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THR Hip replacement after hip arthrosocpy

Rdwolfe94

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On 10/18/18, I had a hip scope. They were not able to access the joint because my sockets were too tight and too deep. They shaved the cam and pincer impingement as well as debridement of the labrum. However, they were not able to access the joint to see how much arthritis I had.

I saw another hip scope surgeon who said to scope it again would be a herculean effort as he would have to reconstruct my labrum which he recommended against at my age (49). He recommended a possible hip replacement. I am leaning that way.

Any advice would be appreciated.

I also had a hernia surgery with mesh before the hip scope that may also be causing problems. The ultrasound guided hip cortisone shot has given me relief in my hip but still having some issues around the hernia incision.

I am thinking of getting the hip done before having mesh removed as I have tight hip flexor and upper thigh pain that is very painful from just walking the dog, cleaning the house or mowing the grass. Plus the mesh removal requires a lot of walking post op which causes the same hip pain mentioned above. Any input is appreciated.
 

Josephine

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Rdwolfe94

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They thought the mesh may be causing the hip pain. But I do not think so. I think the hip scope was an epic fail.
 

JennyLynne

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My personal experience is that going half way is often a waste of time.
I had a partial knee replacement and then and to revise to a full replacement two years later.

My hip MRI results showed issues similar to yours. Doctor suggested replacements as fixing the other issues would be temporary.

I didn’t do it right away because of other family conflicts, but when it was time.. I did replacement (yesterday in fact... on BOTH hips). I personally feel it’s better to get it all behind you, once and for all!


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Rdwolfe94

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Jennylnne, were you limping prior to your hip replacements. I am not limping and my mri and xrays only show mild degenerative arthritis but I am having pain and tightness from the failed scope and another scope would not make sense
 

JennyLynne

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Intermittent limping... only on left side though. Getting into a car was terribly painful, as was getting up from sitting if I sat for too long. Also lost flexibility quickly.

It’s a very personal decision to have replacement, but you are in good company here! I wish I could have done it a year ago- waiting too long really impacts quality of life. I think you will know when it’s time!


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Rdwolfe94

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I cannot sit for more than 5 minutes without what feels like a tug-o-war in my groin. That is why I am worried I may be having issues with my hernia mesh also. Will they do a THR after a scope if you are not limping and your imagining only shows mild degeneration. I believe I read on here that hip arthroscopy is a one off procedure.
 

Jaycey

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@Rdwolfe94 Unfortunately we see many members go from having a scope to THR. It's a very tough recovery and doesn't aways work. If your surgeon pushes back on your request to have THR start highlighting the impact to your quality of life.
 
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Rdwolfe94

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Is the hip replacement recovery (I would be having anterior approach) easier than my recovery from my hip scope.
 

Jaycey

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Many of our members report THR recovery is easier. Certainly less painful. You not longer have that crumbling joint - just a shiny new hip.
 
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Rdwolfe94

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Would the new hip remove the labrum problem that I still have as my scope was unsuccessful in repairing the labrum.
 

Josephine

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A hip replacement clears out all the soft tissue in the socket of the hip. This image might help you understand

hip replacement.JPG
 

Vic Mackey

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I'm interested in your case as we're very similar. I've had a groin repair . Be wary of mesh there Pure tissue is normally the best for those and it fixed mine.
I also had a Scope to repair torn labrum and remove impingement two years ago. Unfortunately this failed. Been struggling with it since Had so many different steroid injections in and around the hip. Saw a different Doc and latest MRI showed that I have another labral tear at the back of the hip.
I'm seeing a new surgeon this Monday, but at nearly 47 I'd probably rather have a new hip than another scope. Given my activity levels, it would probably re tear. Problem is my cartlidge is in very good shape. It'll be an interesting discussion with the surgeon, but mentally, I'm really past another scope. I need certainty.

Will let you know how i get on. Be interested to hear what you do.

Vic
 
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Rdwolfe94

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Vic, I saw another hip scope surgeon who did not do my surgery. He told me that he could go back in with the scope but would have to reconstruct my labrum which, if everything went perfect, (which my index surgery 6 months ago did not as they could not access my joint but still debrided my labrum and shaved my cam and pincer impingements, it would give me 2 years at best. He suggested at my age (will turn 50 this December) that a scope would not be the way to go.

Unfortunately, I had an open hernia repair with mesh 3 months before the hip scope and they could not say for sure if I even had a hernia. I thought it was the mesh at first but am not having much pain there.

I see a hip replacement Dr on the 7th. I had an MRI that still indicates a torn labrum or possible scar tissue. The surgeon that did my hope scope told me it was fine. He is wrong and he is a well known surgeon at a highly ranked hospital.

My cartilage only show mild degenerative also.

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Owithurts

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Hi,
I too have a torn labrum and FAI and mild degeneration. My doctor said having a scope and Labrum repair would be a waste of time, most patients would end up having a hip replacement anyway. I am scheduled for right hip replacement on June 10. I do wish you the best.
 
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Rdwolfe94

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Owithirts. Did you ever have the scope or are you going straight to replacement?

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Vic Mackey

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Looks like we're in a very similar position. Thanks for the reply. I had my sports hernia repaired in 2012, pure tissue repair by one of the country's leading groin and hip specialists. It worked to good effect.
Unfortunately the same surgeon scoped my hip in 2017 and likely missed my posterior labral tear. It's been two years of heartache since then. He refused to accept there was still a problem in the joint until it was no longer possible to ignore.
I meet another surgeon who does both replacements and scopes tomorrow for a frank discussion with him. I'm looking for one of those modern small ceramic replacement jobs. Also toying with Andy Murray type resurfacing, although I'm aware of the issues with that. Will report back to you what he says.
I'd advise you to take care of the hip and then look at the groin again afterwards if it's still s problem.
Thanks for the reply. Please do post an update as i think we're both in a very similar position. Happy to answer any questions you may have and will let you know how i get on.

Vic
 
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Rdwolfe94

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Thought about the resurfacing too but sounds like an advanced scope to me that would lead to replacement anyway.

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Rdwolfe94

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Vic,

What do you mean by one of those small ceramic modern jobs. Anterior approach? Hope your appointment went well.
 

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