Ah, the Sick Kids’ orthopaedic clinic. One of those energy-sucking places where time apparently stops as you wait for your appointment. At least Jon had the iPod, so he didn’t notice. 🙂

We met with Dr. Unni, and Jon’s leg has passed muster. He may now weight bear on it. For school, that means stander and walker and for home that means crawling. (Jon started his crawling last evening, and after a short distance was puffing. It’ll take him a while to get back into shape.) All of the allowed activities don’t carry any risk of major impact; anything that risks a tumble is still out for now. When the blade plate was replaced, they were able to use two of the three old screw holes. The “empty” hole has now filled in, but it’s still a stress fracture risk for a month or two.

So, after all of the good news, our attention turned to the left hip, which clearly needs to be rebuilt. Same carpentry as five years ago: (boring medical jargon) cutting the femoral head and neck and resetting it at a right angle and corrected side angle with a blade plate, and inserting a wedge of bone from the femur into a pelvic incision to improve the socket (the pelvis will fill in with bone).

Looks like it will be this coming spring (at least this summer’s excitement has us prepped: we know the routine). Book your visits early. No, really.

The most fascinating nugget is that Dr. Unni is thinking about removing the current right-leg hardware during that surgery. The thinking goes like this:

They don’t usually take the hardware out because usually there is no reason to. In general, removing it would require a second surgery, pain management, and much recovery time, all for something that isn’t causing trouble. Jon’s case (where the plate migrates to a weak spot) is rare. But since a) since it has happened in Jon, b) by then the right femur and hip will be fully healed and c) they have the opportunity—he’ll be sedated and under epidural pain management for the other hip, and he’ll be restricting his activity for months anyway (so recovery time is a non-interfering as it can be), why not?

The only problem I can see is the first two or three weeks of sleep at home. With both hips stitched and sore, I’ll be on call to turn him over through the night. And he turns over a lot.