1. < Bones, Joints & Muscles

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

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viatroy7 | @viatroy7 | Jun 22, 2022

Two years after injury while gardening on slope, lots of arthritis, decided to go with THR in March 2022. Three months later, I've had 5 hip dislocations. My ortho doc on vac til mid-July.

Anyone else with excessive dislocations. What can I expect to be done next to get this under control?

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2 replies
viatroy7 | @viatroy7 | Jun 22, 2022
In reply to @viatroy7 "Two years after injury while gardening on slope, lots of arthritis, decided to go with THR..." + (show)
@viatroy7

Two years after injury while gardening on slope, lots of arthritis, decided to go with THR in March 2022. Three months later, I've had 5 hip dislocations. My ortho doc on vac til mid-July.

Anyone else with excessive dislocations. What can I expect to be done next to get this under control?

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Sorry, I meant dislocations, not locations.

REPLY
Amanda Burnett | @amandaa | Jun 22, 2022
In reply to @viatroy7 "Two years after injury while gardening on slope, lots of arthritis, decided to go with THR..." + (show)
@viatroy7

Two years after injury while gardening on slope, lots of arthritis, decided to go with THR in March 2022. Three months later, I've had 5 hip dislocations. My ortho doc on vac til mid-July.

Anyone else with excessive dislocations. What can I expect to be done next to get this under control?

Jump to this post

Hi @viatroy7 and welcome to Mayo Clinic Connect. You'll see that I moved your post to this conversation: https://connect.mayoclinic.org/discussion/dislocated-again/?pg=3#comment-719913 so you could connect with others.
Does your doctor have a nurse practitioner that you can see in the interim while your doctor is out?

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1 reply
viatroy7 | @viatroy7 | Jun 22, 2022
In reply to @amandaa "Hi @viatroy7 and welcome to Mayo Clinic Connect. You'll see that I moved your post to..." + (show)
@amandaa

Hi @viatroy7 and welcome to Mayo Clinic Connect. You'll see that I moved your post to this conversation: https://connect.mayoclinic.org/discussion/dislocated-again/?pg=3#comment-719913 so you could connect with others.
Does your doctor have a nurse practitioner that you can see in the interim while your doctor is out?

Jump to this post

He does. Thanks, hadn't thought of that. Im thinking I should have another doc take a look at my situation. Time for a second opinion?

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1 reply
Mentor
Sue, Volunteer Mentor | @sueinmn | Jun 22, 2022
In reply to @viatroy7 "He does. Thanks, hadn't thought of that. Im thinking I should have another doc take a..." + (show)
@viatroy7

He does. Thanks, hadn't thought of that. Im thinking I should have another doc take a look at my situation. Time for a second opinion?

Jump to this post

I was waiting for what others would say. Has there been any research to understand what is going on? If not, I would certainly seek a second opinion. It might be difficult to find someone who will take you on, so maybe look for a doc who specializes in revisions or complicated cases. A teaching hospital might be a place to start.

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dmk | @dmk | Jun 23, 2022

An excellent physical therapist I would imagine could be of good help

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tallbackhip | @tallbackhip | May 25 4:22pm
In reply to @yukoner777 "Hi Erika, yes I read that one. Thanks. I'm just trying to figure out why the..." + (show)
@yukoner777

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.

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Dislocation of hip replacements, are fairly uncommon, in reading articles online and "Google scholar" displacement of first time replacement is 1-2% although may be higher as years go by and depending on the country. Factors leading to displacement may include size of the ball, infection, prior lumbar fusion, neurological status, compliance with prohibited positions, and things related to these.

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1 reply
loriesco | @loriesco | May 26 11:01am
In reply to @tallbackhip "Dislocation of hip replacements, are fairly uncommon, in reading articles online and "Google scholar" displacement of..." + (show)
@tallbackhip

Dislocation of hip replacements, are fairly uncommon, in reading articles online and "Google scholar" displacement of first time replacement is 1-2% although may be higher as years go by and depending on the country. Factors leading to displacement may include size of the ball, infection, prior lumbar fusion, neurological status, compliance with prohibited positions, and things related to these.

Jump to this post

In addition, if the person is hyper mobile and doesn’t do all the necessary exercises after surgery to strengthen the area in question dislocations may be a problem. Each time I had a surgery (THR and lumbar and cervical.) my body and muscles were substantially more atrophied and it means I have to work harder to keep things strong. I started out hyper mobile as a child and was always dislocating things. The one thing 60 years ago that’s the same as today is exercise is a necessary component of people who are hyper mobile.

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