Dislocated hip again!

Posted by amallasch @amallasch, Dec 17, 2020

Hi well 2 weeks ago I dislocated again ! 3rd since last op last year in April… but 7 times bow in total with 3 surgery’s in last 2 years . So in February I am having the liner replaced and a cap liner put in . Has anyone had this done because of frequent dislocations ?and has it worked ? And has it felt different? And lastly go’s forbid has anyone’s come out after that op and what damage ? Thanks ang

@colleenyoung

Hi @amallasch, welcome back. I moved your question about your hip revision, replacing the liner and a cap liner put in to the discussion where you already connected with @sueinmn. I'd also like to bring @bradley1941 into this discussion, who, like you has had 7 hip dislocations and multiple surgeries.

Amallasch, you must be thankful that your surgery has not be delayed due to COVID. When is your surgery?

Jump to this post

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 🙏

REPLY
@amallasch

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

Jump to this post

@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.

REPLY
@amallasch

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

Jump to this post

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

REPLY

THR Dislocation Risks

Hi there
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?
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.
Cheers
Ross

REPLY
@yukoner777

THR Dislocation Risks

Hi there
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?
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.
Cheers
Ross

Jump to this post

@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?

REPLY
@yukoner777

THR Dislocation Risks

Hi there
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?
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.
Cheers
Ross

Jump to this post

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

REPLY
@yukoner777

THR Dislocation Risks

Hi there
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?
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.
Cheers
Ross

Jump to this post

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

REPLY

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.

REPLY
@sueinmn

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

Jump to this post

Hi Sue
I agree, the key to a successful recovery is to go into the operation in the best physical condition one can muster. I've just started researching ortho surgeons. I'm likely going to have the procedure done in Vancouver, BC. I'm finding it a bit difficult to find the needed info to determine how much experience surgeons have specifically with THR's. Good point about checking their record regarding post-surgical infections. Although, I'm thinking that may be even more difficult to find than their level of experience.

REPLY
@amallasch

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

Jump to this post

Oh my gosh, what a nightmare! I'll be doing lots of research before choosing my surgeon. And I get my bloodwork done yearly, just to keep tabs on my health.
I hope things work out well for you this time.
Cheers!

REPLY
@yukoner777

Hi Sue
I agree, the key to a successful recovery is to go into the operation in the best physical condition one can muster. I've just started researching ortho surgeons. I'm likely going to have the procedure done in Vancouver, BC. I'm finding it a bit difficult to find the needed info to determine how much experience surgeons have specifically with THR's. Good point about checking their record regarding post-surgical infections. Although, I'm thinking that may be even more difficult to find than their level of experience.

Jump to this post

Ross – Ask – the surgeon or his PA or assistant. Any good doc will gladly answer. Another way to find the best surgeon is to find a good PT and ask which are the best docs, with the best results. When I fired my original ortho, that is how I found the (excellent) replacement doc who has been my go-to for 10 years now. When I needed to switch because my hand surgeon moved away, he helped me find an equally excellent new guy.
Sue

REPLY

My I ask what your hand surgeon was able to do for you?

REPLY
Please sign in or register to post a reply.