Why does hip dislocate after total hip replacement surgery?

I’m very worried because I dislocated my hip two months after a total hip replacement. What are my chances this will happen again?

Recurrent dislocation depends on several things. First, was the doctor, surgeon, or emergency staff able to put the hip back in place without another operation? If yes, that’s in your favor. The hip is more likely to remain stable if it was reduced without surgery.

Second, how long has it been since the dislocation? If you are still within the early postoperative period, your risk is higher than if you are several years past the total hip replacement.

Third, are you having any symptoms to suggest the joint is unstable? Does your leg give out from underneath you? Is there any pain? Any clicking or popping of the joint? If the answer is ‘no’ to all these questions, then your risk of another dislocation is less.

Make sure you talk with your surgeon about these concerns. The knowledge an exam and an X-ray can give goes a long way in reducing your fears.

For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit www.zehrcenter.com.The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.

How often do total hip replacements dislocate?

I heard that total hip replacements dislocate easily. How often does this happen?

Loosening and dislocation of the implant are the two most common problems faced by patients after a total hip joint replacement. The rate of dislocation varies from study to study. One study reports 0.6 percent (fewer than one patient every 100).

Other studies report up to seven percent. A very large study placed this closer to 2 percent. The wide ranges in figures may be explained by who did the surgery. Doctors in large centers or hospitals who do more hip joint replacements have lower rates of dislocation.

Most studies report numbers from these large reviews. However, most hip replacements are done by surgeons who treat fewer patients.

For more information on this subject, call The Zehr Center for Orthopaedics at 239-596-0100 or visit www.zehrcenter.com.The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.

Preventing Your Afticial Hip from Dislocating

If you’ve had hip surgery, you should follow some precautions to keep the hip from dislocating. For more information, you can download the booklet  “A Patient’s Guide to Artificial Hip Dislocation Precautions”.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com.

How could I have dislocated my hip after a total hip replacement?

A year ago I had a total hip replacement done. Last week I was out gardening on my hands and knees and it dislocated. I thought I was all healed. What happened?

 

Many factors can play a part in hip dislocation after replacement. For example, which side of your hip is the scar located? Any position you get in that can push the hip in that direction has the potential to cause a dislocation.

When you are on your hands and knees, you have your body weight against that hip. If you twist or angle your body against the hip, injury can occur. Your weight and bone density are also important factors. Being overweight means that much more pressure through the hip. Having osteoporosis (brittle bones) or decreased bone density makes it harder for the bone to grow around the new implant and hold it in place. Bone or muscle weakness can also lead to injury.

Most patients are given positioning precautions for the first 12 weeks post-op. In theory at 12 months you should be free to assume any position possible. In practice, sometimes our theories (and hips) don’t hold up.

The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. For more information on this subject, visit www.zehrcenter.com