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[REVISION THR] Hip revision immediately after THR

MsB

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A year ago in June I had a THR on my R. I had been bone on bone for a few years so decided to replace. I awoke from surgery to find I had my THR and a REVISION! My hip displaced before I had come out of the recovery room, my Dr revised the cup size in this revision. Three days later while standing with my walker my hip displaced AGAIN. As second revision was done, a weird position of the joint was done. I have an inch difference and difficulty with balance. My siatica causes a great deal of pain. My Dr states that another revision might not be possible. This is a scary thought.

The result is that I have had to take early retirement and continue to deal with balance and sciatica. I also have to KEEP all my restrictions for life due to the hip replacement which has impacts my life daily.

Has anyone had a similar situation? Has anyone had more than two revisions ?
 

Fiona444

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Oh bless you. What an awful scenario. Im sorry you are going through this. I cant offer any advice unfortunately but i am sure someone will be along soon
 

Layla

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Hello,
Welcome to BoneSmart. Thanks for joining us. I'm so sorry for all you've been through. Your experience isn't one we imagine when committing to THR. I'm wondering if you could clarify something? In using the word "displaced" are you meaning "dislocated" as in Dislocation? If so, as most of us have read, it's a rare occurance. I wasn't aware a Dislocation required a Revision surgery, if I'm understanding you correctly. Could you please elaborate?

Following is a article on Dislocation: What Are The Risks, for anyone who is interested after reading details of your journey above. They will learn the in incidence is low -
http://bonesmart.org/forum/threads/dislocations-what-are-the-risks.8759/

I'm sorry this has affected you in numerous ways. My heart goes out to you.
Wishing you comfort, peace and brighter days ahead.
@MsB
 

Layla

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Oops...one more thing.
Please leave the names of procedures / surgeries, exact dates, and which hip. The information will be applied as your signature.
Thanks in advance. :wave:
@MsB
 
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MsB

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For clarification, I'm not a medical professional and do not always know the correct terms. At any rate I'm seeking information and support in this community. I hope that my story does not impact anyone as It is a very rare occurrence.

I had a total right hip replacement on June 4th, 2018 at 7:am. It was done posterior. After surgery in the recovery room while I was still asleep the new hip dislocated. At this time another surgery in which the surgeon repostioned a larger sleeve. Post 2nd surgery I worked well in PT but had a great deal of swelling.

Staff, nurses and even PT were very careful with me. I progressed. I was released June 7th, 2018 (4days after my first two surgries) upon arriving home as I took my first step with my walker and my hip dislocated right there!:bawl:I was rushed back to the hospital where I waited 11 hours for a team to be put together. A revision was done and my hip was repositioned during this surgery. Post surgery I had to deal with a lot of healing. I am left with issues and restrictions because of my implants placement. My sleeve is placed like a top hat instead of set normally.

A year later I'm getting stronger. I had to retire due to my restrictions. I have to say my Dr never had a hip that dislocated early in 28 years of practice. I just wondering if anyone else has experienced an easily dislocation:dubious:
 

Layla

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No worries about knowing proper terminology. I only asked for clarification as a better understanding for those who drop by, read your posts, and want to comment. Hopefully you'll receive some feedback soon.
Thanks for providing the dates. Your signature will soon be created.
Have a great evening!
@MsB
 
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I am so sorry to read your thread. We certainly hope for the best, and the surgery would be complication free. I had a revision surgery done after my initial replacement two years ago. The first 10 days of my recovery I felt great, very little pain and the initial groin, back and leg pain was gone.
Sunday at 3:00 a.m. I woke up not being able to process the pain. I got my son up. Called the emergency answering service, and they said call 911. So before I knew it, there was a nice policeman in my bedroom, then two EMT's showed up. A third one needed to be called, because they could not figure out how to transport me down my stairs.
I saw the surgeon today, and he said I am in "red alert" for next 5 weeks, and if it dislocates again, which it very well may, it will require surgical correction. I am out of work now, and really need to land a good job and get the bills paid.
This board and community is awesome, come here often for support and sanity checks! I will check back for your updates.
 

Celle

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Hello @MsB - I'm sorry to read you had such a difficult time with your hip replacement. I hope that your hip is much less difficult to manage now.

while I was still asleep the new hip dislocated. At this time another surgery in which the surgeon re-positioned a larger sleeve
I am left with issues and restrictions because of my implants placement. My sleeve is placed like a top hat instead of set normally.
I am a a little puzzled about what you refer to as a "sleeve". I wonder if you could explain a little more?

Here's a picture of the various components of a hip replacement. Please will you tell us which you are calling a sleeve?

 
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MsB

MsB

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To answer again, I am not a medical professional and am interested in others outcomes and positive outcom. Slive is what the graphic shows as a liner and AC. I do not want to answer questions that I may not have the correct terminology for for medical procedures, parts or procedures.
 

Debru4

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I can only imagine how hard this journey has been for you so far. It always is hard to be "the one" who weird things happen to...I've had a couple of situations in my life where my doctor said it had never happened before to one of his patients, or was incredibly rare. And I just wanted to howl at the moon and say I didn't want to be the outlier.

I am wondering if the same doctor has done all of your procedures, and if so, if you have considered getting a 2nd opinion? You mentioned the doctor said they might not be able to do any additional surgeries, and since you are so young, it might be worth seeing if any other doctors/facilities have other ideas.

Your situation sounds so complicated, and I'm sure when people on the forum are asking you questions, they are just trying to better understand so they can see if they can offer ideas or find someone else with a similar experience. So just ask away and don't worry if others ask for clarification. About 6 months after my surgery I contacted my doctor and asked for a copy of my surgical records----there were a few terms in it I wasn't familiar with. I think some doctors probably use different descriptors when talking to patients than the technical terminology, which may be why you have some different words to describe your surgery. I hope things start looking up for you. :flwrysmile:
 

Mojo333

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Hi @MsB and welcome to the forum.:flwrysmile:
It really sounds like your new hip was not positioned correctly or a good "fit"
I'm so sorry you are dealing with this.:console2:
To answer again, I am not a medical professional and am interested in others outcomes and positive outcom. Slive is what the graphic shows as a liner and AC. I do not want to answer questions that I may not have the correct terminology for for medical procedures, parts or procedures.
Please dont be intimidated by the requests for clarification...
I didnt know anything about the proper names for the components of my implant until well after my double hip replacement.
Most of it I learned here, so you are in good company :) :-) (:

I believe I would be attempting to seek a 2nd opinion from a surgeon who has no association to yours, so you can get an objective opinion.
If the component is not placed properly...surely it will always hinder your ability to get healthy and happy.
 

Small1014

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MsB, I'm so sorry to hear of your surgery complications. I just had my second THR on June 28....first one was on 8/8/18 on the other side. MIne both went as expected, and I did a LOT of perusing this board as well as researching outside sources on risks, complications, etc... and I never saw/heard anything like what you are describing. THe forum advisor @Josephine might be able to give more info on that, but I think you have a case for a law suit based on your description of what happened. Do you know how experienced your surgeon is in this procedure? You might try googling reviews on him, and see what other patients have to say. I pray that this second revision resolves the problem, and that you heal quickly. :chinstroke:
 

Layla

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Happy Friday! :wave:
Please don't be afraid of answering anything wrong. There's no judgment here. It's not our intention to intimidate or humiliate. We're only trying to get a clear picture of what's going on for those who stop by to read your thread and possibly comment. Others may question you also.

I too requested copies of my medical records in regard to my THR, from office visits to surgery notes and it was very interesting to read. The information was easily enough obtained, at no cost. It may be worth considering for your personal records, especially given your history. I hope you have a nice weekend!
@MsB
 

Josephine

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Has anyone had a similar situation?
Not only that, I've never even heard of anyone having this issue. Sounds ghastly to me!
Slive is what the graphic shows as a liner and AC.
I think what you mean is a sleeve, perhaps? I've never heard of a 'slive'. Where did you get that term from?

I think you need to see a trustworthy hip surgeon and the person to give you recommendations is @Jamie
 

Jamie

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I can help you find a surgeon if you like. Just tag me in a post in your thread and I'll be happy to assist.
 

Harryn1

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Hello @MsB - I'm sorry to read you had such a difficult time with your hip replacement. I hope that your hip is much less difficult to manage now.



I am a a little puzzled about what you refer to as a "sleeve". I wonder if you could explain a little more?

Here's a picture of the various components of a hip replacement. Please will you tell us which you are calling a sleeve?

The sleeve is the polyurethane liner.
 
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MsB

MsB

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Thank you for you support! It's been a very very difficult year. I too wonder if a law suit could be pursued as Im told that another revision may not be possible. I'm not sure what to do, I had to retire after teaching 27 years because I could not work for 9mo. I had therapy for 7mo. 2 to. 3 times a week. I'm told I must maintain all my post op restrictions because I had two dislocations in 4 days. A year later I can finally lift my led into the car unassisted, one leg is an inch different in length so my balance is an issue. Also my hip is set in a way that gives me a different gate and posture.

Next I am dealing with my left hip being bone on bone, and both knees. I'm currently receive shots in my joints to keep moving. Thankfully I've kept moving by swimming and water exercise.

To answer the questions above, my surgeon had good reviews and did not had in major known issues that I found for his 28 years. Yes, sleeve is the correct term. Thank you for any help or recommendations to improve life with my new circumstances.
 
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Mojo333

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I can imagine how anxious you must be to deal with the left hip after such a horrible experience with the right but the fact that it is bone on bone is not helping your new hip or knees either.
A second opinion by a revision specialist might be what you need to decide if your surgeon is correct that no revision is possible.
Let Jamie know if you need some information.
Hope you decide to pursue this with another OS.
I'm sorry you had to retire...teaching is such an underrated, and underpaid (in my opinion) important profession.
 

Small1014

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Thank you for you support! It's been a very very difficult year. I too wonder if a law suit could be pursued as Im told that another revision may not be possible. I'm not sure what to do, I had to retire after teaching 27 years because I could not work for 9mo. I had therapy for 7mo. 2 to. 3 times a week. I'm told I must maintain all my post op restrictions because I had two dislocations in 4 days. A year later I can finally lift my led into the car unassisted, one leg is an inch different in length so my balance is an issue. Also my hip is set in a way that gives me a different gate and posture.

Next I am dealing with my left hip being bone on bone, and both knees. I'm currently receive shots in my joints to keep moving. Thankfully I've kept moving by swimming and water exercise.

To answer the questions above, my surgeon had good reviews and did not had in major known issues that I found for his 28 years. Yes, sleeve is the correct term. Thank you for any help or recommendations to improve life with my new circumstances.
 

Small1014

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Hi MsB- sorry, had a little trouble with trying to respond directly to your last message! If I were you, I would find a second OS to discuss your situation (after requesting the notes from your surgeries.) You need a second opinion to help you decide the next steps to resolve your situation. I don't think anyone on the board has experienced this before, so it's difficult for us to give specific recommendations outside of this. The fact that even the second revision isn't working is very, very concerning! There is now a tab on the board to rate surgeons, so you might take a look at that and see if there is a highly rated one in your area. As a side note, my OS told me that the hip replacements are the easiest part of his job. Knee replacements are much more complicated, and more prone to complications and pain... and he is an expert in both. You could also google hip replacement surgeons in your area. How did you find the one you selected for the original THR?
 

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