What is Revision Total hip Replacement?

Total hip replacement is one of the most common and successful procedures performed. Over time, due to certain reasons, a total hip replacement surgery fails. When it occurs, your orthopedic surgeon may recommend a second surgery which is known as revision total hip replacement. 

Revision Hip Replacement is a procedure where your doctor tries to remove a portion of or all the parts of the primary prosthesis and replace them with the new implants. This procedure is called revision total hip replacement.

When is this surgery recommended?

Hip revision surgeries are performed relatively infrequently. It is a complex and time-consuming procedure. The most common reasons for revision total hip replacement are:

  1. Repetitive or recurrent dislocation due to trauma or certain hip positions may also warrant a revision of total hip replacement surgery.
  2. Mechanical failure of the implant due to wear and tear or loosening of the implant.
  3. Infection following total hip replacement surgery. 
  4. Periprosthetic fractures which occur around the components of implants can cause immense hip pain and knee pain which may require revision hip replacement surgery.
  5. 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.

What is the procedure?

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 doctor 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 few hours and will then be taken to a hospital room.

What is post-surgery feedback?

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. Most patients undergoing Revision total hip surgery observe improvement in daily activities eliminated need for medications, and ability to exercise.

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