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Benefits of Revision Hip Replacement

By Dr. Simon Thomas in Orthopaedics & Joint Replacement , Robotic Surgery

Oct 10 , 2024 | 3 min read

Even though primary hip replacement is one of the most successful procedures in the vast majority of patients, over time, a hip replacement may fail for a variety of reasons, including recurrent dislocation, implant wear, and loosening. As a result, there may be considerable hip discomfort and abnormal leg position, which can both seriously hinder daily tasks. Under these circumstances, a second procedure known as "revision of hip replacement" is considered. Its objective is to remove part or all of the original implants and replace them with new ones.

Thanks to advancements in orthopaedic surgery, direct anterior hip replacement, which avoids severing any tendons, is a successful substitute for revision complete hip replacement. It is a minimally invasive surgical procedure. Because of its advantages, patients can live more active lives and have a better quality of life.

Why is Revision of Hip Replacement Recommended?

Revision total hip replacement is a procedure often necessary when an initial hip replacement, known as primary hip replacement, experiences complications or fails to perform as expected. Although primary hip replacements are generally successful, certain issues may arise over time, necessitating a revision surgery. Here's a closer look at some common reasons why a revision total hip replacement might be recommended:

Implant Wear and Loosening

Over time, the components used in the initial hip replacement can wear out or loosen. This is a natural process that can be accelerated by factors such as the patient's activity level and weight. The artificial joint may also degrade due to normal wear and tear, leading to pain and reduced mobility. In such cases, a revision of hip replacement becomes essential to replace the worn-out components and restore the joint's functionality. A hip revision replacement can help alleviate discomfort and improve the patient's quality of life.

Infection

Infection is a serious but relatively rare complication that can occur after a primary hip replacement. Bacteria can enter the joint space and cause an infection, which can lead to pain, swelling, and reduced joint function. If an infection is detected, it may require a total hip replacement revision to remove the infected tissue and implant, followed by the placement of new, sterile components. It's crucial to consult a Revision Total Hip Replacement Doctor if you experience symptoms of infection, as timely intervention can prevent further complications.

Recurrent Dislocation

Another reason for hip revision replacement is recurrent dislocation of the artificial joint. Dislocation can occur if the components of the hip joint are not properly aligned or if the surrounding muscles and ligaments are weak. Multiple dislocations can damage the joint and increase the risk of further complications. In such cases, a hip revision surgeon may recommend revision surgery to correct the alignment and stabilize the joint, thereby reducing the risk of future dislocations.

Fracture

A fracture around the hip replacement implant, known as a periprosthetic fracture, can occur due to trauma or weakened bone structure. This can compromise the stability of the implant and necessitate a total hip replacement revision. The revision surgery involves repairing the fracture and replacing any damaged components.

Benefits of Revision Surgery for Hip Replacement

If you're considering hip replacement revision surgery, what are the benefits?

Pain Relief

Patients typically have revision surgery to address their chronic pain because the signs and symptoms of a failing implant are nearly always the same as those of a damaged hip joint. The pain may not go away even after months of physical therapy and medications.

Minimise Edema

Hip swelling is a certain indicator of a poorly executed hip replacement. Pain and stiffness are usually experienced along with this.

Increased Mobility

One of the primary motivations for patients to elect revision surgery is to regain lost mobility. This type of surgery may increase their range of motion and make daily tasks easier to perform.

Prevent the Infection from Spreading

Implant failure is often the result of a hip infection. An infection from another area of the body may potentially affect the hip. If bacteria have gotten a hold of the area, antibiotics may not always be able to eradicate them, necessitating implant replacement.

Enhanced Functionality

Patients who undergo revision hip surgery report having more functioning hips. The body can operate as planned since the new implant can more effectively perform its intended function.

Conclusion

Hip revision surgery depends on a set of factors unique to each patient. These factors include the condition of the patient’s hip and leg bones; the type of implants originally used; whether the original implant was cemented or uncemented; and the patient’s age and overall health.

A revision total hip replacement doctor will carefully assess all these factors and the extent of the damage and recommend the most appropriate course of action to ensure a successful recovery.