WHAT IS REVISION HIP REPLACEMENT SURGERY?
Figure: (Left) Primary total hip replacement. (Right) Revision total hip replacement.
A revision hip replacement surgery is a surgical procedure to replace a worn out hip replacement implant. Hip replacement surgery is the most common procedure performed by orthopedic surgeons and is incredibly successful. Unfortunately, the problem is that over time hip replacements wear out.
REASON FOR REVISION TOTAL HIP REPLACEMENT
Patients who wear out their prosthesis will require revision hip replacement surgery generally. But there are also other reasons for which your orthopaedic surgeon recommends a revision hip replacement surgery.
Implant Wear and Loosening
During the initial surgery, the hip replacement components were either cemented into place or were “press fit” into the bone to allow bone to grow onto them. Sometimes, however, bone may fail to grow onto press-fit components.
In addition, cemented or press-fit components that were once firmly fixed to the bone can eventually loosen, resulting in a painful hip.
In some cases, tiny particles that wear off the cup’s plastic liner accumulate around the hip joint and are attacked by the body’s immune system. This immune response also attacks the healthy bone around the implant, leading to a condition called osteolysis. In osteolysis, the bone around the implant deteriorates, making the implant loose or unstable.
Infection
Infection is a potential complication of any surgical procedure, including total hip replacement. Infection occurs when bacteria attach in and around the surface of the prosthesis.
Recurrent Dislocation
A hip replacement has a ball-and-socket structure like that of your natural hip. For a hip replacement to work well, the ball must remain inside the socket. Trauma or certain hip positions can sometimes cause the ball to become dislodged from the socket. This is called a “hip dislocation.”
Fracture
A periprosthetic fracture is a broken bone that occurs around the components of an implant. These fractures are most often the result of a fall, and often require revision surgery.
In rare circumstances, an implant itself can break. This also requires revision surgery.
CASES OF REVISION HIP REPLACEMENT SURGERY
for 10 years old repeated dislocation
for broken stem removal
RECOVERY TIME
You will most likely stay in the hospital for several days. Although recovery after revision is usually slower than recovery after primary hip replacement.
The vast majority of patients who undergo revision surgery experience favourable long-term outcomes. This includes relief from pain, increased stability, and better function.
LOOKING FOR A REVISION HIP REPLACEMENT SURGERY/SURGEON IN AHMEDABAD?
Dr. Rachit Sheth is a Consultant Orthopedic Surgeon in Ahmedabad, specializing in total knee replacement and hip replacement surgery including primary and revision surgery. He and his team of joint replacement doctors in Ahmedabad, have been treating normal to complex cases with hip replacement surgeries with most success ratio.
For appointment or consulting, you can contact us.