Why do hip replacements dislocate?

Sometimes a hip replacement comes out of the socket. This is called a dislocation. It's a horrible complication because it's painful and sometimes requires surgery to fix it. It also undermines your confidence and makes you wary of doing anything. In this video I talk about a hip replacement that I did 20 years ago, which has worn out and started to dislocate. If you would like to know more about hip surgery, please get in touch.

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[scottsymington]

I’d 7 dislocations of my right hip last year and my surgeon was quite happy for it to dislocate a couple of more times before he’d even look at it! On the 7th dislocation I was told I was going nowhere by another surgeon because he was going to fit a dual mobility hip replacement. Nine and a half hours of surgery later it was done. So far that’s nearly a year without any complications. Hip dislocations are flipping agony yet the 1st surgeon decided “he was happy with it to do it a couple of more times” thankfully the new surgeon stepped in and solved the problem.

[mikeybinsd]

Hip replacement 7 months ago. I follow the rules-no crossing legs, no pointing feet inward

[audnbob]

Update: 4 days after my sudden dislocation, my surgeon went over my scans and x-rays. I was told it looked fine and to go on doing my thing. It dislocated again while I was home alone. I fell to the floor immediately. I had to call out to my phone, to call my family/ambulace. I ended up having a hip revision a week later, this May. My first hip surgery was only in March! My surgeons partner found the problem. The angle of the ball and joint was incorrect for my body. Now I’m healing all over again and it’s much worse this time, I pray to turn a corner soon. I want to have my life back and forget this ever happened, though I know I’ll never forget, it was too traumatic and will take a long time to heal physically and emotionally. I found out that the first dislocation caused me a compression fracture in my spine as well, when I landed on the concrete the first time. That pain is the worst right now. I heard it’ll take months to heal. I cry a lot these days.

[audnbob]

Undermines my confidence most definitely. I’m terrified of every move I make and will remain feeling that way until my surgeon tells me why it happened at all? It really is terrifying and if mine went again for no reason, again, I’m afraid of landing on my shoulder that’s been replaced, or my other shoulder that’s been repaired or my knee that’s been replaced, …….. it’s absolutely horrifying to prepare mentally to take a shower especially. I can’t do it without my husband in the bathroom too, or my son outside the door if my hubby can’t be there. I hate feeling this way, it’s wearing me down, absolutely mentally exhausting to say the least.

[leemcdermott]

Very interesting about not haveing to replace the whole hip if most of the components are stable.I can see it means alot to you jeramy to get it right.And helping people seems to be at the top of your list.Thanks for another great informative video.Keep up the good work.

[treydrier]

I'm 64 yrs old and had both my hips replaced about 6 years ago using the anterior method. Its been great but recently they have become stiff and difficult to stretch out. I'm very active. I bike to my gym a few times a week. I work out for 45 minutes with weights but I'm careful not to use heavy weights so I do not put pressure on the hips (no squats or anything like that). The only exercise I do standing is curls with about a 100 lb curling bar. I then use an elliptical for about 20 minutes and bike back home (2.5 miles). I play in a softball league where we play every other day and have practices in between. I play the outfield so I'm running down fly balls. Its all been good and no dislocations or anything like that. Just very stiff recently to the point where its uncomfortable. I was also doing yoga and I do stretch out before practicing or playing softball. Not sure why its suddenly feeling stiff and like a block in my hip.

[Flametothecandle]

Hello i had a hip replacement 8 weeks ago due to osteoarthritis but sadly after 6 weeks it dislocated, the pain was unbearable, i was rushed to hospital and it was maniplicated back into the socket, after my first operation i still had pain although the Xray was perfect at the time of surgery? Since it has been popped back in i have to wear a body brace for another 4 weeks, apparently my bones are excellent and very hard but my joints are bad. There is no difference in my leg length but i have a terrible limp, i dont know if its because im frightened to put weight on it or its psychological, I'm 60 years old and feel like my life will never be the same again as i have to have the other hip replaced plus my knee, i see other people who are older than me back to normal after a few weeks! My implant is ceramic with some kind of plastic cup. I would really appreciate your knowledge of my situation and whether in your opinion i will ever be back to normal again? Thankyou.

[chuckoutzz]

Thank you for this video; your "bedside manner" and clarity are reassuring. Personally, I've had four dislocations since my NHS operation about a year ago (TRH, posterior), which has left me feeling in a state of limbo, constantly worried and uncertain about my future. I'm now terrified of doing even the simplest of things, even to the extent of picking up my young grandchildren, just in case my hip dislocates again. My surgeon has now referred me to a hip revision specialist but I'm not entirely sure what to expect. My life seems to be on hold and it's certainly not what I'd expected. I've even mentioned the "captive cup" to my surgeon, but he's against these as they apparently wear out quicker, and any potential injury in the future could lead to far more extensive hip/pelvic damage. Any input, comment or advise would be welcome. Again, thank you sir.

[audnbob]

Omg! That surgeon shouldn’t practice! That’s beyond appalling!!! It’s criminal! My 7th week post-op anterior replacement dislocated a few days ago for no reason any of us can find. It was mortifying to say the least and my surgeons beside himself trying to find answers having never personally having this happen in his years. Hes consulting with his partner to see if he missed anything etc, …. His words. He’s set me up for scans, and x-rays tomorrow as I fell full force backward onto concrete, after it suddenly just popped out with no warning as I was simply standing with my husband. My back pain is terrible as is my whole body from the fall and the re-set. I’m full of PTSD. I can’t imagine going through it again. It affected my husband and son who saw it ALL. Ambulance scene, E/R, O/R, 6 attempts to get it back in which did happen but, ……. Omg, a terrifying ordeal for everyone! My surgeons great and did my knee replacement in 2019, I trust him. He’s empathetic, warm, genuinely caring. I hope we find answers together?🙏 I totally have faith in him and trust him because he’s earned it.

[tkd]

I had my total hip replacement 14 weeks ago and although I've not had a dislocation Ive had it move out of the socket and pop back in about 9 times. Just yesterday it popped again when I went to tie my show lace and today at the gym on the seated calf raise machine it also popped. When it happens Its really distressing because If its moving out of place this easily then it might not be far from dislocation.The first few times it happened I put it down to the muscles not being properly healed but Its now becoming a concern that my mobility will be really restricted. I am a martial arts instructor and was very flexible before the operation. Each time it pops out and in the front of my hip is sore for days.

[reneebradford]

And now here I am a year later and it happens again just when i thought i could trust it nooo i sit on the toilet like i do every morning and bang gone now im afraid of the toilet gee it happened at the pool in the shower in the kitchen everywhere now im to afraid to even live

[earljohnson]

I’m having this issue right now they went back into my replaced hip in 18 and ever since that leg was shorter and now it’s 2” plus and no big deal . My PCP took X-rays and saw it’s coming loose . Ok go to my surgeon in Boston yea that’s cause your compensating cause of the severe arthritis in your right hip . Yea you guys where suppose to replace that 3 years ago . If they mess up n appointment you wait like 8 months for another . They don’t seem to care the reason it’s coming loose is because it’s 2” shorter and yes double compensating jeeze Louise

[TimetravelerMN]

Thank you dear great video you’re kind and handsome. my client falls a lot she’s fairly young and she landed on her hip replacement and it made a pop sound said it was extremely painful. She wants massage, I sent her to a chiropractor she won’t go? What would you suggest?

[reneebradford]

Lol I have a titanium hip I work hard to keep the muscles around it strong still mine has dislocated twelve times just all of a sudden it decides to go so horrible because it's so painful and you cannot move

[safarnama]

hello doctor, i did my left side hip replacement operation, can you see the X-ray report because i doubt my socket is dislocated.

[geneticrex]

It would seem from an engineering standpoint, that a larger ball would be more stable.

Is there not enough room to enlarge that component, along with the required increase in socket size, or is the overall ball diameter not a factor???

[andidaifamurtafi]

Im 13 years old and i got hip diclocation for about around 2 years and now everytime i walk its hurt so much but because its been around 2 year never got medical treatment now its got a lotta of meat in the dislocation im considering to do surgery but theres a 50/50 change i can be normal again or i can never walk forever whats your suggestion?

[Soljarag]

Hello, Do you see any down sides to dual mobility hip joints?

[ankitpandey-obnn]

After hip replacement how could we know that our hips are dislocated? Please explain it sir

[arsalanjatt]

Hello, I have left leg joint Displacement from my childhood, I want treatment but here in my country surgeons scared me that.. may be i will not able to run, I cannot play football and never ride on bicycle. help me and also Guide me what should i have to do. Please