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THR Arroyo65 Revision/Recovery

@arroyo65 I am so sorry to hear you are still having these problems - and I can certainly understand you feeling fed up! :console2: It's really horrid you had to cancel the appointment with your surgeon - this dratted COVID is messing things up for a lot of people. And I fully understand and support why you cancelled it! What did your PT say at the end of your sessions? Did that person have any suggestions?
 
Hi @arroyo65 , I have the exact pain and limitations that you have after my left, total, posterior hip replacement on September 17, 2019. I had two injections into my psoas tendon last January and July. I have horrible pain in my groin and cannot walk as far as I would like because of pain and weakness and hip and leg does not work right. I have agreed to have hip revision surgery with another surgeon possibly in February. Still very scared to go through with it because of complications of dislocation which is definitely something that does happen. Ugh! Very sorry you're going through all of this. I completely understand.
 
@arroyo65 who in los angeles did your psoas release ? which ortho did your psoas release? was it a "lenghthening" or a complete release of the tendon at the lesser trocanter? sorry you are having the weakness in your hip flexor? they say it sometimes takes several months for the other hip flexors to kick in and help so you may get some relief in a couple of months? I could not find any OS to do a psoas release in Los angeles...
 
Hey all-here’s my annual (lol!) update: I finally went in to see the surgeon who did my partial illiopsoas release in summer 2020 for a followup. Where I’m at-still same as last year this time: the pain in my left hip/groin still the same. After another injection and some xrays, she and her colleagues agree that it’s almost certainly one of my screws that’s causing it, interfering with the soft tissues. Also my cup has a little protrusion. The options are live with it-or a revision. The doctor who did the release doesn't do revisions and has referred me to her colleague to discuss it.
Boy, am I full of conflicting thoughts. Anyone here ever had a screw removed? Ay yi yi. What to do?
 
@arroyo65 thanks for the update, sorry the news isn't better. You definitely have some thinking to do to make your decision. I know we've had folks that have hardware removed, just can't think of names off the top of my head. Hopefully someone that has had this will see your post and pop in.
 
Hello @arroyo65
arroyo65 said:
Anyone here ever had a screw removed? Ay yi yi. What to do?
Click to expand...
If you type in key words, like “screw removal” into the SEARCH at the top of the page, threads will pop up where screws or screw removal is mentioned. In scanning the results I’m sure you’ll find the threads of some that dealt with having screws removed.
Wishing you the best as you make decisions.
 
The one I can think of that had a screw removed was @Marvy but I'm not sure he's active any more.
 
Latest update: I went to see the surgeon who does revisions last week, referred by the doctor who did my partial release(which ultimately didn't help)in 2020. He's also the head of the ortho dept. there. He had more xrays done and went over my last MRIs and xrays with me. He says the cup edge is sticking out slightly, and believes that's the main thing I'm feeling. One of the screws might also be at an angle where it is slightly poking places it shouldn't as well. As I'd learned from my original surgeon, my displasia was the reason he had to place the cup where and how he did-there is not much area there to work with, given the angle and size(is how I understand it). The new surgeon would try a different cup, perhaps also "dig out" my hip a bit to be able to place the cup deeper so as not to touch the tendon. Those are my options: revision, or live with it as-is.

Honestly I didn't really understand that revision surgery is more intense/complicated than the original replacement. For some reason I thought it would be easier. D'OH! Sitting with the doctor having this realization of my choices wash over me, I felt my eyes well up. Couldn't have that! Shook it off saying "I don't think I want to live with this for the rest of my life". And I don't-but unlike @golfer67 , I don't now have a level of pain that is anywhere like my original pre-op pain, but it is there all the time and there are moments, with certain movements, it's sharp enough to make me gasp. So I guess I want to have the revision, but I'm also worried. Will it fix it? Or will I come out of surgery worse off than before? My weird hips are an X factor that worries me...so anyway, that's the story to date. Any surgery will be months off as that's how far out the doctor is booked. Thanks for reading! I really appreciate the stories here. Tonight I read through @golfer67 's odyssey, which was a lot like mine with this thing-months of PT, shrugs from docs, shots, Xrays, etc. While I hate to think of anyone going through this stuff, it's comforting to know I'm not totally exceptional!
 
My revision surgery is next week! I just had my pre-op with my PCP with lots of xrays taken for my surgeon. Here's a detail: my cup protrudes 1.7 cm, which explains the pain in my groin that's never gone away. I have a lot of faith in the expertise of my surgeon, so here goes-!
 
Hi there :wave:
I certainly wish you all the best. Thanks for stopping by and sharing the news. I hope you'll join us once you're in recovery. We'd love to support and encourage you as you're healing. If you'll share the exact date of your surgery and which hip we'll update your signature and add you to the August team thread.
Have a great week!
@arroyo65
 
Thanks, Layla! I'll be grateful for any and all encouragement! By the way...am I posting in the right place? If not I know you'll steer me right. My surgery is on 8/17/22; Left hip revision. The original surgery was done 7/2018.
 
I remember you...:) :-) (:

I am sorry you have had 4 years of struggling with ongoing pain, so I can imagine you are beyond ready to get this done.
 
@arroyo65 That is quite a protrusion. It's kind of a bittersweet validation of what you've been dealing with all this time. Having researched this in my own experience with IP impingement, my medical literature indicated that the more the cup protruded, the higher the success rate was with revisions versus a tenotomy. I think it sounds like your doc has a good plan and even better, you have confidence in him. Blessings for a smooth surgery and a pain controlled, good recovery. We'll be looking for you on the healing side.
 
Hip4life said:
@arroyo65 That is quite a protrusion. It's kind of a bittersweet validation of what you've been dealing with all this time. Having researched this in my own experience with IP impingement, my medical literature indicated that the more the cup protruded, the higher the success rate was with revisions versus a tenotomy. I think it sounds like your doc has a good plan and even better, you have confidence in him. Blessings for a smooth surgery and a pain controlled, good recovery. We'll be looking for you on the healing side.
Click to expand...
Thanks! Yes, it is validating. I've spent years wondering what exactly was going on, although the original surgeon did say he thought it was likely the cup placement(which he said he felt he had to place as he did given my hip configuration-and he did do a stellar job on my other hip replacement). I have to say with hindsight that I'm chagrined I went through weeks of painful PT that in hindsight were not ever going to "fix" it(and possibly make it worse)-I felt like I was letting everyone down when I said that well no, the pain was still the same. I suspect the therapists at least thought I was just whinging. Even some of the xray reports I had said everything looked fine. 1.7cm! What was that all about? Bad readings? Inadequate positioning? Who knows!

The more I try to research this particular issue the more apprehensive I feel-it's (happily for most)so rare, apparently...and I'm aware this might not be "fixable"-only when he gets in there and sees what he can do will we know. And the potential complications from a revision are a little alarming. Infection. Dislocation! I've done so well in that regard post-both hips. Guess I'm rambling but this is "real" now. I'm so glad this forum is here!

I originally did all my posting on a FB forum where I learned a lot, but asking for revision experiences got me only crickets-not a single reply. Well...I did get one, saying "I didn't need a revision-they're very rare". Gee, thanks! :umm::chinstroke:
 
I think the impingement problem is more common than one might think. It just takes a while for it to get sorted out. Most of us are very dutiful and do what’s asked of us. When it doesn’t fix the problem, that’s a whole new branch to the logic tree. If I’m honest, I remember looking at that first post op X-ray and thinking “I didn’t know the cup would be sticking out like that.” Not that it was horrible or anything but a little edge wasn’t even with the socket. My OS also did a stellar job and I now know they do what they can with your anatomy and try to reduce dislocations.

When I continued having issues, that is the same little edge my OS circled saying it was the likely suspect. He offered his revision services since it was causing me real ongoing pain but in the meantime found me a couple of specialists who might be able to do the arthroscopy tenotomy. I have no doubt in my mind if my cup protrusion had been similar to yours, I would have had the revision. Yes, more risks, like any surgery, but the results I think would have been worth it. I really don’t think your OS would be recommending this course if they didn’t believe it would help you and was worth the risks. This time next week, you’ll be putting this in your rear view mirror and working on getting back to life. We’ll be right here cheering you on.
 
Best Wishes tomorrow! We will be thinking of you and watching for you on the bright side to cheer you on as you're healing. See you there soon! :wave:
@arroyo65
 
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