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Revision Hip Replacement

Although total hip replacement is a durable and successful procedure but it can be subject to various forms of mechanical or biological failure. This failure may need a re-operation of the hip replacement which is called a revision surgery.

A hip revision surgery involves the replacement of the worn out, loose, painful, infected or failed prosthesis with a new hip implant.

The goals of surgery are to relieve pain, improve function, and enhance overall quality of life.

Reasons for Hip Revision Surgery

A patient may need hip revision surgery due to the following reasons:

  • Worn out prosthesis
  • Bone loss around the prosthesis
  • Loose prosthesis
  • Unstable prosthesis with recurrent dislocation
  • Infected prosthesis
  • Repetitive dislocation of a hip replacement
  • Mechanical failure
  • Breakage of prosthesis
  • If the initial hip replacement surgery is performed at a young age

Procedure of Hip Revision Surgery

Revision surgery is quite similar to a primary hip replacement but it is more complicated and challenging procedure that takes longer and is unique for every patient. The procedure may take two to four hours and a variety of techniques may be used in the procedure including:

  • Removal or exchange of the old prosthesis
  • Preparation of the bone for the new implant
  • Bone grafting in areas of bone loss
  • Implantation of the new prosthesis

Benefits of Hip Revision Surgery

  • Eliminates or diminishes pain
  • Improves joint function & mobility
  • Increases strength and coordination of the torso and leg
  • Improves the appearance of the hip and leg
  • Incredibly improves the quality of life of the patient
  • Improves the patients ability to walk and perform regular activities
  • Prevents new dislocation of hip joint
Risks of hip revision surgery

Although revision surgery is a safe procedure, it may cause some complications like:

  • Respiratory or cardiac malfunction due to anesthesia
  • Infection
  • Injury to nerves and blood vessels
  • Fracture
  • Weakness, stiffness or instability of the joint
  • Joint pain