NewlyHip
member
United StatesHello again BoneSmart folks.
On February 3 of this year I had hip revision surgery done at Mayo Clinic in Rochester, MN. The reason for the revision was a destruction of muscle tissue in my right hip related to trunnionosis. Trunnionosis is defined as corrosion of the femoral head–neck interface; and, in my case, it caused metal ions to be released into my body (metallosis) resulting in severe necrosis of my abductor muscle.
After months of not having my mobility and pain issues figured out by local doctors, I went to Mayo Clinic where I figured a correct diagnosis was likely. After proper blood, urine, and imaging tests, a diagnosis of trunionosis/metalosis resulted, and my revision surgery was scheduled. The surgery was successful and involved removal of the dead muscle tissue, replacement of the cobalt-chromium femoral head with a ceramic femoral head, resizing the polyethylene acetabular cup to accommodate the new head, and reconstructing the musculature in the right hip.
I spent one night in the hospital and then spent a couple of days in a hotel with my wife. There is no formal rehab for 5 weeks and I am using a walker to move about the house. The goal is to only put “toe-touch” pressure on the right leg for a 5-week period. The pain has been surprisingly mild and I only take Tylenol a couple of times a day to stay ahead of the modest pain I do have.
Hopefully any folks who are having perplexing issues a few years after hip replacement will keep in mind that trunnionosis is very possibly the cause. Determination of the issue is very easily obtained with proper blood/urine tests and imaging tests. Waiting too long to remedy the situation can result in a variety of serious medical issues.
Be well everyone!
P.S. Here is a link to an article that more fully explains my situation:
https://www.sciencedirect.com/science/article/pii/S2352344120302533
On February 3 of this year I had hip revision surgery done at Mayo Clinic in Rochester, MN. The reason for the revision was a destruction of muscle tissue in my right hip related to trunnionosis. Trunnionosis is defined as corrosion of the femoral head–neck interface; and, in my case, it caused metal ions to be released into my body (metallosis) resulting in severe necrosis of my abductor muscle.
After months of not having my mobility and pain issues figured out by local doctors, I went to Mayo Clinic where I figured a correct diagnosis was likely. After proper blood, urine, and imaging tests, a diagnosis of trunionosis/metalosis resulted, and my revision surgery was scheduled. The surgery was successful and involved removal of the dead muscle tissue, replacement of the cobalt-chromium femoral head with a ceramic femoral head, resizing the polyethylene acetabular cup to accommodate the new head, and reconstructing the musculature in the right hip.
I spent one night in the hospital and then spent a couple of days in a hotel with my wife. There is no formal rehab for 5 weeks and I am using a walker to move about the house. The goal is to only put “toe-touch” pressure on the right leg for a 5-week period. The pain has been surprisingly mild and I only take Tylenol a couple of times a day to stay ahead of the modest pain I do have.
Hopefully any folks who are having perplexing issues a few years after hip replacement will keep in mind that trunnionosis is very possibly the cause. Determination of the issue is very easily obtained with proper blood/urine tests and imaging tests. Waiting too long to remedy the situation can result in a variety of serious medical issues.
Be well everyone!
P.S. Here is a link to an article that more fully explains my situation:
https://www.sciencedirect.com/science/article/pii/S2352344120302533
Good to hear how well you are doing, my friend. Incision Iooks to be healing well too.
