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THR Question about synovial tissue after THR

momofthreee

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Okay, some people get THRs due to inflammatory arthritis where the synovial lining is inflamed and causing pain. When you get a THR, is the synovial tissue removed? If it remains, can't it still get inflamed and cause pain even after the THR? I feel like this is a silly question but you're a kind bunch so I feel safe in asking it :snork:
 

Hip4life

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There are no silly questions, just information gathering. LOL. I’m not an expert but my research brought me across this website ( https://www.muhealth.org/conditions...hip-replacement-surgery/about-hip-replacement (This is from University of MO) that does a pretty good job of explaining it. BoneSmart is even offered as a resource in the article. The way I understand it is that the cells that encapsulate the replacement will produce synovial fluid so it is lubricated. However, joint replacement is done because of the loss of cartilage cushioning the bone surfaces which creates pain and difficulties with movement. If just the synovial lining is inflamed causing pain, I would think that most likely would be treated differently than with a THR. In a THR with certain symptoms, they might check for an infection. Other members will chime in with their expertise, experience, and if my info needs correcting. Lol. All in the family here. :)
 

Celle

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some people get THRs due to inflammatory arthritis where the synovial lining is inflamed and causing pain. When you get a THR, is the synovial tissue removed? If it remains, can't it still get inflamed and cause pain even after the THR?
I haven't heard of people having a THR because of synovial inflammation. Most people get a THR because they have osteo-arthritis, or AVN.

Synovial inflammation due to rheumatoid arthritis is a very rare cause of having a THR.
There are other, less drastic treatments for synovial inflammation, such as steroid injections or an arthroscopic partial synovectomy.

The synovial membrane is not routinely removed during a THR, because it's the part of the joint capsule enclosing the joint, and it makes the synovial fluid that lubricates the joint. Even an artificial joint needs lubrication.
In some cases, the diseased part of the synovium may be removed, but healthy tissue is left.

Has it been explained to you why a THR is recommended for your daughter?
 
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momofthreee

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Has it been explained to you why a THR is recommended for your daughter?
Yes, @Celle, she has bone on bone cartilage loss due to inflammatory arthritis. I thought I understood it to be related to the synovitis, but maybe I misunderstood that?? So I was just wondering if synovitis might still cause a problem even after THR. Just a little confused about this.

She also has "mild" protrusio acetabuli, so maybe that's part of the reason for the THR also. This has not been made perfectly clear to me, unfortunately.

Thanks for the article, @Hip4life!
 

Celle

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Well, the cartilage loss and the protrusio acetabuli are ample reason for your daughter to have a THR. Those aren't going to get better and they will, most likely, continue to worsen.

If there are any areas of damaged synovium, they can be removed during surgery.

After her THR, continued management of any inflammatory arthritis should be managed by a specialist in this.

I think it would b a good idea if you discussed your questions further, with both a hip surgeon and the doctor who has been treating your daughter's inflammatory arthritis.

I assume she has been treated by someone for juvenile arthritis for some time now?
 

Hip4life

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Thanks, @Celle for info confirmation. That’s what is the best thing about BoneSmart. Everybody helping each other with the fuzzy details we don’t even know to ask about and support to get them clarified. ❤
 

Jobaby

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I have RA and the inflammation in my Left hip caused synovial fluid to get out of control. Very painful, swollen and no matter what my rheumatologist or I tried (massage, physio, steroids, cortiosone shots, biologics, anti inflammatories etc) worked. Within months, my cartilage had been worn away and the high steroid use to try and and get it under control had caused bone death (AVN). By this stage I was in excruciating pain, could not move without a cane, and basically was at my wits end. My Rheumatologist then sent me to an OS who was aghast to see the results of my MRI & xrays and performed THR weeks later. He has warned that RA causing damage in my other hip and knees may mean more replacements in my future and has warned me to be more proactive in seeking this.Hope this helps. I am 11 days into recovery from surgery and am grateful for the opportunity for this life changing surgery.
 

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