Revision Hip Replacement

Revision Hip Replacement is a complex surgical procedure performed to replace a previously implanted hip prosthesis that has failed, loosened, or caused complications. It involves removing the old artificial joint and replacing it with new components that may be larger or more specialized. The surgery aims to restore joint stability, correct deformities, and relieve pain caused by wear, infection, dislocation, or bone loss. Revision procedures are typically more intricate than initial hip replacements due to changes in bone and soft tissue over time.

Revision Hip Replacement becomes necessary when a primary hip implant wears out, becomes unstable, or causes persistent discomfort. Common causes include implant loosening, infection, recurrent dislocations, or fractures around the prosthesis. Patients may notice increasing pain, limited movement, or difficulty walking. Imaging and lab tests help confirm the issue. When these symptoms interfere with daily life and cannot be managed with non-surgical methods, revision surgery provides a long-term solution for restoring hip function and reducing pain.

Revision Hip Replacement is recommended when the original prosthetic joint fails to function properly. The procedure involves removing the old implant and addressing damage to surrounding bone or tissue. New, often more durable components are inserted to restore the joint's structure and stability. The goal is to reduce pain, improve alignment, and enhance mobility. This treatment is especially crucial for patients experiencing mechanical failure, infection, or wear-related issues after a previous hip replacement surgery.

Before surgery, a comprehensive assessment is performed using X-rays, CT scans, or blood tests to determine the reason for implant failure. The orthopedic surgeon will explain the procedure, outline potential risks, and discuss post-surgery recovery. Patients may be asked to stop certain medications and begin strengthening exercises for nearby muscles. Planning for home support, mobility aids, and making environmental adjustments—such as using elevated chairs or bathroom bars—can significantly aid the recovery process.

Revision Hip Replacement is carried out under general or spinal anesthesia. An incision is made near the previous surgical site, and the old prosthesis is carefully removed. Damaged bone or tissue may be repaired, and new implants—often with longer stems or additional supports—are inserted. Bone grafts may be used if there is significant bone loss. The new prosthetic is secured in place, and the procedure typically takes 1.5 to 2 hours or longer. The incision is then closed, and a sterile dressing is applied.

After surgery, patients are monitored in the recovery area before being discharged with specific home care instructions. A dressing is applied to the hip, and medications are provided to manage pain and swelling. Cold therapy may help reduce inflammation. Physical therapy usually starts soon after surgery to restore motion and strength. Patients often use a walker or crutches initially and can return to light activities in 6–8 weeks. Full recovery may take longer than a primary replacement due to the procedure's complexity.

Rehabilitation plays a crucial role in achieving a successful outcome after Revision Hip Replacement. Therapy progresses from basic mobility to strength training and improving balance. Over the next 3 to 6 months, patients gradually resume daily functions like walking, climbing stairs, or standing for longer periods. Long-term results are generally positive with proper care. To prolong implant life and avoid future revisions, patients should avoid high-impact activities and attend routine checkups to monitor the new hip joint's performance.