{"id":5032,"date":"2015-10-28T00:00:00","date_gmt":"2015-10-28T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2015\/10\/28\/hip-procedure-gets-a-soldiers-career-back-on-track\/"},"modified":"2019-01-21T17:11:58","modified_gmt":"2019-01-22T00:11:58","slug":"hip-procedure-gets-a-soldiers-career-back-on-track","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/hip-procedure-gets-a-soldiers-career-back-on-track\/","title":{"rendered":"Hip procedure gets a soldier\u2019s career back on track"},"content":{"rendered":"
<\/div>

\"HipPat Jewell will soon start a new assignment with the Army as a Ranger instructor, thanks to a hip procedure at University of Colorado Hospital.<\/p>\n

This X-ray taken before Jewell’s procedure shows severe deterioration at the ball of the head of the femur in the left hip.<\/p>\n

An X-ray taken one year after the October 2014 hip resurfacing shows the resurfaced and capped femoral head.
\nIn July 2011, Pat Jewell suffered a hip injury that sentenced him to three years of excruciating pain. For many of us, even such a setback wouldn\u2019t be career-ending. But his is no ordinary career.<\/p>\n

Jewell, 50, an Army staff sergeant, was on a tour of Afghanistan when a board in the roof he was standing on gave way. He jumped onto a rafter, but it also broke. Jewell fell about 10 feet, landing heavily on his left side. He says he initially felt only \u201caches and pains\u201d in his lower back, but the discomfort steadily worsened with hours on patrol.<\/p>\n

\"HipDeployed a second time to Kuwait, Jewell struggled through hip pain so severe he couldn\u2019t sleep. An X-ray ultimately revealed that the cartilage cushioning his left hip was gone, leaving bone rubbing on bone. He was told he needed a hip replacement. That would have effectively ended his career as a soldier, as the military will not assign individuals with hip replacements to any job that requires high-impact activities.<\/p>\n

\u201cI\u2019d have had to reclassify to an office job or get a medical discharge,\u201d Jewell said.<\/p>\n

Second chance<\/strong><\/h2>\n

Today, Jewell, who lives in Peyton, Colo., in El Paso County, is looking forward to starting a new assignment at U.S. Army Ranger Camp Frank D. Merrill in Dahlonega, Ga. It\u2019s no desk job. He will prepare soldiers for the rigors of special operations combat. He runs 5 miles in about 40 minutes and has just completed a 6-mile road march with a 40-pound pack at a 15-minute-per-mile pace. That puts him halfway toward the Army\u2019s requirement for a 12-mile walk in three hours or less with a 35-pound pack. He is on track to begin his three-to-four-year commitment in January.
\n\"OrthopedicCecilia Pascual-Garrido, MD, an orthopedic surgeon at UCH, performed the hip resurfacing that saved Jewell’s career.<\/p>\n

The femoral head, exposed during the hip resurfacing procedure.<\/p>\n

A procedure called hip resurfacing, performed by orthopedic surgeon Cecilia Pascual-Garrido, MD, at University of Colorado Hospital, rescued Jewell\u2019s career and restored his quality of life. Resurfacing is an alternative to total hip replacement, which requires removing both the femoral head and acetabulum, which form the ball and socket, respectively, of the hip joint and implanting metal prostheses in their place.<\/p>\n

In resurfacing, the surgeon keeps the femoral head, but trims off any damaged bone and fits a porous metal cap on top of it. After cleaning out the socket, the surgeon lines its surface with metal, inserts the repaired femoral head, and cements the components in place. The cap on the femoral head and the socket lining protect the bone, as natural cartilage would.<\/p>\n

The procedure is aimed at people like Jewell who are relatively young and active, Pascual-Garrido said. Unlike a hip replacement, the resurfacing preserves the patient\u2019s tissue and bone. That also makes it easier to perform a traditional hip replacement if the prostheses have to be removed because of wear or malfunction, she said.<\/p>\n

Touch and go<\/strong><\/h2>\n

Jewell said he was unaware that he even had another option after he received the \u201cdepressing\u201d news that he would need a hip replacement. He discovered the hip resurfacing technique through his own research, watched a YouTube demonstration, and searched for providers who could perform it. He found that Pascual-Garrido is one of the very few surgeons in Colorado with experience in hip resurfacing, and set up a \u201cmeet and greet\u201d with her at UCH.<\/p>\n

When Pascual-Garrido met Jewell, he was in obvious pain and walking unevenly, but the decision to perform the resurfacing was far from a slam dunk because he had a large femoral cyst. If more than 30 percent of the femoral head was compromised, the procedure couldn\u2019t take place, Pascual-Garrido said.<\/p>\n

Unwilling to give up on his career, Jewell said he \u201cbegged and pleaded\u201d with her to perform the procedure. He went to sleep in the OR in October 2014 not knowing if he would awaken with a resurfaced joint or a complete hip replacement. Pascual-Garrido was able to fill the cyst with bone cement, and determine during the procedure that Jewell was still a candidate for hip resurfacing.<\/p>\n

Jewell spent three days recovering in the Orthopedics Unit at UCH. Although he had post-surgical pain, he could finally move his left leg without the throbbing agony caused by the original injury. After the surgery healed, Pascual-Garrido encouraged him to walk but also warned him to avoid running or engaging in any high-impact activities for six months. By August, Jewell was at full strength and had his orders to report as a Ranger instructor.<\/p>\n

Wait and watch<\/strong><\/h2>\n

The procedure is not without risk. Success relies on careful planning and measurement to ensure the capped femoral head is oriented to and fits precisely within the lined socket, Pascual-Garrido noted. Failing that, the prostheses will wear unevenly and place too much stress on the femoral neck, which connects the head to the femur.<\/p>\n

In addition, Jewell has about a 4 percent risk of contracting an inflammatory reaction caused by metal-on-metal contact of the prostheses parts. That means annual blood testing to check the metal levels in his blood. If they are too high \u2013 greater than 20 mg \u2013 the device has to be removed, Pascual-Garrido said.<\/p>\n

Four-plus years after his injury, Jewell is ready to get back to the active working life he had, and he credits Pascual-Garrido and the UCH team for helping him get there.<\/p>\n

\u201cThe quality of care was outstanding,\u201d he said. \u201cThey were very thorough and professional and any questions I had were promptly answered.\u201d Pascual-Garrido, he added, gave him a straightforward message.<\/p>\n

\u201cShe had an attitude of \u2018You\u2019re not limited, so it\u2019s up to you to get better,\u2019\u201d he said. \u201cThat motivated me.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Pat Jewell will soon start a new assignment with the Army as a Ranger instructor, thanks to a hip procedure at University of Colorado Hospital. This X-ray taken before Jewell’s procedure shows severe deterioration at the ball of the head of the femur in the left hip. 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