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Revision THR Dislocation following revision

Layla

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Happy Saturday, melquist :wave:
Wondering how your visit with the surgeon went on Thursday?
I hope you left there with the reassurance you were looking for.
It's great to read you're sleeping better, feeling refreshed as opposed to being tired all day is certainly a mood booster.

And yes, you're right, we begin to appreciate the simple things again after this surgery it seems. Things like using the bathroom in comfort rather than it being just another struggle you have to deal with.

Will look forward to your update. I hope you have a great weekend!
@melquist
 
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melquist

melquist

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Hi Layla and All: Thanks for seeing how Thursday went with my surgeon appointment 10 days post an anterior dislocation. It was a worthwhile appointment. My surgeon feels that if I am very cautious, I will heal and get through this. He said it would take a number of months, but he felt it was doable. He explained that revisions are more prone to dislocations, and I knew that...however, I would prefer to not have been one of the statistics! He wants me to use the precautions that are for both an anterior and a posterior hip replacement. Since my first replacement was a failed anterior surgery, the soft tissue there is more vulnerable. I do not want to discourage others looking into anterior hip replacements, because I think if I had had a different surgeon for that first one, I would have been fine. This revision specialist has been outstanding. He did inherit a mess with me, and I do feel that I will get through this because of his surgical skill. He will x-ray me again in 6 weeks. The usual protocol for him is post op x-rays at 6 weeks, but he had the ER ones, so for now, that was enough. I am having more pain, because I am slowly doing more movement. I am being very cautious, and I only intend to do limited ADL's and walking. I didn't ask for PT, and I am not going to. As I had said in previous posts for this thread, my diligence and hard work with PT has always been my mainstay, and for me, it hasn't been my friend. I know for others it is very helpful, but for me, it wasn't. I feel qualified to do that assessment for myself, since I was a physical therapy assistant and certified athletic trainer with a masters degree in my field. I had a career in the PT field, so I have that perspective. I am only mentioning the degree and background, because everything I see out there saying how important physical therapy post op is I am starting to feel is not for everyone. I was surprised and intrigued when I read about the position of walking to recover from a THR and that PT was optional. It was here on this website that I saw it for the first time. I agree, and this time, I am walking as tolerated and at a pace that will help with healing not compete with healing. This website has been very helpful. It was my life line to get through this! I do want anyone out there searching to find out about anterior dislocations following posterior THR revisions that recovery does happen. I have had both an anterior and a posterior THR on the same joint. I will make modifications in how I do things for the future, because I don't want to go through this again!!! The fear factor for a repeat dislocation is still there for me, but it doesn't have as much bite as it did last week. Thank you everyone!!
 
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melquist

melquist

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Hi Elf1! Thanks for caring and checking in to see how I am doing. I did just post a too long post, but I put it out there.
 

Layla

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The fear factor for a repeat dislocation is still there for me, but it doesn't have as much bite as it did last week.
Thank you so much for the update. I hope you'll continue to share your progress. I love the quote above because the thought of you living in a state of fear or anxiety is sad. I know you'll be cautious and I believe you'll make it through this. Your story is interesting and inspiring. Stay strong and carry on.
Hugs to you!
 

Mojo333

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Hi @melquist :wave:
So glad you are sharing your story on Bonesmart!
I do want anyone out there searching to find out about anterior dislocations following posterior THR revisions that recovery does happen.
You are and will be a great inspiration to all hippys, but especially those with complications.
Sending all the best healing mojo your way!:tada:
 
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melquist

melquist

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Hi Everyone: Thanks as always for your support. Today I am 2 weeks post dislocation. I was able to be up and around already today for 1.5 hours doing light activities before needing to take a rest in my semi-recline position in my bed. I am starting to work again on sitting in a chair with all hip precautions in place. It is overwhelming sometimes having to have both anterior and posterior hip precautions. I'm trying to not move around like a robot! I cannot do stairs yet. The front of my thigh (quadriceps) is still very tight, so I am just practicing the motion of lifting my leg to the step and then bringing it back down without actually going up the step. We do have a low step in our house in the den, and I can practice actually doing the full movement with some support with that step. Those steps were mastered only one week after my 8/6 surgery, but not this time around. This is a different ball game! As someone told me years ago, I do not have the same coat hook to hang my coat on anymore. It made sense to me, and I think of it with this situation, because I will need to make adjustments to how I do things. Mentally and physically I am progressing. I would say at this point in my recovery, I am feeling that I am going to get through this. One not so fun part is having to sleep on my back in a semi-recline position as instructed by the surgeon. He doesn't want me to lay flat or on my non-operated side for at least another 6 weeks. I am looking at this as I started my recovery again on 9/23. Those 7 weeks I lost after the 8/6 surgery have to be done again. It is okay. I have to do it. I have to say that this dislocation recovery is much harder than the THR revision was. Wishing all my fellow Hipsters a speedy recovery!
 

Mojo333

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:wave:@melquist
It's a fight worth fighting for sure.
Mentally and physically I am progressing. I would say at this point in my recovery, I am feeling that I am going to get through this.
:yes:
I would bet on you...going to have to stay out of working on very much...its boring old "stay out of your own way and let your body heal" time.
One not so fun part is having to sleep on my back in a semi-recline position as instructed by the surgeon. He doesn't want me to lay flat or on my non-operated side for at least another 6 weeks.
:bored:This is reminiscent of my first 6 weeks...not relegated but was the only way I could manage my double hip replacement.
I was certainly not always comfortable and up and down night wandering was common.
I am looking at this as I started my recovery again on 9/23. Those 7 weeks I lost after the 8/6 surgery have to be done again. It is okay. I have to do it.
Yep. And you will get through this!
Attitude is very important.
Lots of time to strengthen and tone later.
You've got this!
 

Layla

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Hello and Happy Tuesday, melquist :wave:
Mentally and physically I am progressing. I would say at this point in my recovery, I am feeling that I am going to get through this
Good to hear. Prayers you do get through it....I'm sure you will.

I am looking at this as I started my recovery again on 9/23. Those 7 weeks I lost after the 8/6 surgery have to be done again. It is okay. I have to do it. I have to say that this dislocation recovery is much harder than the THR revision was.
This is unfortunate but the only way you can look at it. Your attitude is awesome and inspiring. I realize you don't have a choice but a positive outlook is healthy and you definitely have a great attitude.

Wishing you comfort, patience and peace through it all.
Hugs
@melquist
 

ebair23

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I have never posted to a thread or anything like this before, but this website is the first place I have been able to find any help. I had an anterior THR in 2/2015. It never went right. That implant failed due to a loose rod. After two years of trying to get to a revisionist specialist, I finally did. He only does revisions and has probably done 1,000 of them. I had a posterior THR revision on August 6th of this year. It was at exactly 7 weeks this past Monday, 9/23 when I had a full anterior dislocation. Under sedation, they reduced it that same day. I have never known pain like that, and as you would expect am terrified now that it will happen again. Prior to this, I was doing fantastic. I was walking 30 minutes every other day with some light terrain height changes, PT exercises, no pain, no limp, just 100% success. It didn't dislocate easily. I have been good about my precautions, but I can only think I got a little sloppy. I was on my back, on my bed, doing an adductor stretch or moving into or out of the position. I did have my upper body elevated a little with pillows to monitor what I was doing. I remember leaning forward a little, but I had done this before, so I didn't think twice about it when I heard the pop out of the blue. Initially there was no pain and I was able to straighten my leg out. About five minutes later, I couldn't move my leg, and the pain continually mounted. I realized I was in trouble and fortunately had a phone next to me. Ambo trip to ER and heavy meds, sedation, they did a closed reduction. My surgeon feels that the soft tissue from the original failed anterior hip replacement was the problem. He now wants me to follow anterior hip replacement precautions, and I will see him in one week to discuss what is next. I just feel like I need a place to come and voice my intense fear of it happening again and not knowing if I have to just give up on my lifestyle of gardening permanently. I became skilled at gardening working around a failed THR for the past 5 years, but this is different now. I just want to know what I am up against going forward. I seem to have emerged from the doomsday mentality and want to be proactive about this going forward. For now, I am being excessively cautious, and just holding on. Thank you so much for being here and a place to find support. I am 62 and the original surgery was due to severe osteoarthritis that was resulting in the hip starting to fuse. I had the first surgery when I was 57.
@melquist What happened to you is EXACTLY what I am worrying about in these months leading to my revision. How have you been lately? I really would love learning from your experiences. Thank you so much!!

Erica
 

CricketHip

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@melquist I enjoyed catching up with your thread, and must say that I admire your due diligence and level. It already sounds like you’ve had improvement, good on you!!
I guess the biggest concern is not relaxing your guard.
Take care and know that we are all pulling for you!
 
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Just stopping in to see how you are doing. Hope you are coming along ok in your recovery! How long do you think the dislocation set you back?
 

Layla

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Happy Sunday to you @melquist
Dropping by to say :hi: wish you comfort and a good week. Don't forget we're here for support if you need us.
To brighter days ahead! :SUNsmile:
 

Mojo333

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:wave:Just wanted to pop by and say we are thinking of you.
Hope all is still improving.:friends:
 

acgolden9

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I am new to the forum as well and have found it be very uplifting in a time when I needed it the most. Wishing you all the best! Remember, staying positive, although sometimes difficult, is the best medication you can have....The forum has helped me with that!!
 

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