Revision THR What can I expect?

[Sockeyewillie]

UPDATE: Surgery will go as planned 5/18. Had a ct scan in preparation for the Mako robotic assisted surgery last week. Here’s what it looks like. You can see in the image how the bone has not grown in tight around the top of the implant.

 

[Layla]

Best Wishes for your surgery next Thursday! Sorry you have to go through this so soon. I hope your recovery is smooth sailing all the way to perfect healing. Stay in touch. We'll be here for support!.
@Sockeyewillie

 

[LaKarune]

Hey @Sockeyewillie! Just catching up on this thread. I’m three weeks out from a MAKO-assisted THR (primary), and I assume you’ll be getting the same implants as me- a Stryker dual-mobility system. It’s mostly used in revisions, but my surgeon uses them for primaries as well. I was after dual mobility when I was selecting a surgeon - for more range of motion, since my movement basis is dance. Turns out dance (flexibility moves) comes with a higher risk of dislocations, and this Stryker system is particularly good for managing dislocation risk, so the whole thing felt like a good fit for me.

My surgeon does revisions and other complex joint surgeries, and uses this system for primaries in part bc he wants to cut down on ppl’s risk of revisions, and also in part bc it’s been his experience that this system feels more like a natural joint. This last part is what I really wanted to share with you, because it sounds like a best-case outcome for you with this revision would give you a better-incorporated, more natural-feeling joint. This is what I’m hoping for you as you approach your revision surgery date.

I get what ppl are saying on the forum about your case sounding unusual for a revision, but I also get your “I can’t live like this” perspective. I would absolutely want a change if my hip was giving me intolerable pain three years from now. The whole point of these artificial joints are to help us live our lives again and it sounds like your initial surgery only got you about 60% there.

Wishing you all the best as you wrap out your last week with this middling hip hardware, and onwards and upwards!

 

[Mr.fun]

In all of the tests did they see something wrong with the implant in the femur? Is it loose? I just went through an episode where I hurt myself and thought I might have damaged the implant. Went to the OS for a check and they felt it was only muscle. I would want a clear reason for the revision first.

No sign of any loosening. from the 1/22 to the 1/23 bone scan it showed continued bone growth. The revision surgeon says it may be a bad match. I've scheduled an appt next Friday to talk further.

what does it might be a bad match mean.

 

[Sockeyewillie]

It means the shaft of my implant is firmly into the femur on the tip but loose on the upper end of my femur.

 

[dapplega]

Hi @Sockeyewillie - First, sorry things aren't going the way I'm sure you envisioned for three years post op. I too would be frustrated and wanting a solution. Question, only as I'd like to understand, did your surgeon offer any explanation for why the bone didn't take or loosened and is there something they can do differently this time to increase chances of success? Do you think it was always loose or that perhaps something happened? I know you are only five days out so sending best thoughts for a successful revision surgery.

 

[Sockeyewillie]

It’s difficult to say. There’s never any guarantees. I’m just in the unfortunate small percentage of cases. I have complete trust that they are going to do their best to correct this. He may have to cement it in this time. Maybe a different size post. With all the pictures, they’ll know more when they have me opened up.

 

[Sockeyewillie]

Femoral subsistence. That's what we are correcting. The term slipped my mind previously but in reading my Drs notes, there it is.

 

[CricketHip]

I would be wanting a revision, too. So will wish you the very best of outcomes and looking forward to reading your post op thread.

 

[Hip4life]

Best wishes for your upcoming revision surgery. May this be the answer that restores you to good health and mobility. We'll be looking forward to your update when you feel up to it.

 

[Sockeyewillie]

Thank you all for your well wishes! See you on the other side.

 

[Layla]

Best Wishes tomorrow, Sockeyewillie!
Will look forward to following your journey on the bright side.
See you soon!
@Sockeyewillie

 

[Mojo333]

Good Mojo coming your way @Sockeyewillie

 

[Sockeyewillie]

I’m out of surgery and moving over to post op.