Revision THR Subsidence and revision of THR
- Thread starter Nikky
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Nikky
new member
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- Apr 22, 2022
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Iceland
Hello Jaycey,
I had a left THR in March 2021 which went very well and a right THR in November 2021 which also went well in the beginning. Both were uncemented.
In January 2022, I started experiencing pain when walking and the mobility of my hip was decreasing. Had an x-ray of my right hip at the end of January 2022 which revealed 2 cm subsidence of the femoral stem. I had a reoperation in March 2022 where the femur stem was supposed to be replaced, but it didn't work because the stem was stuck in the femur.
In an attempt to lengthen the leg, a larger ball/ femoral head was inserted and the socket was lined.
Rehabilitation went slow and the muscle strength around the hip never fully recovered. I now have a 1.7 cm leg length discrepancy and according to MRI the tensor fascia latae and gluteus minimus on the right side are atrophied. My hips are uneven and I have constant low back pain and locking in the SI joint on the left side. I use inserts for my left shoe but still limp. I am now waiting for the third operation on my right hip where the femur will be opened (transfemoral approach, the femoral stem removed and a new stem will be cemented. It is not expected that socket removal will be necessary.
Nikky
I had a left THR in March 2021 which went very well and a right THR in November 2021 which also went well in the beginning. Both were uncemented.
In January 2022, I started experiencing pain when walking and the mobility of my hip was decreasing. Had an x-ray of my right hip at the end of January 2022 which revealed 2 cm subsidence of the femoral stem. I had a reoperation in March 2022 where the femur stem was supposed to be replaced, but it didn't work because the stem was stuck in the femur.
In an attempt to lengthen the leg, a larger ball/ femoral head was inserted and the socket was lined.
Rehabilitation went slow and the muscle strength around the hip never fully recovered. I now have a 1.7 cm leg length discrepancy and according to MRI the tensor fascia latae and gluteus minimus on the right side are atrophied. My hips are uneven and I have constant low back pain and locking in the SI joint on the left side. I use inserts for my left shoe but still limp. I am now waiting for the third operation on my right hip where the femur will be opened (transfemoral approach, the femoral stem removed and a new stem will be cemented. It is not expected that socket removal will be necessary.
Nikky
Sockeyewillie
junior member
- Joined
- Jul 20, 2020
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- 58
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- Male
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United States
Hello Nikky,
I am schedule for a revision 5/18. My original THR was 4/20 and I have suffered intense but infrequent pain at what feels like my femoral post. The referred surgeon suspects loosening which is undetected in both bone scans and x-rays. They will use a posterior approach and replace the femoral stem. I will follow your progress and share mine.
I am schedule for a revision 5/18. My original THR was 4/20 and I have suffered intense but infrequent pain at what feels like my femoral post. The referred surgeon suspects loosening which is undetected in both bone scans and x-rays. They will use a posterior approach and replace the femoral stem. I will follow your progress and share mine.
