My new hip replacement squeaks and clicks. Can anything be done about this?

Everyone told me to get a ceramic type of hip replacement. They are so smooth, they said. I’ll be able to dance again with no pain and with ease. Well, that’s all true but guess what? My new implant squeaks and clicks like a bird. It is positively embarrassing, and I am so disappointed. Can anything be done about this?

Have you reported this to your surgeon and had it evaluated yet? That’s the first step to eliminating the problem. Sometimes the squeaking goes away by itself over time (that’s more likely when the implant is made of metal). Squeaks that develop after getting a new hip implant are not uncommon. But everyone shares your reaction to this problem — clearly, it is not acceptable! The cause of the squeak can be multifactorial (meaning multiple causes combined together to create the problem). The surgeon must re-evaluate the size and type of implant used and alignment obtained during surgery for both components (cup and stem). X-rays can be used to look for an obvious cause of the problem. There could be issues of alignment. Is the cup tilted or angled off a bit? Was the correct-sized femoral head and neck length used for that individual? Or perhaps infection or loosening of the implant is a contributing factor.Unfortunately, sometimes squeaks generated by a ceramic-on-ceramic implant can’t be identified and never go away. The surgeon ends up removing the ceramic lining inside the metal socket and replacing it with polyethylene (plastic) liner instead. That solution is almost 100 per cent foolproof.

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 a 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.

Thigh pain may not be a result of recent total hip replacement

My mother has been complaining of thigh pain after her total hip replacement. Could this be caused by a problem with the new hip? Or is something else going on?

Thigh pain can be caused by a wide range of problems. Pain can be referred to the thigh from a problem in the abdomen, low back, hip, or knee. For example, kidney stones, tumors, or blood clots can cause thigh pain.

But muscle strains, bursitis, pressure on the nerve, and hernias can also cause thigh pain. It is also possible that a problem with the implant can send pain to the thigh. Loosening of the implant, infection, and wear debris from the implant can cause thigh pain.

A simple X-ray can help show what might be going on. First, the radiologist will look for fractures. Rotation of the femur (thigh bone) indicates loosening of the implant. The X-ray can also show subsidence or sinking of the implant down into the bone.

Don’t put off having this problem checked. Early diagnosis and treatment can prevent more serious problems later. It could be something as simple as muscle weakness or even a problem with posture. If this is the case, a physical therapist can help your mother with a program of exercise and posture awareness. More serious problems can be addressed by the surgeon.

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.

Will Mom outlive her hip implant?

My mother is thinking about having a total hip replacement. She’s 72-years old. The doctor says the new implants last about 15 to 20 years. Does anyone have an implant that lasts longer than that? As she gets older, a second hip replacement may not work so well. We’d like to avoid that if possible.

Long-term studies over 15, 20, and even 25 years are being reported more and more. The revision rate of the earlier implants may turn out to be higher than rates for implants used today. The materials, design, and even the surgery are much improved over even 10 years ago.

One study from the University of Iowa Hospitals and Clinics reported on 357 cases of total hip replacement (THR) done by one surgeon. All patients got the same kind of implant called the Charnley THR. This type of implant was put in using hand-packed cement. Today many implants are cementless or cemented in place with a cement gun for a better fit.

All of the patients still living had the implant at least 25 years. Many of the patients who had died still had the original Charnley implant at the time of their death. About 10 per cent of the patients had to have an implant revision because of infection, dislocation, or implant loosening.

At age 72, your mother’s implant has a good chance of outliving her. Revision or replacement of the first THR may not be needed. The new implant methods reduce pain, increase function, and improve quality of life for most 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.