u/bluetopaz525

TLDR: pros and cons to a cemented vs an uncemented stem. Seems like surgeons prefer a cemented stem for patients with osteoporosis (who tend to be on the older side), but uncemented for younger more active patients. I’ve had different suggestions from different surgeons.

Hi all, so my surgery is proving to be more difficult than I originally thought and I’ve been getting different suggestions from different surgeons.

Background: I’m 34 and need a bilateral hip replacement. My hips are 11 out of 10 OA (according to a surgeon) and bad for an 80 year old…

I found out that the cortex of my femur bones are thinning, so I likely have osteoporosis in my femurs (so fun). Surgeon said it was reversible with diet and weight training (which I can’t really do until I get my replacements).

One surgeon had recommended cementing the stems in (I’m not sure why because he didn’t mention the osteoporosis), but the surgeon who I saw yesterday said he wouldn’t cement the stems and just have more restrictions post-op (50% weight bearing for 6 weeks) to avoid a femur fracture.

My limited google searches have suggested that cementing the stems in works better for older patients with osteoporosis and would allow me to bear weight sooner. However, it isn’t recommended for younger patients because it would be much harder to replace the stem if needed.

I was wondering if anyone has been in the same boat. I have a toddler and the thought of 50% weight bearing for 6 weeks post op from hip 1 and then from hip 2 just sounds impossible, but so does getting a femur fracture.

I was wondering if anyone had experience living long-term along their Saturn/DC line.
For context, I lived in this location for 7 years during graduate school and my first Saturn return. Parts of it were brutal and others were blessings. I did have a major focus on relationships while I lived here and met many people who I believe were karmic. Saturn is in Aquarius in my 7th house.

For reference, I also have many Capricorn placements, so I’m somewhat used to Saturn energy. Sun, Mercury, mars, Uranus, Neptune, and north node are in Capricorn and my 6th house.

As brutal as it was living there, I have many close friends who still there and now being back in my hometown where I’m close to Chiron square my MC and Saturn square my MC, I’m struggling with my career.
I’m wondering how moving back to Saturn on my DC line would look. Logistically, it would be a bit tricky, but having the social support of people I know would make it easier.
The Saturn and Chiron square my MC energy is really just taking a toll and I feel like I need a change.