Severe, constant pain in R hip and loss of function (paralysis of R-sided external rotators) immediately following and constantly since >3 years s/p R THR.
EMG shows re-enervation of R gluteus medius (indicating nerve was cut). MRI shows complete atrophy of R gluteus medius with fatty infiltration. Physical therapist stated 3 mos post-op that PT was not initiated early enough post-op to effectively rehabilitate R hip and leg musculature. Repeat x-rays over past 3 years show no loosening of stem but does show significant differences in acetabular cup orientation R vs L, and greater offset of R prosthetic vs L. Repeat labs show no infection or metalosis, and there have not been any signs of infection. Measurements (on 2nd and 3rd and 4th opinions) show R leg length to be between 1cm - 1 inch greater than L. PE reveals little-to-no tissue/musculature over R greater trochanter/prosthetic site.
Op note documents taking down of small external rotators but not re-attaching them, and original surgeon acknowledged during last visit that he "doesn't always re-attach the small external rotators".
I have no capacity to externally rotate my R leg - it is effectively paralyzed, and I have a permanent passive internal rotation of my R leg as a result.
Prosthetic is ceramic femoral head on plastic acetabular cup liner.
Please let me know if you can help. I have sought treatment, rehabilitation, and diagnosis for the past 3+ years and have an attorney who will take the case if I can show negligence/cause.