Revision Hip Replacement

Revision Hip Replacement

Revision hip replacement is a complex surgical procedure in which all or part of a previously implanted hip-joint is replaced with a new artificial hip-joint. Total hip replacement surgery is an option to relieve severe arthritis pain that limits your daily activities. During total hip replacement, the damaged cartilage and bone is removed from the hip joint and replaced with artificial components. At times, hip replacement implants can wear out for various reasons and may need to be replaced with the help of a surgical procedure known as revision hip replacement surgery.

Indications

A revision hip replacement is necessary in patients with the following conditions:

  • Increasing pain in the affected hip
  • Worn out plastic or polyethylene prosthesis
  • Dislocation of previous implants
  • Loosening of the femoral or acetabular component of the artificial hip joint
  • Infection around the hip prosthesis causing pain and fever
  • Weakening of bone around the hip replacement (Osteolysis)

Procedure

Revision hip replacement surgery is performed under anesthesia. During the procedure, your surgeon will make an incision over the hip to expose the hip joint. Depending on the reason for your revision, the surgeon may need to exchange all of the components or maybe just the ball portion or the plastic liner.

Post-Operative Care

  • Avoid combined movement of bending your hip and turning your foot inwards because it can cause dislocation
  • Keep a pillow between your legs while sleeping for 6 weeks
  • Never cross your legs or bend your hips past a right angle (90 degrees)
  • Avoid sitting on low chairs
  • Avoid bending down to pick up things, instead a grabber can be used to do so
  • Use an elevated toilet seat

Risks & Complications

As with any major surgical procedure, there are certain potential risks and complications involved with revision hip replacement surgery. The possible complications after revision hip replacement include:

  • Infection
  • Dislocation
  • Fracture of the femur or pelvis
  • Injury to nerves or blood vessels
  • Formation of blood clots in the leg veins
  • Leg length inequality
  • Hip prosthesis may wear out
  • Failure to relieve pain

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