Revision hip replacement, also known as hip revision surgery, is a surgical procedure performed to replace a previously implanted artificial hip joint. It is typically necessary when the original hip replacement fails, wears out, or develops complications over time. The need for revision hip replacement can arise due to several reasons:
- Wear and tear - The artificial components of a hip replacement can wear out over time, particularly in individuals who are highly active or have had their initial hip replacement for many years.
- Loosening - The artificial hip components may become loose from the bone, leading to pain, instability, and decreased mobility. This can occur due to factors such as stress on the joint, bone loss, or infection.
- Infection - In some cases, an infection may develop around the hip joint, either immediately after the initial surgery or years later. Antibiotics and other treatments may be unsuccessful in clearing the infection, necessitating revision surgery.
- Dislocation - The artificial hip joint may dislocate, causing pain and functional limitations. In certain cases, recurrent dislocations may occur, indicating the need for revision surgery.
- Fracture - Fractures around the hip joint or fractures of the artificial components themselves can occur, requiring revision surgery to repair or replace the damaged parts.
Revision hip replacement involves removing the old artificial components and replacing them with new ones. The procedure is typically more complex than the initial hip replacement surgery due to factors such as bone loss, scar tissue formation, and potential complications from the previous surgery.
The surgical approach for revision hip replacement depends on the specific circumstances of the patient. The surgeon may use the same surgical approach as the initial surgery or choose a different approach based on the patient's anatomy and any limitations caused by the previous procedure.
Recovery from revision hip replacement surgery generally involves a period of rehabilitation, including physical therapy and exercises to regain strength, mobility, and stability. The duration of recovery can vary depending on individual factors, such as the extent of the revision surgery, the patient's overall health, and adherence to post-operative instructions. Dr. Rajesh Malhotra will help you know your specific situation, understand the potential risks and benefits, and receive personalised advice regarding your treatment options.