circumstances. Thanks in advance.

Replies(5)

Patrick B. Asay

replied on July 30th, 2003

Experienced User

interesting

I find your condition due to dexamethasone rather interesting.

Necrosis itself is the death of cells or tissues through injury or disease. Never heard of it being due to anti-inflammatory steroidlike compounds such as those found in dexamethasone.

I would consult your doctor further about this.

Patrick

dwalch

replied on July 30th, 2003

New User

re:interesting

Patrick,
One of the things I did was research on the web. First for side effects of the drug and then on sites about AVN (avascular necrosis). The sites on AVN all noted one of the causes as being corticosteriods. I found that to be interesting because the side effects of the drug never noted AVN!?

Deanna

Patrick B. Asay

replied on July 31st, 2003

Experienced User

wow!

Ya know, medicine is crazy like that nowadays. Sometimes you never know what to expect. But hey, I'm not sure exactly what that is all about, but it sounds to me like there should to be a doctor out there who knows. Maybe yours can explain it. This seems very complicated. I know I study this sort of thing a lot as a student, but I am stumped at this one.

Tell ya what, I think I'll research this further and I'll let you know what I come up with. I'm curious as heck why there are those side effects.

Patrick Surprised

kerryrickard

replied on March 15th, 2004

New User

Hip Replacement At 24

Hi all,

just an inquiry to see if any one knows I was born with a hip socket on my left side, had quite alot of surgury on it and the rest of my leg.But I was just wondering about having children and if it could affect the hip replacement Question

thanks

kerry

Meg910

replied on April 17th, 2004

New User

Having a Baby After Hip Replacement

Kerry,
rest assured that you will be able to have children. I have a serious hip condition, and I successfully became pregnant and carried a 9lb. 10oz. Baby girl to term. The only drawback was that I had to have a c-section. Which believe me I was quite alright with. My ob suggested that I didn't try to deliver any other way. You will do just fine when the time comes. Best of luck to all :d

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