Revision Total Hip Replacement

A revision total hip replacement is a surgical procedure where a previously implanted artificial hip joint, known as a prosthesis, is replaced with a new one. This operation is typically performed when the original hip replacement has failed or is no longer functioning properly.

Reasons for Revision Total Hip Replacement

• Loosening of the implant: The artificial joint can loosen over time, causing pain and instability.
• Infection: Bacterial or other infections can occur around the implant, requiring removal and replacement of the prosthesis.
• Wear and tear: The artificial joint can wear out over time, leading to bone loss and pain.
• Dislocation: The artificial joint can dislocate, causing pain and instability.
• Fracture: A fracture around the implant can occur, requiring revision surgery.

Surgical Procedure

The surgical procedure for a revision total hip replacement is similar to the initial hip replacement surgery, but it can be more complex and challenging. The surgeon will:

• Remove the old implant: The surgeon will carefully remove the failed or damaged prosthesis.
• Prepare the bone: The surgeon will prepare the bone to receive the new implant, which may involve removing any damaged or infected tissue.
• Implant the new prosthesis: The surgeon will implant the new artificial joint, which may be a different type or design than the original one.
• Reattach surrounding tissues: The surgeon will reattach the surrounding muscles, tendons, and ligaments to the new implant.

Risks and Complications

As with any surgical procedure, there are risks and complications associated with revision total hip replacement, including:

• Infection: As with any surgery, there is a risk of infection with revision total hip replacement.
• Blood clots: Blood clots can form in the legs or lungs, which can be life-threatening.
• Nerve damage: The nerves surrounding the hip joint can be damaged during surgery, leading to numbness, tingling, or weakness.
• Bone fracture: The bone around the implant can fracture, requiring additional surgery.
• Dislocation: The artificial joint can dislocate after surgery, requiring additional treatment.

Recovery and Rehabilitation

After revision total hip replacement surgery, patients typically require a period of recovery and rehabilitation to regain strength and mobility. This may include:

• Pain management: Patients will receive pain medication to manage discomfort and pain after surgery.
• Physical therapy: Patients will work with a physical therapist to regain strength, flexibility, and range of motion in the hip joint.
• Follow-up care: Patients will require follow-up appointments with their surgeon to monitor progress and remove any sutures or staples.

Outcomes and Expectations

The outcome of revision total hip replacement surgery can vary depending on the individual patient and the reason for the revision. In general, patients can expect:

• Improved pain relief: Revision total hip replacement can provide significant pain relief and improved function.
• Increased mobility: Patients can expect to regain mobility and range of motion in the hip joint.
• Improved quality of life: Revision total hip replacement can improve overall quality of life by reducing pain and improving function.

Frequently Asked Questions (FAQs)

What is revision total hip replacement?
Revision total hip replacement is a surgical procedure to replace a previously implanted artificial hip joint with a new one.

Why is revision total hip replacement necessary?
It may be necessary due to wear and tear, loosening, or failure of the original implant, infection, or other complications.

What are the risks associated with revision total hip replacement?
Risks include infection, blood clots, nerve damage, and potential for additional surgeries.

How long does the recovery process typically take?
Recovery time can vary, but typically ranges from several months to a year or more.

Will I need physical therapy after revision total hip replacement?
Yes, physical therapy is often necessary to regain strength and mobility in the affected hip.

Can I expect the same level of mobility as before the original surgery?
Possibly, but it may be limited due to the complexity of the revision procedure and individual factors.

How long will I need to stay in the hospital after the procedure?
Hospital stays can vary, but typically range from a few days to a week or more.

What type of anesthesia is used for revision total hip replacement?
General anesthesia or regional anesthesia, such as spinal or epidural, may be used.

Can revision total hip replacement be performed on an outpatient basis?
Typically, it requires an inpatient hospital stay, but some cases may be handled on an outpatient basis depending on individual circumstances.

How often do patients require additional surgeries after revision total hip replacement?
Some patients may require additional surgeries, but the frequency and likelihood vary widely depending on individual factors.