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Revision THR 2 dislocations after hip revision

Fla. Mike

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Hi everybody,

I'm a little nervous, I just had my 2nd dislocation and my surgeon wants to re-revise my revision (yes I know that's bad grammar). Here is the time line: 5/1996 THR due to a car accident age 41. 1st dislocation 7/96, 2nd dislocation 8/96. Then a hip revision (replaced socket lining only) 7/2020. 1st (3rd) dislocation 8/20, 2nd (4th) dislocation 9/20.
My surgeon feels that the socket was not lined up properly from the original THR. He wants to go back in, grind out the replacement socket lining and replace it but align it properly before cementing it in. The dislocations were both while sitting on a hard service and were posterior dislocations. They both occurred while bending or twisting but not super exaggerated motions. Any suggestions?? Should I gamble on no future dislocations or play it safe and get the surgery??
 

Jaycey

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@Fla. Mike Welcome to BoneSmart! First question - is the same surgeon doing the revision of the revision? If so I think he has had more than enough chances to get this right.

I would strongly recommend you work with a revision specialist. They see problem hips every day and will know the best way to correct your issue.
 

Celle

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Hello @Fla. Mike - and :welome:

Please will you tell us the full dates of your hip replacement, its dislocations and its revision and which hip it is, so we can make a signature for you? Knowing the exact date will help us to advise you appropriately in the future.
Thank you.:flwrysmile:

I agree with Jaycey that you need to see a surgeon who specialises in problem hips and who does lots of revisions.

I don't think your hip will be right unless the socket is prepared properly and aligned correctly.
 
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Fla. Mike

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Thank you! My surgeon is the best revision specialist I could find and I did quite a bit of research. He is at Cleveland Clinic in Florida which is also a transplant hospital since I'm a transplant recipient. I was kind of hoping maybe someone else has had mis-aligned hardware and what their outcomes might have been. That being said however I'll take all of the advise I can get!!!
 
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Fla. Mike

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As for dates the only dates I have are the ones this year. Revision: 7/28/20, Dislocation: 8/15/20, Dislocation: 8/31/20
 

Celle

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That' fine, thank you, Mike. I'll put all your hip events in your signature. With all you've been through, it's a wonder you even remember what months things happened.
Do let us know when you get a surgery date, won't you?

Which hip is it, by the way?
 
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Fla. Mike

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Good Morning all - I hate to harp here but last night I started hearing and feeling a thump in the operated hip (left). I thought it would just go away but it's still there this morning. It is noticeable enough that my wife heard it. When she felt it too she freaked out. has anyone ever had this happen???
 

Layla

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I’m sorry you’re struggling and feeling uncertain. With your extensive history, I think your greatest reassurance would be through contacting your surgeon‘s office to speak with someone on his / her care team. Through a few questions, hopefully they’ll be able to ease your mind. And please don’t worry about stopping by here with any concerns. We’re here for you and want to support and encourage you through your healing journey.
Wishing you comfort, answers and relief.
@Fla. Mike
 

Figsktr

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Hi, best revision person Is Dr. Suarez at Doctors hospital. I had my second revision at Cleveland clinic is Weston, Dr. Suarez moved to Doctors hospital in Coral Gables. I just had my third revision. They put in a special implant by Zimmer boomed. Please read my threads.
 

sdgrandma

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My husband is in a similar situation. He had RTHR on September 10, 2020. On October 11th it dislocated and the ER doc popped it back in and sent him home. Four days later is dislocated again. This time, after two tries, the ball wouldn’t stay in the socket, so he had revision surgery the next day (October 16th). They found the cup had turned 25 degrees, so they re-aligned it and put in a screw. Just two weeks later it dislocated again and after two attempts, the doc maneuvered it back in place and they put him in a hip abduction brace. The on-call ortho said up to 12 weeks wearing the brace to let the muscles and soft tissues heal before another revision. Today we saw the surgeon who did the THR and the revision. His advice was 180 degrees different. He wants to operate ASAP. We found a recommended surgeon on this website and are able to see him tomorrow for a second opinion. I’m hoping he can answer our questions and concerns. I’m interested to hear how your revision and recovery progress.
 

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