General Discussion
In reply to the discussion: Found out have osteoporosis in my right hip [View all]Meowmee
(9,212 posts)It's not a simple situation to do something like that when you have osteoporosis. It also depends on how bad it is. If your bones are super fragile they can fracture during surgery and you are more at risk to fracture after surgery due to a fall etc. I have severe osteoporosis from various health issues, but I have never fractured at all in my life until 2 years ago. It was a forced fracture however as I tried to move something way too heavy. Had I not done that or had my doc put me on forteo back then I probably would not have fractured at all, unfortunately I had a vertebral compression fracture from doing that and the o and never being treated etc. I have fallen maybe a year before that- I tripped on something mowing the lawn, but did not fracture then so it needed a lot more force.
https://www.nextgenerationhipandknee.com/can-you-have-total-hip-replacement-with-osteoporosis/#:~:text=If%20you%20already%20have%20weak,can%20still%20be%20an%20option.
https://www.cedars-sinai.org/health-library/diseases-and-conditions/h/hip-replacement-surgery.html#:~:text=Although%20the%20hip%20replacement%20procedure,time%20for%20them%20to%20learn.
They will probably want to put you on meds first. I will warn you that the bisphosphonates are dangerous and can actually cause fractures and many other issues such as osteonecrosis of the jaw/ onj. Prolia is the most dangerous one, it can cause spinal fractures after you stop it so you will need to be on some treatment for life.
I am currently on tymlos(abaloparatide) which is sythetic parathyroid hormone, in small doses it stimulates your body to build bone naturally unlike the bisphosphonates which build up bone unnaturally by inhibiting osteoclasts which normally break down bone. Drugs like tymlos and forteo(teraparatide) which are injected at home stimulate you to build bone the way you normally would by stimulating osteoblasts which build bone. They are usually used after you have a fracture. The bisphosphonates stop the break down of bone so you end up with layers of older more fragile bone which is never broken down properly.
While you are on any of these meds you need to supplement vitamin d and get enough calcium- from food is best. But if you are on prolia, you need to supplement calcium.
https://www.health.harvard.edu/womens-health/osteoporosis-drugs-which-one-is-right-for-you#:~:text=Teriparatide%20(Forteo)and%20abaloparatide%20(,bone%20density%20and%20vertebral%20fractures.