Dislocated hip again!

Hi this is my last resort ( I really do not want surgery ) this will be my 7 th hip surgery 6 on the right . And 7 dislocations ( which are extremely painful
Over the years I have tried direct muscle therapy, physio , I walk everyday up some hills although always on a track or road or paths , and beach . Up 5000 steps some days more some less depending how I feel .I tried to build my muscle as much as I was able as the infection has destroyed a lot of the muscle and because of so many surgeries and dislocations my strength has diminished quite a lot . Am in a rock and hard place but I have to do this operation as I cannot keep dislocating as my life doing that is a brace on everyday , as I’m so scared it will keep coming out . Constantly looking for things that may trip me up etc . It’s been the toughest ten years all the trauma has left me with ptsd and severe anxiety...thanks ang

Hi I have now just had surgery to put cap liner put in , one day in . My surgeon is a specialist in revision hip surgeries and has been my surgeon throughout , a lot of my problem is muscle deterioration 😔 but am a little skeptical as he said he changed stem shaft and Ball as well ? So does that mean some where loose ? He said everything looked firm and custom cage is secure . I just have to trust it was 🤨 I to have a brace and wore it for 2 months after last dislocation until now .
I have stood up but not taken a step as such my anxiety flew through the roof . We shall see what today brings . Thanks

I had it yesterday, yes we are down to level 1 where I am so that’s great . Mixed emotions on how this went but so far it feels ok not sure on moving as havnt walked yet just stood . Thanks 🙏

@amallasch It's understandable that you are anxious to take that first step, especially considering everything you have been through. I think P.T.S.D. due to medical issues isn't acknowledged enough. It is also true that having a serious medical issue most often goes hand in hand with depression and anxiety.

Let us know how those first steps go. All of us are rooting for you.

Glad to hear you are in good hands. I had to have both ball & cup changed after dislocation, yours sounds a lot tougher.
Hang in there - as I always say (and literally in your case) - recovery will begin with baby steps.
Sue

<p>THR Dislocation Risks</p><p>Hi there<br />I'm thinking of going the direct anterior route, which from what I've read, reduces dislocation risk during recovery. But are hip dislocations after THR something that one runs the risk of for the rest of one's life, or just until all the muscles and tendons/ligaments have fully recovered? And how long is that, typically?<br />I've also read that a larger femoral head reduces the risk of dislocation. So I guess the surgeon has some leeway in determining the size of the replacement parts.<br />Cheers<br />Ross</p>

@yukoner777 It's important to get all of the information you can before surgery.

I added your question to a previous discussion related to dislocated hips and surgery. I know that your question is slightly different but members like @sueinmn @amallasch @funcountess have either experienced or discussed this topic and may be able to offer information and support.

– Hip replacement –symptoms of failure https://connect.mayoclinic.org/discussion/hip-replacement-symptoms-of-failure/

Above I have linked another related discussion related to THR. May I ask if you have had a chance to scroll through this discussion?

Hi Ross
I have had 7 hip replacements and 7 dislocations! I know wow
I had a anterior approach done on my left 10 years ago and had no problems with that and recovery was good . The other 6 were on the right and done posterior, although the first was ok I had a bad surgeon and she placed and used wrong sizing etc so when I had a fall off my horse 4/5 years into it it moved and I had lots of pain for a few years until I finally found out I had damaged it and they x rayed the wrong side ! Anyway I then had 2 have a revision 5 years ago which went well but unfortunately I got a infection that took 2 years to find . Always check your blood tests for any signs ( high crp , white blood cells. , and anaemic ) I then went through 2 2 phase surgeries to get rid of infection I kept dislocating and no one really knew why ? Lots of speculation but muscle and tendon damage from infection was a main cause , but sizing of ball and stem and placement is also important.
I am 3 weeks post my last operation in which I had a capsular liner put in to stop it coming out . So far so good
Do your homework and research your surgeon
All the best

Hi Ross - I have had my hips for over 15 years, I am very active and had ONE dislocation, one week after a revision surgery. It was due to too small a head being used by the surgeon. Once fully healed (9 months) I have felt NO instability. According to my very experienced surgeon, dislocation after uncomplicated THR is extremely rare. I was careful to find a surgeon with an excellent record regarding post-surgical infection, since an infected joint is a bigger problem.
I believe the key to success is to do as much therapy as possible BEFORE and after surgery so the muscles are in peak condition and follow the guidelines during healing. The people I know who have had complications have either had previous injuries that were being corrected by or were found during the surgery. Another cause for problems afterward is failure to do the prescribed exercises because they hurt, are boring, take too much time...
Good luck.
Sue

Hi Erika, yes I read that one. Thanks. I'm just trying to figure out why the replacement hip would tend to dislocate more easily. I thought they were a very close replica of the original hip joint. And with the anterior method of THR, there is apparently minimal disturbance to the surrounding muscle, tendons, and ligaments. So I'm curious what it is about the structure of the replacement joint that makes it more susceptible to dislocation.