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Types of implants.

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carol19895
carol19895

looks like I’m headed for dreaded revision after unsuccessful half hip replacement.  I’m a wheelchair user so terrified of dislocation.  Does anyone know about types of implants and if there’s one that has lower dislocation risk for people who aren’t very mobile?  Obviously I’ll be meeting with surgeon but wondered if I could read something reassuring on this site as I’m worried sick.

0 likes, 7 replies

7 Replies

  • RichardKen
    RichardKen carol19895

    Posted

    Dear Carol

    Sorry to hear of your situation. I'm not aware that there is a prosthesis that is different in being less likely to dislocate.

    I personally think your best bet is finding a surgeon with a very good track record for hip revision work and then follow the rules. Building muscle strength is very important in avoiding dislocation as it is basically the muscles that hold the ball into the socket.

    Some people seem to think that the anterior approach is less likely to dislocate in the early weeks but there seem to be too many reports here of grim nerve issues so I would if in your position to ask for the posterior approach.

    Whatever you decide to do the very best luck.

    Cheers Richard

    • carol19895
      carol19895 RichardKen

      Posted

      Thanks for your reply.  Can’t believe they can’t invent an implant that won’t dislocate.  
    • RichardKen
      RichardKen carol19895

      Posted

      Dear Carol

      Well if you think about how could they?   The only way that I can think of would be to make the joint a 'captive' ball and socket joint and that would be too restricting to implant and not give the surgeon the flexibility, also it would make revisions a huge problem.

      Provided that you adhere to the guidance given by the surgeon all should be OK.

      Cheers, Richard

    • carol19895
      carol19895 RichardKen

      Posted

      You’re right of course but right now I’d settle for just being able to sit in a chair comfortably!
  • auntiebeanie
    auntiebeanie carol19895

    Posted

    Hi Carol, sorry to hear this. I agree with Richard you need to find a surgeon who has a good track record with revision patients. Because of your situation it sounds like it is going to be hard for you to build up muscle so perhaps ask if there is a specialist physio who you can be referred to before your op, to help you. Good luck.
    • carol19895
      carol19895 auntiebeanie

      Posted

      At the mercy of NHS but will certainly ask for a specialist.  Thanks for reply.
    • Dav1953
      Dav1953 carol19895

      Posted

      Carol

      After my THRs I did most of my muscle toning from a chair so I know you can work muscles enough to help against dislocation!!

      Ask pt folks about it they can help greatly!!!

             Yes do try to check your surgeon out it’s hard to do sometimes.

            My surgeon had done thousands of thr & patients said he was great !!!

      Luv to all

        David 

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