New hip required.
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Discussion

Landlubber

Original Poster:

938 posts

76 months

Tuesday 16th June
quotequote all
So, missus might need a new hip this year, with the NHS being what it is does anyone have a steer on costs for a private job?

speedster986

266 posts

233 months

Tuesday 16th June
quotequote all
Package deals can be priced at your local hospital. £17k ish

Doofus

34,038 posts

200 months

Tuesday 16th June
quotequote all
My wife's just had hers done (March 12th) with our PMI.

Total cost just under £12.5k. That includes post-op physio, but the diagnostic MRI was about another £500.

That's with Circle Health Group through Aviva.

Landlubber

Original Poster:

938 posts

76 months

Tuesday 16th June
quotequote all
Ok, thanks folks, a little less than I had thought so at least I won't need to try and do it myself with a dremel and a length of waterpipe. What sort of post op recovery time are we looking at? She's pretty active at the moment and will hate not being able to do her thing.

Wacky Racer

41,136 posts

274 months

Tuesday 16th June
quotequote all
If she is not desperate, wait for the NHS to do it.

I had a full knee replacement on the NHS three years ago. the surgeon who carried out the op, probably would have been the same one, if I'd have gone private.

If it's imperative it's done quickly, by all means go down the private route.

Doofus

34,038 posts

200 months

Tuesday 16th June
quotequote all
Landlubber said:
Ok, thanks folks, a little less than I had thought so at least I won't need to try and do it myself with a dremel and a length of waterpipe. What sort of post op recovery time are we looking at? She's pretty active at the moment and will hate not being able to do her thing.
My wife plateaued for a couple of weeks, but seems to be back on track. It means she's behind schedule but at about 90% now.

My mum had one done and was so happy with it, she got the other one done less than two months later.

So recovery varies but, generally,the guidance is you should be walking without crutches in six to eight weeks.

TheDrownedApe

1,711 posts

83 months

Tuesday 16th June
quotequote all
Whichever route she goes make sure its an epidural as tbe recovery is far far easier.

Landlubber

Original Poster:

938 posts

76 months

Tuesday 16th June
quotequote all
Ok, first stop is the GP and ser what she says, if we can go down the NHS route then so much the better.

Doofus

34,038 posts

200 months

Tuesday 16th June
quotequote all
TheDrownedApe said:
Whichever route she goes make sure its an epidural as tbe recovery is far far easier.
Apparently they don't do GA. My wife woke up three times.

ucb

1,111 posts

239 months

Tuesday 16th June
quotequote all
Doofus said:
Landlubber said:
Ok, thanks folks, a little less than I had thought so at least I won't need to try and do it myself with a dremel and a length of waterpipe. What sort of post op recovery time are we looking at? She's pretty active at the moment and will hate not being able to do her thing.
My wife plateaued for a couple of weeks, but seems to be back on track. It means she's behind schedule but at about 90% now.

My mum had one done and was so happy with it, she got the other one done less than two months later.

So recovery varies but, generally,the guidance is you should be walking without crutches in six to eight weeks.
Most people discharge home the next day, some can go home the same day. Significant swelling and bruising for the first month or two which gradually settles and then allows increasing movement and work with physio etc. The post-op work is the most crucial aspect. Clearly there will be progress points along the way like not using crutches, being able to sit more easily, not using pain relief and returning to pre-op activities but the regular surgical advice (well, at least from the lot in my neck of the woods) is not to judge the overall outcome until 12 months down the line.


Matt_N

9,024 posts

229 months

Wednesday 17th June
quotequote all
When you say might, how far along the diagnosis pathway is she?

Has she had an X-ray taken that has been reviewed? Assume showing signs of osteoarthritis, which seems to be more common in females.

I had my hip replaced in May last year, my first appointment in trying to diagnose was January 2024.

I won t bore you with all the detail but it was very hard to get a diagnosis for mine, I am young for a hip at 44 (now) but had a previous femur break that should ve pointed the direction.

Once I finally had an X-ray and got referred to a surgeon it was quite quick. I was referred in Nov 24 and chose Nuffield as the wait time was about half the NHS. December I saw the surgeon, January had an injection, February had my previous break screws taken out and May the hip replacement.

It has taken me longer than normal to recover due to the double stacked operations but it seems 9-12months is fairly usual for people to feel 90% again.

The main issue for me has been loss of strength, the actual operation recovery was fine, I didn’t take anything stronger than paracetamol for a few days after, clips out at 2 weeks with the wound healing well etc. You can weight bear straight away but will need to use crutches to get around for a few weeks, the surgeon and physio will advise.

Using the toilet was agony though, get a decent over the toilet seat!

Post op physio is key, I am still having physio now at 12 months on but as said a bit more complicated.


Edited by Matt_N on Wednesday 17th June 08:24

DaveGrohl

1,234 posts

124 months

Wednesday 17th June
quotequote all
Matt_N said:
When you say might, how far along the diagnosis pathway is she?

Has she had an X-ray taken that has been reviewed? Assume showing signs of osteoarthritis, which seems to be more common in females.

I had my hip replaced in May last year, my first appointment in trying to diagnose was January 2024.

I won t bore you with all the detail but it was very hard to get a diagnosis for mine, I am young for a hip at 44 (now) but had a previous femur break that should ve pointed the direction.

Once I finally had an X-ray and got referred to a surgeon it was quite quick. I was referred in Nov 24 and chose Nuffield as the wait time was about half the NHS. December I saw the surgeon, January had an injection, February had my previous break screws taken out and May the hip replacement.

It has taken me longer than normal to recover due to the double stacked operations but it seems 9-12months is fairly usual for people to feel 90% again.

The main issue for me has been loss of strength, the actual operation recovery was fine, I didn t take anything stronger than paracetamol for a few days after, clips out at 2 weeks with the wound healing well etc. You can weight bear straight away but will need to use crutches to get around for a few weeks, the surgeon and physio will advise.

Using the toilet was agony though, get a decent over the toilet seat!

Post op physio is key, I am still having physio now at 12 months on but as said a bit more complicated.


Edited by Matt_N on Wednesday 17th June 08:24
I hear you on the toilet!!

They gave me one of those plastic frame thingies that actually squashes your backside into a funnel and makes the whole process unbearably messy and awkward, right at the time you want as little mess as possible.
Binned the plastic bit off straight away but used the frame to attach an old toilet seat to that day.
Far better.

Matt_N

9,024 posts

229 months

Wednesday 17th June
quotequote all
DaveGrohl said:
I hear you on the toilet!!

They gave me one of those plastic frame thingies that actually squashes your backside into a funnel and makes the whole process unbearably messy and awkward, right at the time you want as little mess as possible.
Binned the plastic bit off straight away but used the frame to attach an old toilet seat to that day.
Far better.
Yeh the one they gave me was like using a kid’s training potty hehe

loggo

472 posts

139 months

Friday 19th June
quotequote all
Had my hip done last week by SPIRE. Apparently £18k ish
No great issues. Epidural went well.
Agree with toilet comments - when your bum and upper thighs are covered in bruises sitting on a toilet seat is virtually impossible

The_Doc

6,176 posts

247 months

Tuesday 23rd June
quotequote all
It's about not sitting down deep on a low toilet seat.
A seat raise puts the hip into less flexion and reduces the dislocation risk.

Most hips I put back in socket are unstable in flexion (Eg putting socks on) and internal rotation (foot away from the mid line)

Bill

58,178 posts

282 months

Tuesday 23rd June
quotequote all
The_Doc said:
... internal rotation (foot away from the mid line)
Do you mean foot towards the mid line??

AndyAudi

3,893 posts

249 months

Tuesday 23rd June
quotequote all
Landlubber said:
So, missus might need a new hip this year, with the NHS being what it is does anyone have a steer on costs for a private job?
If it were me, I’d book a private consultation regardless, after checking it was possible to get transferred back to the NHS.

This would let you avoid the wait for NHS consultation for a fairly insignificant cost, where the consultant would probably tell you,
I can fit you in in a couple of weeks for £15k or do you on the NHS in a several months for free if you’re prepared to wait.

ColinsCornflakes

74 posts

1 month

Tuesday 23rd June
quotequote all
I've been under a consultant for arthritis in my hip, (both actually)for about 18 months, I've had 3 hydracortisone injections in that time, he's offered .me a full replacement on right one, which I'll probably ask to proceed with at my next visit in a couple of months.

Waiting time was about 3 months last time we chatted which is what I need to get work sorted and organise being out the car for 6 weeks (apparently I'll be walking out the hospital same day)

This is on the NHS, but I'm lucky to live close to a specialist centre, and im resonably young for this kind of thing, but I wouldn't be too pessimistic about NHS wait times.

Landlubber

Original Poster:

938 posts

76 months

Tuesday 23rd June
quotequote all
AndyAudi said:
Landlubber said:
So, missus might need a new hip this year, with the NHS being what it is does anyone have a steer on costs for a private job?
If it were me, I d book a private consultation regardless, after checking it was possible to get transferred back to the NHS.

This would let you avoid the wait for NHS consultation for a fairly insignificant cost, where the consultant would probably tell you,
I can fit you in in a couple of weeks for £15k or do you on the NHS in a several months for free if you re prepared to wait.
Thanks, keep that in mind if I may.

The_Doc

6,176 posts

247 months

Tuesday 23rd June
quotequote all
Bill said:
The_Doc said:
... internal rotation (foot away from the mid line)
Do you mean foot towards the mid line??
Internal rotation of the femur puts the ball on the back rim of the cup. Foot away from the mid line as the femur rotates internally with the knee flexed and hip flexed.