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Written by a patient
6th June 2020


I have had Rheumatoid Arthritis since my early teens, I had my first total hip replacement on my right leg, in 1999 (at the age of 22). Three months later I had an accident which resulted in my right femur being broken in 14 places. I was placed in traction and a few weeks later taken to surgery to be put back together. This was achieved by attaching a metal plate the length of my femur onto the bone using screws, and wires attached around it to hold it all in place and secure the hip replacement shaft. A few years later in 2006 I had a total knee replacement on the same leg, this was fitted around the metal-work already in place. In 2015 I was experiencing major discomfort in this leg towards the lower part of the femur and, after speaking to my Rheumatology Team, I was referred to Mr Shah so that he could assess me in his Orthopedics Clinic at Guy's hospital. From the first meeting, I was confident in Mr Shah's capabilities, he took many x-rays and it was discovered that the screws and plate had come loose over time and that the hip replacement shaft was also loose. Mr Shah discussed this with me at length, taking into account my personal circumstances (I had my first child in 2012 and had also had my left hip replaced) and my other complicated, multi-layered, medical issues. It was decided that the best way forward would be to remove and replace the hip replacement shaft with a longer one, this would also require removing and replacing the plate, screws, wires etc that were put in place following my accident in 1999 (nearly 20 years ago) and the use of bone grafts at the base of my femur. After months of planning by Mr Shah and his team, I was admitted for surgery. was visited on the ward the afternoon before and also on the morning of the operation by Mr Shah and members of his team to talk through what was going to happen and ensure I understood. This challenging and highly skilled operation took over 8 hours and, afterwards I was in ITU for a few days for monitoring before being transferred to the orthopedics ward. i was visited regularly whilst an inpatient, by Mr Shah who kept a close eye on my progress. When i was discharged after a few weeks, i saw him in clinic as an outpatient and continue to do this on an annual basis where i have x-rays and discuss any changes that i may be experiencing. I have not had any pain, discomfort or issues in the three years since this major surgery and this is a testament to Mr Shah's surgical abilities.

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