Revision hip replacement

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What is revision hip replacement surgery?

Revision hip replacement surgery refers to procedures which are undertaken to address the biological or mechanical failure of a total hip replacement. These ‘reoperations’ are designed to address the cause and consequences of a failure.

The younger a total hip replacement patient is, the more chance there is that they will need revision hip replacement surgery at some point.


What can I expect from the procedure?

Prior to the procedure, you will discuss the operation with Mr Mann, giving you the opportunity to raise any questions or concerns you may have. You will also discuss the best method of anaesthesia with your anaesthetist, which will be recommended based on your personal circumstances and medical history.

Your surgeon in some cases will consult imaging to determine the replacement part’s exact location, and several different parts might be reoriented, or swapped entirely, in the process of the revision.

Some revision hip replacement surgeries use a constrained socket which is able to ‘capture’ the ball of the hip. Extra bone is sometimes required, as well as artificial bone substitutes which the surgeon may use. The extra bone is to make up the shortfall which is often present.

In general, revision hip replacement is a longer, more complex operation that a total hip replacement and the prosthesis put in place might last for a shorter period than a primary hip replacement.


Why might I need revision hip replacement surgery?

Revision hip replacement surgery is relatively rare and is commonly needed to address the wear and tear of implants, and their loosening or breaking.

Other reasons for revision hip replacement surgery include a repetitive dislocation of a hip replacement, to prevent further dislocations, and its infection. Elderly patients, in particular, are predisposed to the complication of dislocation, as well as those who have had a hip replacement following multiple surgeries.

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What is the recovery time?

Typically, it is possible to resume normal activities within six weeks of revision hip replacement surgery. Your surgeon will be able to recommend a series of exercises designed to strengthen the hip muscles, as well as advice on positions in which to keep the leg to help avoid hip dislocation.
A walking frame may be needed immediately after the operation; scaled down to crutches or a walking stick in the days following. It is recommended that patients mobilise as soon as they can, so as to prevent complications such as chest infections or deep vein thrombosis.

Mr Mann will ensure that when the time comes for you to go home, that you have all of the advice and information that you need to make a fast and full recovery.

For information about how we might be able to help you or if you just have a question, please get in touch with us using the contact form below.

Click here for more information on hip revision recovery.

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Postoperative period and recovery

Remember that below is a guide to recovery and that everyone heals at different rates and some people do take longer. Use this information to help you understand your condition, possible treatment and recovery. The timeframes given below are a minimum, it is important that you appreciate this when considering surgery as your healing and recovery may take longer.

After your operation, a routine enhanced programme of recovery will commence. The main parallel work streams of this programme are as follows:

Associated conditions

Problematic total hip replacement

The problematic total hip replacement is one which continues to be painful or is unstable. Sometimes other issues such as a leg length inequality may be causing a problem.

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