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Re: Dislocated prosthetic hip

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HI Jan

Sorry to hear of your dislocation and subsquent fear.

I have only recently had a THR and have only just

started thinking about dislocation. How did you do

it? and did you know instantly? How did it feel? I am

worried that I might do some damage and not realise.

Is this possible or am I just being melodramatic?

I hope you get stronger physically and mentally soon

Thanks

Liney

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>

>

> A month ago, I dislocated my prosthetic hip after having survived

> no injury for seven years. I was shocked and am still recovering

> through therapy. I'm feeling very insecure about the possibility

of

> this dislocation happening again, and am wondering if any one

> else has suffered this setback? I realize it will take time to

> become more confident, but the fear lingers. Thanks.

I am so sorry you dislocated. You would think after 7 good

years you would be ok. I have not had that happen, but still worry

about it. (I am at 7 weeks today with my new hip). I would like to

know exactly what you were doing and how were you doing it when you

dislocated. Also was it something you had not done before? If it

happened with something you had done a million times before with no

problem, that makes it even more scary. Could your prosthetic hip

parts be loosening? Best of luck to you having another good 7 years.

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Artificial hips are just that - Artificial. They will never be as

good as a healthy normal hip, but are excellent substitutes for non -

functioning and painful hips.

Dislocation is always a possibility. One of my husbands workmates

dislocated his hip recently. Want to know what he was doing when he

dislocated?

Wait for it!

He was wiping his bottom after going to the toilet.

My surgeon spent a good deal of time recently showing me the kinds of

positions that would put me in danger. Sometimes it is the

combination of twist and angle that creates the danger, as I guess was

the case with the one above.

Another friend dislocated her hip, after 7 good years, by sitting down

on the bottom step to talk to her child.

The graphic at http://www.totaljoints.info/Dislocation.jpg shows how

important the hip precautions are. And the mechanics don't change

just because you have had your hip in for 15 years. It is a

mechanical device after all.

That said, most hip dislocations happen early - within the first two

months. It seems that the stronger the capsule is, the more likely

you are to get away with some bending of the rules.

I had my hip replaced so I could have a life. I know the precautions,

and adhere to them as much as possible, however at times I say " to

hell with it, the risk is worth it " and break the rules.

I guess one day it could all catch up with me, but my quality of life

is important to me.

This means I put on my own socks, without a sock aide. I don't bend

down to do it, I bring my leg up behind me to do it. (NB: I am not

recommending this method - my surgeon tells me it is very risky.) I

know I am taking a risk, but I travel with my work at times, and I do

need to travel light.

I would be interested in what people, who have had dislocations, would

say about risk, and what they were doing when they dislocated their hip.

Perhaps we could start a data base within the group so others could

learn from it.

Thanks so much for increasing my knowledge on total joint replacement.

Margaret from Australia

> >

> >

> > A month ago, I dislocated my prosthetic hip after having survived

> > no injury for seven years. I was shocked and am still recovering

> > through therapy. I'm feeling very insecure about the possibility

> of

> > this dislocation happening again, and am wondering if any one

> > else has suffered this setback? I realize it will take time to

> > become more confident, but the fear lingers. Thanks.

>

>

> I am so sorry you dislocated. You would think after 7 good

> years you would be ok. I have not had that happen, but still worry

> about it. (I am at 7 weeks today with my new hip). I would like to

> know exactly what you were doing and how were you doing it when you

> dislocated. Also was it something you had not done before? If it

> happened with something you had done a million times before with no

> problem, that makes it even more scary. Could your prosthetic hip

> parts be loosening? Best of luck to you having another good 7 years.

>

>

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Dislocation risk is caused by two factors - during recovery it is the

relative weakness of the muscles - still recovering from the trauma of

surgery. After the muscles have healed, the risk of dislocation is

very much inversely proportional to the size of the artificial joint.

This is why the hard bearing surface devices (metal-on-metal and

ceramic-on-ceramic) are gaining in popularity - the large joint size

makes for near normal range of motion and very low risk of dislocation.

(48)

RC2K Dr. Gross 3/24/04

> > >

> > >

> > > A month ago, I dislocated my prosthetic hip after having survived

> > > no injury for seven years. I was shocked and am still recovering

> > > through therapy. I'm feeling very insecure about the possibility

> > of

> > > this dislocation happening again, and am wondering if any one

> > > else has suffered this setback? I realize it will take time to

> > > become more confident, but the fear lingers. Thanks.

> >

> >

> > I am so sorry you dislocated. You would think after 7 good

> > years you would be ok. I have not had that happen, but still worry

> > about it. (I am at 7 weeks today with my new hip). I would like to

> > know exactly what you were doing and how were you doing it when you

> > dislocated. Also was it something you had not done before? If it

> > happened with something you had done a million times before with no

> > problem, that makes it even more scary. Could your prosthetic hip

> > parts be loosening? Best of luck to you having another good 7 years.

> >

> >

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