Among the most frequently seen complications of hip replacement surgery is dislocation of the hip replacement. 1 Hip replacement dislocations occur in about 4% of first-time surgeries and about 15% of revision hip replacements. This complication is uncommon, but it does occur—sometimes in unforeseen circumstances.
What can cause a hip replacement to dislocate?
The implant may not be in the best position. Malpositioning combined with imbalances in tension of the soft tissues around the implant can contribute to dislocations. Other patient-related risk factors include female gender, younger age, neurologic problems (including cognitive decline), and trauma.
How common is it for a hip replacement to dislocate?
The risk of dislocation after primary total hip arthroplasty is approximately 2%. Dislocation rates of up to 28% are found after revision and implant exchange surgeries. Patient-specific risk factors include advanced age, concomitant neurological disease and limited compliance.
What are the signs of prosthetic hip dislocation?
You have signs that your hip may be dislocated again. These signs include: Severe pain. A crooked leg that looks like the hip bone is out of position.
For example, call if:
- You have sudden chest pain and shortness of breath, or you cough up blood.
- You have trouble breathing.
- You passed out (lost consciousness).
Can you walk with a dislocated hip after hip replacement?
Dislocation of THA is a painful condition; patients are usually unable to walk. Closed reduction is carried out as soon as possible after diagnosis to avoid neurologic injury .
What can you never do after hip replacement?
- Don’t cross your legs at the knees for at least 6 to 8 weeks.
- Don’t bring your knee up higher than your hip.
- Don’t lean forward while sitting or as you sit down.
- Don’t try to pick up something on the floor while you are sitting.
- Don’t turn your feet excessively inward or outward when you bend down.
Why is my hip replacement hurting?
As an implant loosens, it tends to rub against the bone. And that can cause bone loss, making the joint more difficult to repair. The pain also could be a result of hip flexor tendinitis, also known as psoas tendinitis.
What happens if I dislocate my hip replacement?
Dislocation is uncommon. The risk for dislocation is greatest in the first few months after surgery while the tissues are healing. If the ball does come out of the socket, your doctor can perform a procedure (called a closed reduction) that can usually put it back into place without the need for more surgery.
How can I prevent my hip from dislocating?
Instructions to Prevent Recurrent Dislocations
- Sit in high armchairs and use a high toilet seat (approx. …
- Raise your bed to about 24 inches by placing an extra mattress or blocks under its feet.
- Do not bend the hip more than 90 degrees.
- Do not cross your knees.
- When in bed, keep a pillow between your knees.
What happens if you fall after hip replacement?
Know What to Do If You Do Fall
Minor injuries include bruising and muscle soreness. More seriously, you could break a bone, damage your surgical prosthesis, or reopen the incision, which can lead to infection. Concussion or brain bleeding are also possibilities if you hit your head.
Why should you not attempt to reduce a hip dislocation?
Prehospital Care. Patients with hip dislocation often have associated injuries that may take precedence during stabilization, both in the field and in the ED. Attempts to reduce the dislocation in the field are ill advised. Establish the ABCs with appropriate spinal immobilization.
What holds a hip replacement in place?
Typically the prosthesis is made of a wear-resistant plastic (polyethylene) and a metal (titanium, tantalum or cobalt). The artificial ball and socket are held in place by bone cement, your bone growing into the prosthesis or a combination of both.