Author Topic: Dislocation  (Read 13009 times)

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« on: October 04, 2007, 02:20:59 PM »
I had my right hip resurfaced by Dr. Gross on 12/6/06.  I was problem-free and doing well until April.  I had gone to Houston to care for someone in the hospital.  The only "lifting" I did was to help her sit up in bed.  During that week, the base of my incision looked bruised.  Apparently I was bleeding internally.  The bruise spread, swelled a great deal, and hardened.  The night I returned home, I ended up in the ER in severe pain.  I stayed the night in the hospital, and the orthopedic surgeon said the next day that he couldn't drain it because it would be like "sludge."  I had 2 choices -- I could wait and see what happened, or he could cut me again to drain it.  I chose the waiting.  Over 6 weeks the swelling went down, and I was back to a little bruise at the base of the incision.

Fast forward to July.  I sustained some kind of injury at the health club -- getting on my knees to reach under a counter to plug in a hair dryer -- nothing glorious like getting hurt while exercising.  I got up on my right leg (resurfaced hip) instead of my left, and at an angle as well.  I literally felt something tear, and it was excruciating. 

I went back to the surgeon I'd seen in the ER in April.  He took X-rays, said everything was fine, come back in 6 weeks.  I was very unhappy with this because I was still in extreme pain.  Finally, in August, I went to a pain specialist I'd seen for over a year, and trusted.  He injected two sites to calm down some of the pain.  Two days later, 8/29, I returned to see if he could inject another site.  What happened next was so fast I still don't understand it.  I was on the examination table, and I believe the doctor was checking for range of motion.  Ordinarily I'm outrageously protective of my right leg, but before I knew it, he pushed my leg to my chest and rotated it.  The result was dislocation.  Now I know what a "10" on the pain scale is.  (I'll spare readers the charade of getting me to an ER from the doctor's office...)

In the ER, the X-ray revealed that the ball had literally gone behind the socket.  By sheer luck, they were able to locate the orthopedic surgeon I trust most.  He came to the ER, put me under, and put the hip back together.  His theory is that at the health club I tore two sets of the ligaments surrounding the hip capsule.  He prescribed 8 weeks of physical therapy, and the end of which we'd reevaluate.  I was progressing very well with the PT until the day I hurt it again -- this time in front -- simply trying to lie face down on a bed.  I have not been able to get back into see the him -- I have an appointment in 4 days.  In the meantime, I was told by his PA to do nothing - no swimming, etc.  Swimming is a major pain controller for me.  Finally, yesterday I reached the PA again, after she reached the doctor (who is out of town), and was told I can try the recumbent bike until I can see the doctor. 

One of my biggest problems is frustration, and downright depression, about how long I've been in pain -- and I'm on medication.  I feel like I've torn more ligaments.  The OS in the ER had said that if the PT didn't work, he wanted to do surgery for ligament repair.  Dr. Gross is opposed to that, and wants me to try a brace.

So, after this long story, I'd like to find out if anyone else has experienced dislocation (which is supposed to be more rare with a resurfacing than a THR), and what he/she is doing about it.

« Last Edit: June 20, 2008, 04:18:41 PM by Pat Walter »

Pat Walter

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Re: Dislocation
« Reply #1 on: October 04, 2007, 02:44:13 PM »
Hi Marla

Yikes - the full story even hurts reading it.  I am so sorry to hear about your problems.

First I have to say that I would LISTEN TO DR. GROSS ONLY as far as having any kind of additional surgery.  One lady had a slipped up on the other discussion group and the second surgery was terrible. She ended up with a large hemotoma and some nerve damage when they went back in - according to her story.

So I just want to say that I would only trust an experienced HIP RESURFACING surgeon like Dr. Gross to ever go back into my hip.  Only my thoughts after reading thousands of posts about hip resurfacing.

Second - Linda who has posted on this discussion group  http://surfacehippy.info/hiptalk/index.php?topic=71.0 had a dislocation.  You can read her story.  I will see if I can contact her to talk with you to help give you a little support.

I will also get Vicky who had a hip resurfacing with Dr. Bose to get on and talk with you.  We are all here to help support people whether it be with new info or moral support.  It is a difficult time in your life to deal with such problems and you need patience and people to talk with that understand what you are going thru.

I definitely would stay in close touch with Dr. Gross or Lee Webb and listen closely to what they suggest.  If he wants you to use a brace, then I would listen to him.  You don't want to end up with a revision to a THR after you ahve come all this way.

Dislocations are very rare. I just posted Dr. Bose explanation of dislocations  http://www.surfacehippy.info/dislocationsbybose.php

I believe Linda wore a brace too.  I will have to check into it further and try to get her back on the group to post.

Meanwhile, please listen to Dr. Gross - he is the expert.  Also try to relax and take it easy on all the PT, etc.  Give your poor hip time to heal.

Keep in touch.

Pat in Ohio
3/15/06 LBHR De Smet

Webmaster/Owner of Surface Hippy
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Re: Dislocation
« Reply #2 on: October 04, 2007, 07:12:03 PM »
You poor thing!!  You have indeed been through a lot!  I second what Pat says about listening only to Dr. Gross.  He is one of THE best resurfacing surgeons in the world.  If I were you, trust what he says when it is about your hip. 

I would immediately contact Dr. Bose if anything ever involved my operated hip, to me since he did that hip, he is the only one that I would consult if anything went wrong.  Dr. Bose is all the way in India, but I could email him and consult with him via email.  Please listen to Dr. Gross and not any other ortho that doesn't even do resurfacing.  You trusted him to resurface you, listen to his advice when it comes to that hip.



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Re: Dislocation
« Reply #3 on: October 06, 2007, 12:56:56 PM »
Maria, I'm a fellow dislocator and may be living close to you. I'm in Blanco, TX and went to the ER in New Braunfels, TX.  Are we close? 

My dislocation x-rays showed the same as you describe...the ball is behind the socket.  Mine happened at 8-9 months post-surgery and also with my leg in essentially the same position as yours.  Somewhere on this site is my experience. My ER orthopedist ordered a brace that I had to wear for 2-3 months except for "hygeine".  This differs dramatically from your docs' recipe.  Thursday was my last day with that damn, heavy $2700 thing so I"m now free to break something else.  The only exercises I could do were strengthening with the brace on.  Quad squeezes, leg lifts, leg slides out, tiptoe stands, and sliding up and down the wall bending at the knees.  My operation surgeon (who is in St. Louis) was called to approve of this recovery recipe...fortunately the ER orthopedist had recently completed his BHR training so he knew what he was looking at. 

There may be some tearing of ligaments but the main emphasis for my event was in healing the capsule.  If you read Dr. Bose's email to Pat that she referred to you'll see his explanation of this body part.  When mine dislocated there was a "twanging" of tendons or ligaments across the front of the acetabulum edge...at least that's what it felt like.  I don't think I tore any tendons or ligaments.  At this point in my recovery I'm very careful to always point my feet out when I bend over for fear of accidentally rotating to the center and dislocating again.  I'm told that I'll be good as I'll get in two years from the dislocation...like starting over.

I wasn't depressed...I just wanted to hit something or someone.  I was especially angry at people on the forums who declared that dislocation was unheard of and started doing marathons or something at two weeks after surgery...well maybe a little longer after than two weeks. 

I'm worried that you're being treated so differently from how I'm being treated...like night and day. I'll email you privately and give you my phone number so we can talk personally.

Stay down

BTW, I'm 66 and had my bilateral BHR at 65 so if you're much younger that may account, in part, for the difference in treatment.


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Re: Dislocation
« Reply #4 on: August 05, 2011, 07:22:36 AM »
.... any follow-up on your story? The big question all of us have is: how/why did your ligaments tear after crouching down in the gym?



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