What is Revision Total hip Replacement?

Total hip replacement is one of the most common and successful procedures performed. But due to some reasons, your Total hip replacement surgery can fail over time. You might experience severe pain and swelling in your hip joints again. After consulting an orthopedic doctor, you may be advised to undergo a revision hip replacement surgery in which either one or all parts of the implants are replaced with new implants.

Both total hip replacement surgery and revision surgery will reduce pain and swelling in your hips but there are some differences between both surgeries. Revision hip replacement surgery takes longer to perform, has a more complex procedure and requires specialized tools and equipment to perform surgery.

Cure My Knee has many empaneled surgeons having 37+ years of experience in treating bone and joint-related problems. The surgeons provide the patient with the best treatment plan according to their requirements. The surgeons perform the surgery in the best-empaneled hospitals having qualified medical staff & advanced high-tech equipment to perform revision hip replacement surgery.

When is this surgery recommended?

Revision hip replacement surgery has two types. In some patients, only one part of the prosthesis is replaced and in others, all the parts of the prosthesis are replaced with new implants. Hip revision surgeries are performed relatively infrequently. The most common reasons for revision total hip replacement are:

  • Repetitive or recurrent dislocation due to trauma or certain hip positions may also warrant a revision of total hip replacement surgery.
  • Mechanical failure of the implant due to wear and tear or loosening of the implant.
  • Infection following total hip replacement surgery.
  • Periprosthetic fractures which occur around the components of implants can cause immense hip pain which may require revision hip replacement surgery.
  • Reaction to metal ions and allergy to metal can result in damage to the surrounding tissues and bone around the hip leading to the need for revision surgery.

The procedure of Revision Hip Replacement Surgery?

The procedure for revision total hip replacement involves following the line of incision made during the primary total hip replacement

  • The line of the incision may be extended if needed.
  • After making an incision, your doctor will expose the hip joint and will ensure that the joint is free from infection and other associated problems like a reaction to metal components.
  • After which your orthopedic surgeon will assess all the parts of the implants to determine which ones are worn out or loose and needs to be replaced.
  • The surgeon will then remove the original prosthetic components very carefully and will ensure to preserve bone as much as possible.
  • Finally, your surgeon will incorporate specialized revision prosthetic implants, after which your surgeon will test the motion of the joint to ensure that the implants are incorporated in place and are stable inside the socket.
  • After the surgical procedure, you will be moved to the recovery room and remain there for a few and will then be taken to a hospital room.

How Successful is Revision Hip Replacement Surgery?

Revision total hip replacement surgery may not be effective as primary total hip surgery, but it can help relieve pain and improve the function of the hip joint. According to an article from the National Library of Medicine, the success rate is 35% for 10 years for cemented revision hip replacement surgery. Most patients undergoing revision total hip surgery observe improvement in daily activities eliminating the need for medications, and the ability to exercise.

Recovery after Revision Hip Replacement Surgery

The recovery after a revision hip replacement surgery is as same as the primary replacement surgery. Medication, physiotherapy and lifestyle modifications are also suggested to a patient in revision total hip replacement surgery for recovering faster and without complications.

  • For the first few weeks after the surgery, you will be suggested to walk with a walker or support
  • Your orthopedic doctor or physiotherapists will suggest some specific strengthening exercises that will help you to regain your motion
  • Your doctor may also suggest you some compression stockings or leg coverings that will keep your leg warm and reduce the chances of leg swelling and blood clots
  • You will be advised not to consume alcohol or smoke after the surgery as it can increase the chances of infection and prevents blood clotting
  • Take Vitamin D and Calcium supplements under your doctor’s guidance after the surgery to improve your bone health
  • Always follow your doctor’s advice to recover as early as possible after the revision hip replacement surgery

Total Knee Replacement Surgery Both knees