3 weeks post op may need redo surgery

[mhollis]

My mother is 59 and had total hip replacement surgery 3 weeks ago. Her x-rays show that the cup was apparently placed incorrectly and the cup angle is off. The surgeon says he has not experienced this in the 27 years he has been doing hip replacements. He says that she is at a higher risk of dislocation and gave her the following options: wait and see how stable the joint is over the next 2 months or have a surgery redo to correct the cup angle. He thinks that if it is going to dislocate, it will do so in the next couple of months. He cannot provide any assurances that she will not have issues in the future. She has an appointment for a second opinion next week. In the interim, she is recovering great! Has anyone heard of this problem or have any experience with this? <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
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[Jamie]

This does happen. It obviously will not correct itself, so you are wise to seek a second opinion. Be SURE the doctor you are seeing for that opinion is not connected with your first surgeon in any way. Otherwise you will not get a completely independent viewpoint. Also, you want to be sure that this second surgeon specializes in repairing problems created by other surgeons. There is a difference in that process than doing the initial hip replacement.

I'm sorry this happened to your mom, but glad to hear she is still doing okay with it. Please let us know how things go!

And welcome to BoneSmart!!! We're glad you found us to support you and your mom as she goes through recovery.

 

[Texas]

Hi Welcome im so sorry to hear that I do wish the best for her...........Please post and let us know how she is doing........so sorry !!!!!!!Im a knee so I couldnt say but i wish her the best and a speedy recovery............

 

[Josephine]

The surgeon says he has not experienced this in the 27 years he has been doing hip replacements.

Never, not ever? I very much doubt that's true. Any surgeon who's never had it happen either doesn't do very many or he's telling porky pies. Even if he's telling the truth, to make such an error after 27 years is a red flag to me and in no way would I let him do the revision.

I'm glad your mother is doing so well so if the second opinion recommends leaving it and seeing how it does, I think I'd go along with that. There is a risk she might dislocate but it's only that - a risk. Higher on the problem list is uneven wear and even loosening leading to symptoms of pain. But even that could take a year or two to develop. You'll lose nothing by waiting to see what, if anything, develops.

 

[Neil]

Never, not ever? I very much doubt that's true. Any surgeon who's never had it happen either doesn't do very many or he's telling porky pies. Even if he's telling the truth, to make such an error after 27 years is a red flag to me and in no way would I let him do the revision.

I'm glad your mother is doing so well so if the second opinion recommends leaving it and seeing how it does, I think I'd go along with that. There is a risk she might dislocate but it's only that - a risk. Higher on the problem list is uneven wear and even loosening leading to symptoms of pain. But even that could take a year or two to develop. You'll lose nothing by waiting to see what, if anything, develops.

Three years ago I had a total replacement and as soon as I was out of hospital after 14 day at home my hip dislocated, so I went back in to have it manipulated back in, after it dislocated twice more the surgeon replaced it, three years later here I am and I have just had a total hip replacement again.:shk:

I found who is purported to be the very best remedial hip replacement surgeon in the U.K. and she told me because of the sever pain I was in that the hip was in the wrong position, the hip joint was of the wrong size and it had not been screwed in correctly and had come loose because of this.:shk:

I have just had a total replacement with this Surgeon and as soon as I came round from the operation I had no pain whatsoever and was up walking and exercising the next morning, that was 2 weeks ago, 2 weeks without pain the 1st time in 3 years.:D

Looking back if I was in the same position I would be looking for the best remedial Surgeon and have it done as soon as possible so as not to waste your life, that is how I feel.

All the very best whichever way you go

 

[JudyS]

Neil I am so glad it is finally good for you. What an ordeal. Although my hip replacement went perfectly the first time, I think if I were in the same position, I would get a revision specialist to do it right now also. Otherwise every little ache would scare me.

To get all the muscles and ligaments back to normal, then a year later to cut them again. Yes, i would get it over with now.
judy

 

[mdakota]

Three years ago I had a total replacement and as soon as I was out of hospital after 14 day at home my hip dislocated, so I went back in to have it manipulated back in, after it dislocated twice more the surgeon replaced it, three years later here I am and I have just had a total hip replacement again.:shk:

I found who is purported to be the very best remedial hip replacement surgeon in the U.K. and she told me because of the sever pain I was in that the hip was in the wrong position, the hip joint was of the wrong size and it had not been screwed in correctly and had come loose because of this.:shk:

I have just had a total replacement with this Surgeon and as soon as I came round from the operation I had no pain whatsoever and was up walking and exercising the next morning, that was 2 weeks ago, 2 weeks without pain the 1st time in 3 years.:D

Looking back if I was in the same position I would be looking for the best remedial Surgeon and have it done as soon as possible so as not to waste your life, that is how I feel.

All the very best whichever way you go

my friends husband had hip replacement revision with my surgeon after three years and had a similar experience. never really had pain relief after the first surgery. did not dislocate though. the cup misplacement caused the pain he continued to experience the bone on bone wore its own socket . and again after the revision he had immediate relief. the first surgeon was a very experienced surgeon. but he did a poor job. waiting or going ahead is a judgement call i could not make. youll have the second opinion and she may feel good and not ready to go thru surgery again. i wish yall the very best.
monique

 

[Josephine]

Neil - who was that surgeon and where did you have the op done? (just want to know if I'm guessing properly!)

 

[Neil]

Neil - who was that surgeon and where did you have the op done? (just want to know if I'm guessing properly!)

Consultant Surgeon Sarah Muirhead- Allwood, and I had the operation carried out at Princess Grace Hospital, London.which was excellent in all respects.

There were a lot of Northern Americans in as well for the same op.

The staff were excellent as well, and nothing was too much trouble.
The food was as though you were in a fairly good quality restaurant, and if I had to have another operation I would definately plump for that Hospital.

 

[Josephine]

Yep - guessed correctly! She most certainly is the top rated hip surgeon. In Europe, actually. And a tyrant to work with!

 

[Neil]

Yep - guessed correctly! She most certainly is the top rated hip surgeon. In Europe, actually. And a tyrant to work with!

But excellent with her patients

 

[Josephine]

Tyrant just means she is super particular about standards and skills. Good job too - should have more like her and perhaps there would be less catastrophes. But I always thought I could have taken a smile or two from her now and again. Plenty for patients - never any for staff.

 

[Neil]

I'm off to see her next Monday 19th for my 4 week post op check up and hopefully clearance that I may leave London and go home to Ibiza fingers crossed, no doubt a return to see her for a further check up when I am over for the Xmas celebrations so will keep my fingers crossed.