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?

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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

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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

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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

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

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

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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

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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

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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.

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