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The Hip Talk Discussion Forum was hacked a few weeks back. It has taken me a long time to fix it. The only backup I could use was way back to April 2020. All members and posts up to that date are available. Anything newer has been lost. I am sorry, but that has been the only way to get things up and running again.

Author Topic: How easy does a hip joint come apart?  (Read 2651 times)

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Mike D

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How easy does a hip joint come apart?
« on: February 11, 2012, 07:46:34 PM »
Hi all, I hope this isn't a daft question.
I find it really uncomfortable trying to watch any of the live surgery videos, knowing that It's gonna happen to me.
One thing I'd like to know is- when the surgeon separates the joint, how easy does it come apart?
When I look at hip x-rays, the ball of the femur looks as if it's just resting in the socket and could come out really easy.
I'd always assumed that it was a really snug fit, and would take a lot of force to get apart.
Anyone seen it done? (and how gruesome was it?)
Cheers, Mike.
Right Ceramic THR
Ronan Treacy   Birmingham R.O.H
8 August 2012

Kiwi

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Re: How easy does a hip joint come apart?
« Reply #1 on: February 11, 2012, 07:56:51 PM »
Mike,
There are videos of the op on You tube & links via a couple of the experienced surgeons website's showing all the detail.
Personally I couldn't face watching it prior to my op but I was really interested post op and watched it all post op. Really glad I waited until then to be fair. I guess ignorance was bliss until that point for me!
Cherz
Kiwi
LBHR 11/23/2011
56mm Head
Hugh Blackley (BHR Trained with Ronan Treacy)
Use it or lose it!

Dannywayoflife

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Re: How easy does a hip joint come apart?
« Reply #2 on: February 11, 2012, 08:32:26 PM »
Hay mike. I believe it depends on several factors. Type of arthritis, how muscular the patient is, size and morphology of the bones. There's loads of things. However I think it's actually quite a hard joint to dislocate. I really wouldn't worry mate. You are going to have really one of the best surgeon's in the world. And you'll be out cold.
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
;)

WTW15

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Re: How easy does a hip joint come apart?
« Reply #3 on: February 11, 2012, 08:34:22 PM »
I watched before my surgery and really wish I had not.......that said, by the time I hit the operating table I didn't give a $h1t cuz those drugs did their thing.  So - watch if you want, but try not to get freaked out cuz it won't matter :P

And in the end - the results are worth it no matter what!
Successful LBHR 1/19/12 Dr. Cynthia Kelly
Fear causes Hesitation and Hesitation causes your worst Fears to come true

obxpelican

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Re: How easy does a hip joint come apart?
« Reply #4 on: February 11, 2012, 09:03:45 PM »
They forcibly rotate your hip till it dislocates and it pops out, it's really the easy part of the surgery.  The hard part is getting to your acetabular socket to implant the cup, remember in a HR they do not lop off any part of your femoral neck so everything is in the way.

A few surgeons have started doing a mini hip as it's easier to get at everything, if I wanted my femoral head cut I would have just went and gotten a THR and been done with it.

If your surgeon is very experienced and has a good record don't worry about it, let your surgeon worry doing his job correctly, you worry about doing your end of the job by rehabbing correctly.  Remember we pay our surgeons to do the job correctly and for him to worry about the results.

Chuck

Chuck
RH/Biomet U/C Dr. Gross/Lee Webb
8-6-08

Mike D

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Re: How easy does a hip joint come apart?
« Reply #5 on: February 11, 2012, 09:49:33 PM »
I'm seeing Mr Treacy in April.
I know he's the man for the job, and I've gone from dreading it to looking forward to it (since I found this site)
Looking at both the BHR and the natural hip, it amazes me that either of them stay where they're meant to!
It seems like they just 'rest' in the acetabelum and could be easily knocked out, but I know that's not the case.
I'll definitely look at the videos when I'm a hippy.
Right Ceramic THR
Ronan Treacy   Birmingham R.O.H
8 August 2012

obxpelican

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Re: How easy does a hip joint come apart?
« Reply #6 on: February 11, 2012, 10:01:00 PM »
Mike,

You'll be fine, you can take it to the bank.  You cannot get any more experienced.

We all dreaded it, it's a necessary evil to get your life back. 


Chuck
Chuck
RH/Biomet U/C Dr. Gross/Lee Webb
8-6-08

Mike D

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Re: How easy does a hip joint come apart?
« Reply #7 on: February 11, 2012, 10:11:45 PM »
Thanks Chuck.
The positive outlook on here really drives me on.
I'm looking forward to coming on in a few months and being able to help someone who's where I am now.
Right Ceramic THR
Ronan Treacy   Birmingham R.O.H
8 August 2012

hipnhop

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Re: How easy does a hip joint come apart?
« Reply #8 on: February 11, 2012, 10:29:55 PM »
I don't want to know. My first BHR no bruises. My second looks like a Mack Truck hit me on the side. Bruise is worse than the scar. I'm taking pictures!
3/2011 and 2/2012 HR Dr. Craig Thomas

obxpelican

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Re: How easy does a hip joint come apart?
« Reply #9 on: February 12, 2012, 03:34:20 AM »
I am not saying this happens a lot, but it has happened where patients were accidentally dropped off of the table.  That would hurt for sure!


Chuck
Chuck
RH/Biomet U/C Dr. Gross/Lee Webb
8-6-08

hernanu

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Re: How easy does a hip joint come apart?
« Reply #10 on: February 12, 2012, 03:52:07 AM »
To me, it was like my college age daughters wanting to confide in me about their life, unless they wanted advice or help on something vital, I just don't want to know. Lie to me please!

I didn't see any of the videos before, just proudly contemplated the result.
Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder

mslendzion

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Re: How easy does a hip joint come apart?
« Reply #11 on: February 12, 2012, 03:55:59 AM »
My surgeon said it was really hard to dislocate the joint once the BHR was set prior to the final install so I'm guessing the first dislocation requires some effort.
Left BHR 1/9/12 Dr. Schmitt

Tin Soldier

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Re: How easy does a hip joint come apart?
« Reply #12 on: February 13, 2012, 10:30:48 PM »
I'm with Kiwi and Hern, wait til after surgery to watch.  I've been digging through McMinn's book and there are some really graphic and fairly well-displayed surgery photos.  I'm not usually squeamish, but when you start to think about all of that happening to you, it can make you a little uncomfortable.

With that said - The surgeon's assistant was not a big fellow and I even asked my surgeon this question.  Surprisingly when you twist the leg (toe inward), I think you get a lot of leverage on the femoral neck, so I don't think they have to get too forceful to dislocate.  Also I think it's a bit like anything you do several hundred times, you find just the right amount of force, just the right way, with just a bit of English oon it, you get it down to a science.   
LBHR 2/22/11, RBHR 8/23/11 - Pritchett.

obxpelican

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Re: How easy does a hip joint come apart?
« Reply #13 on: February 13, 2012, 10:55:18 PM »
I've seen surgeries where just a little twist and it pops right out of the socket, remember, a lot of the stuff holding it in ie: muscles and tendons have been released at that point.

The really hard part is getting a good look at the hip socket to get that cup placed at a nominal angle.


Chuck
Chuck
RH/Biomet U/C Dr. Gross/Lee Webb
8-6-08

Dannywayoflife

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Re: How easy does a hip joint come apart?
« Reply #14 on: February 13, 2012, 11:29:19 PM »
I've seen surgeries where just a little twist and it pops right out of the socket, remember, a lot of the stuff holding it in ie: muscles and tendons have been released at that point.

The really hard part is getting a good look at the hip socket to get that cup placed at a nominal angle.


Chuck
Or an abnormal angle as lots of surgeons seem to have managed.
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
;)

 

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