Hi
@Crisps
I've been wondering how you are. So pleased to hear the hip has settled down for you and I do hope you'll be able to get back to work as planned.
When my trochanter failed to heal I was told I wouldn't notice any difference. I had a different surgeon for my other hip revision and he was of the same opinion. I asked why there was no fixation and was told that the plates/screws bring along their own set of problems because of the strong muscle forces acting in the area. I'm told that it's muscles that are holding the trochanter in place. I don't know when the trochanter moved away from my femur, but it has stayed in about the same position for the last 2 years. I say 'about' because each x-ray is taken from a slightly different angle, but they look very similar.
The reality - that hip/leg is weaker (and more problematic), but I have much greater mobility in that hip! I get around fine in the house but outdoors, any distance, I need to use a stick to support that side. Same for a number of stairs or steps, need to use a stick or handrail. Whether it's all because of the non-union, I don't know. I had been subluxating for years (awful pain, misdiagnosed as referred spinal pain) and had extensive muscle damage. As well as the osteotomy at revision, the femur was fractured to enable removal of the stem. So I have cerclage wires holding the femur together and I'm fairly certain that they cause me problems at times. That hip/leg has been through a lot of trauma.
There is certainly no intention for anything to be done about the non-union at this time. However, having lurked on this site for many months, I have more idea what to be looking for on my x-rays and what questions to ask. Looking at my x-ray at my last review, I pushed (and pushed) to get a definitive reply as to whether the stem is loose. I'm told it's not as good a fit as he would like, so I think that another revision could be in my future. That could take care of a migrating trochanter and cerclage wires. My next review is in 3 years, and in the meantime I take each day as it comes.
I've certainly de-railed your thread this time, but hopefully this will be of use to others. Any questions anyone, please ask.