Failed hip arthroscopy - completely disabled from it . Total hip replacement ? Too young ?

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My daughter had a torn Labrum and Cam Fem repair almost 3 years ago. Was told by surgeon "0 risk of making her condition worse" .

Surgery caused MUCH harm . Pain sitting now, walking and standing . That surgery was a mistake for her .

Q - should we get a THR ? shes 27 years old but stuck in a bed most of the day with heat pads . On 4-5 medications to control nervous system changes and RSD that resulted from surgery .

If you know anyone young who has failure or success with THR after a failed hip Arthroscopy - can you share your experience ?

0 likes, 9 replies

9 Replies

  • Posted

    sorry very quick reply as half asleeo...

    i had my hip replaced at 28 i wasnt almost completely imobile and i thank my surgeon a lot and my Rhumatolgist who listened to me when i asked yo be referred... dont wait ask for the referral. i got a specialist wjo is amazing. he's getting his own two done by his own team on the same day and explained to me that his youngest patient was 8. to expect about 30 years out the hip asnlong as i dont take up major hiking skiing or something daft.

    ita not perfect i still have a small limo from prelearned behaviour and i still get pain.

    the only real answer is to ask for a referral and get the surgeons advice and ill be honest i was ij worse shape than my grandad who got his the day after (not fun stress) he recovered quicker but he stopped putting the work in it wasnt an easy recovery for me i had huge muscle weakness rotated muscle's prior to surgery had to relearn and it took me almost a year to get to where i am not and i still have weakness but the only thing i regret it not asking sooner. not forcing an opion when people said i was too young.

    ask the surgical team for an opinion be prepared for a lot of the nerve pain yo take a long time yo heal and not all be perfect and be prepared doe recovery yo be longer than they say as everyone is different.

    i had a torn glute prior to surgery where if i dont work on it every day i can push down to the bone easily, i havr comolications from the surgery and a surgery and a split muscle at the incision site surgery wont solve everything but age isnt a factor and at the end of the day it gave me back a much better quality of life.

    if your daughter ever wants to ask anything or speak to someone almost her age that's been through it im here 😃

  • Posted

    Ive had a bilateral hip replacement about 4 years ago ive have had nothing but pain everyday some popping and back pain ive never had any back pain before now between my hip pain and back pain does make life not so easy should i get a second opinion on getting another set of replacements done or other options

  • Posted

    It is personal choice in your daughters case I expect she thought the pros out weighed the cons .

    Unfortunately they get around this with all warnings prior to operationI had a thr that went wrong it popped twice but is was a mistake pain was bad previous bi npe its excrusiating for me

  • Posted

    hi, I am 46 and unknowingly tore my hip labrum whilst in my 20s. was told at the time it was a groin strain and would repair. pain was not bad and would come and go so thought it was just a recurring strain. Last August however, I tore some more and it was excruciating. I saw a consultant at a Nuffield hospital who on seeing scan results recommended a THR immediately. I thought I was young but he gave sound advice. consider the quality of life before and after. At 10 weeks post op I feel great. I dont limp and have zero pain. I can walk at speed (but not at a trot) for long distances. I was told that in 20 yrs time there is 80% chance I will NOT need any intervention. and if I did need a revision then its possible anyway. I was lucky that my husband's workplace cover our family with Bupa, so I was seen quickly and was able to take advantage of having a robotically assisted procedure. Hope all goes well x

  • Posted

    hi, I am 46 and unknowingly tore my hip labrum whilst in my 20s. was told at the time it was a groin strain and would repair. pain was not bad and would come and go so thought it was just a recurring strain. Last August however, I tore some more and it was excruciating. I saw a consultant at a Nuffield hospital who on seeing scan results recommended a THR immediately. I thought I was young but he gave sound advice. consider the quality of life before and after. At 10 weeks post op I feel great. I dont limp and have zero pain. I can walk at speed (but not at a trot) for long distances. I was told that in 20 yrs time there is 80% chance I will NOT need any intervention. and if I did need a revision then its possible anyway. I was lucky that my husband's workplace cover our family with Bupa, so I was seen quickly and was able to take advantage of having a robotically assisted procedure. Hope all goes well x

  • Posted

    Your daughter should consider THR replacement ... as in ... as soon as she can have the surgery.

    The trick will be to find a really good surgeon ... there are some surgeons that operate more on younger patients ... younger meaning 40-60 ... There is a surge in middle-aged folks having hip replacements ... and a surge in the number of people like myself, who had the surgery ... not because I couldn't walk ... but because I want to dance, run, hop, skip and pedal hard on a bicycle (things I couldn't do without pain in the past two years).

    I'm 56, btw and my surgeon is cautiously confident that the device will last me through my lifetime. There has been a breakthrough in the past 15 years in hip replacement materials .... the ceramic ball and the cross-linked polyethylene liner (which has a dramatically lower wear rate than the old simple polyethylene liner) ...

    The bottom line is I had two surgeons tell me that the wear rates on a well-placed hip these days are extremely low after even a decade ... Traditionally what led to loosening was that there would be wear on the liner ... polyethylene particles would fall off ... and into bone ... and over time weaken the bone. Well the new ceramic heads are extremely smooth ... causing little wear ... and the liners are extremely resistant to wear ... So ... there is a shift going on now ... where people like my surgeon are fine with me running, jogging, sprinting, marathoning, rock-climbing and every thing else with this new hip.

    So the new focus on hip surgery for "active" patients ... means yes, it's a good option for people your daughter's age ... For one these hips are likely to last 3 to 4 decades ... barring some surprise ... and by then, the technology and techniques of surgeons will have so improved that if she needs a revision, a new hip, that won't be a big deal.

    The key is to get her to an excellent joint replacement surgeon ... someone ironically who is willing and eager to operate on her ... who gets her situation ... and you need to tell this surgeon about the arthroscopy and the disastrous results so they can consider that.

    As one of the partner's my surgeon said, "it's not your grandmother's hip replacement anymore."

    The only restriction on activity I have ... is to pay attention if an activity hurts. Other than that, my surgeon, who is part of one of the top practices in the U.S., has no restrictions on my activity. So your daughter can be very active again. By the way, you might also want to get her to a pain specialist, perhaps an anesthesiologist ... perhaps one recommended by an orthopedic practice ...

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