Dislocating a hip is painful, but treatment can help. The doctor will put the patient to sleep and move the joint back in place. Sometimes the same hip dislocates more than once. There are three directions a hip can go: forward (anterior), sideways (lateral), or backwards (posterior). Repeated dislocations can be a painful problem for the patient. Even when no pain is present, there's a worry that the joint will dislocate and the leg will give away without notice. This is the first report of a recurring hip dislocation solved by an operation called a periacetabular osteotomy. "Osteotomy" means to cut through the bone. In this operation, the doctor cuts around the hip socket (acetabulum) and aims the socket in a new direction. The new position holds the ball at the top of the thighbone in the joint. This case is unusual. The patient had nine past anterior dislocations of the same hip. She'd had one operation to repair the problem, but it didn't work. This 35-year old woman was unique in t...
Most of our readers (and fellow osteoarthritis sufferers) realize that this disease is not only painful but also very frustrating. When I was first diagnosed with OA approximately 12 years ago, I knew very little about it. At times, I'm not entirely sure that I'm that much more knowledgable now! When I had the first surgery to replace a joint in my foot that had deteriorated due to OA, I assumed that this was the end of it, the OA was gone, and I could continue my life as usual. Little did I realize that this was just the tiny beginning of my battle with OA! May 6, I again will be having orthopedic surgery and will have a total knee replacement .
This is my ninth surgery from the waist down due to OA. I've had several joint replacements, fusions, and even nine small joints removed from one of my feet. Amazingly, thanks to the skills of great orthopedic surgeons, I seldom even limp unless I'm having one of those horribly extra painful days!
The extra challenge now is that the dete...
Reader Question: I have osteoporosis and have been taking Fosamax for the past 3 years. I was just reading in the paper this morning that this drug was shown to cause bone fractures. Isn't this medication supposed to protect me from this? Should I stop taking it? What about the other similar drugs in the same class?
I wouldn't blame anyone for starting to worry, if you just read the news headlines. Let me give you some background and perspective on this new controversy.
It seems that that Bisphosphonates, drugs such as Alendronate ( Fosamax ), Residronate ( Actonel ), Ibandronate ( Boniva ) and Zoledronic Acid (Reclast) have been linked to many side effects over the past years. When the drug was released more then 10 years ago, it was implicated as a cause of esophagitis.
More recently, possible side effects include osteonecrosis of the jaw (i.e. bone death), muscle and joint aching (FDA warning), atrial fibrillation , and now this new report on hip fractures.
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