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Revision Hip Replacement

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Hip replacement surgery is considered to be one of the most successful types of joint replacement procedures. On occasion, revision of the hip components is necessary. However, this technique, when necessary, can help bring greater comfort and mobility to the lives of patients who experience hip replacement failure. If you’re experiencing hip pain after having a primary hip replacement, our extensively trained orthopaedic surgeons can evaluate your concerns and determine if revision surgery can enhance your quality of life.

What Is a Revision Hip Replacement?

If a primary hip replacement fails, a secondary operation may be recommended. A revision hip replacement is very similar to a total hip replacement, but there are some notable differences. Revision surgery for any procedure, including hip replacement, is a more complicated event that often takes longer to complete. Your surgeon will plan the operation in advance to ensure the best possible result, and we use the most advanced and best quality implants and prostheses available to achieve an optimal outcome. In some cases, only some components may need to be replaced, and in others the entire prosthetic may need to be removed and replaced. Sometimes additional devices and tissues, such as pins or bone grafts, may need to be placed. Our surgeons will discuss these factors with you if they apply to your situation.

When Is a Revision Hip Replacement Necessary?

A revision hip replacement may be recommended in the event of advanced wear and tear on the bone, soft tissues, or prostheses. Implant loosening may also become a problem for some patients whose bone doesn’t properly grow over the prostheses as planned. This can cause the implant to become less securely fixed in place overtime, gradually leading to hip pain. Other causes of loosening implants are high-impact activities, obesity, and other factors.

Most patients who receive a total hip replacement are older, but some young patients also undergo this procedure. Some younger patients may actually outgrow the life of their prostheses, making it more likely that revision surgery will be necessary in the future.

Another potential contributor is a condition called osteolysis. This concern develops when small particles of plastic from the implant accumulate around the hip joint, causing the body’s immune system to react and attack the area. Osteolysis is quite rare these days, as significant advances have been made in the quality and type of materials used in prosthetics. But if you had a hip replacement before newer plastics were available, this problem could occur.

Some other reasons a revision hip replacement may be necessary include infection, recurrent dislocation, fracture, allergic reaction to metals or other parts, and certain medical conditions. We will review your medical history and concerns to determine the cause of your discomfort and identify the best course of action for your needs.

Treatment Options for Revision Hip Replacement

The approach used for your hip surgery will depend on the unique details of your condition and treatment plan. Your surgeon will discuss with you whether some or all your prostheses will need to be modified or removed, and whether you will need tissue grafts, hip resurfacing, or additional support from pins and other devices. Our top orthopaedic surgeons are extensively trained in minimally invasive techniques, which can provide shorter recovery times and less scarring than traditional open surgery. This approach is not ideal for every patient, and we will review your options during your initial consultation. Our goal is to enhance your comfort, reduce your pain, and improve your mobility using the least invasive means possible. Your care is our highest priority, and we welcome your questions at any time during the process.

Recovery Following Revision Hip Replacement

Since revision hip replacement is a more time-consuming and complex procedure, you will likely need to spend at least a few days in the hospital, although the length of your visit may vary. Some discomfort is to be expected, and we will provide prescription medication to manage your pain while you recover. Physical therapy is an important part of the healing process, and soon after surgery you will begin to practice exercises to strengthen your leg and hip and restore function to the area. A walker will be necessary to use to get around for a short period, and you will have a few limitations in movement, such as not bending from the waist more than 90 degrees and not lifting the knees higher than your hip. More details will be provided during your physical therapy sessions. Regular follow-up visits will be scheduled to monitor your healing and to ensure the best possible outcome.

Don’t suffer with hip pain. Our state-of-the-art practice can help you restore comfortable function and enjoy life again. Talk to us today to learn more.