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Revision hip replacement

Revision Total Hip Replacement: What You Need to Know

A revision total hip replacement (THR) is a surgical procedure to replace a previously implanted hip prosthesis that may have loosened, worn out, or is causing pain or discomfort. This procedure is typically considered for patients who have had an initial hip replacement but are now experiencing complications with the implant.

Orthopaedic Surgery Expertise UK

What is Revision Total Hip Replacement?

Revision total hip replacement involves removing the existing hip implant and replacing it with a new one. The goal of this surgery is to restore hip function, alleviate pain, and improve mobility. Revision surgery is generally more complex than a primary hip replacement due to factors such as bone loss, joint instability, or complications from the previous implant.

When is Revision Total Hip Replacement Considered?

Careful patient selection and a thorough evaluation are key to deciding if a revision hip replacement is the best solution. Revision surgery may not be suitable for everyone, and it is essential to confirm that it is the appropriate choice. Common reasons for considering revision hip replacement include:
 

  • Implant Failure
    The prosthetic components may loosen, wear out, or become misaligned over time, causing pain, instability, or reduced function.

  • Infection

    If an infection develops around the implant, revision surgery may be required to remove the infected components and replace them.

  • Persistent Pain:

    Ongoing pain after the initial hip replacement may indicate issues with the implant or surrounding tissues.

  • Instability
    Recurrent dislocations or instability in the hip joint may necessitate revision to restore stability.

  • Bone Loss or Damage
    Over time, bone surrounding the implant can deteriorate, which may require additional surgical techniques to restore the hip’s stability and function.
     

Before proceeding, your surgeon will perform a comprehensive consultation, review your medical history, and order specific investigations (e.g., imaging and blood tests) to ensure revision surgery is the right course. In more complex cases, a multi-disciplinary team meeting with other revision hip specialists may be conducted to develop the most effective plan.

Benefits of Revision Total Hip Replacement

Recovery times vary based on the procedure performed and individual healing response. Generally:

Pain Relief

The primary goal of revision surgery is to relieve pain due to implant failure or other complications, helping you return to daily activities.

Improved Function

A new, well-aligned prosthesis can improve hip function, restoring stability and mobility.

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Enhanced Mobility

Many patients experience reduced stiffness and improved mobility, leading to an overall better quality of life.

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Potential Risks and Complications

As with any major surgery, revision total hip replacement has associated risks, including:

  • Infection
    As with any surgery, there is a risk of infection that may require further treatment, such as antibiotics or additional surgery.

  • Blood Clots

    Blood clots (deep vein thrombosis) can occur after surgery and may require blood-thinning medications.

  • Implant Failure

    The new prosthesis may wear out or fail over time, potentially necessitating further revisions.

  • Bone Loss
    Significant bone loss can complicate the surgery and may require additional procedures to restore bone structure.

  • Nerve or Blood Vessel Damage
    There is a small risk of damage to nerves or blood vessels around the hip during surgery.

  • Dislocation
    Revision surgeries, particularly those with significant bone or tissue loss, have an increased risk of hip dislocation after the procedure.

  • Stiffness or Limited Range of Motion
    Some patients may experience stiffness or limited movement in the hip joint after revision surgery.

Conclusion

Revision total hip replacement can be an effective solution for patients experiencing issues with their initial hip implant, providing significant benefits such as pain relief and restored mobility. However, recovery from revision surgery is typically more challenging than the primary procedure. Your surgeon will thoroughly evaluate your condition, consult with a multidisciplinary team if necessary, and conduct specific tests to confirm if revision surgery is suitable for you.
If you’re considering a revision hip replacement, discuss your symptoms and concerns with your surgeon to explore the best treatment plan for your individual needs.

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