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Revision Hip Replacement

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“As a new patient, I fortunately got a next day appointment. Was thorough and professional during the visit. I am confident that my hip surgery will be successful based on my experience.” — Keith L.

Revision hip replacement is a complex surgical procedure that is performed when an initial hip replacement no longer functions as expected. Whether due to wear and tear, loosening of the implant, or other complications, a revision total hip replacement aims to restore proper function to the hip joint and alleviate pain.

At JIS Orthopedics in New Albany and St. Clairsville, Ohio, our team of experienced orthopedic surgeons specializes in hip revision surgery. Contact us today to schedule a consultation! 

About Revision Total Hip Replacement

Revision total hip replacement, also known as revision total hip arthroplasty, is the process of replacing or repairing a failed or damaged primary total hip replacement. Over time, the components of a primary hip replacement may wear out, become loose, or cause other complications, necessitating the need for revision surgery. 

This procedure involves removing the old implant, addressing any damage to the surrounding bone and tissue, and replacing it with new components. It is more complex than an initial hip replacement surgery because of the need to address the reasons for the failure of the original implant.

When is Revision Hip Replacement Recommended?

Revision hip surgery is recommended when there are problems with the initial hip replacement. Some common reasons include:

  • Loosening or wearing out of the implant: Over time, implants can wear down or become loose, leading to pain or instability.
  • Infection: Infections around the hip joint may compromise the implant, requiring removal and replacement.
  • Dislocation: The artificial hip may dislocate, leading to instability and pain.
  • Bone loss: Osteolysis, or bone loss around the implant, can occur, which weakens the surrounding bone.
  • Fractures or broken bone: A fracture near the implant, such as a periprosthetic fracture, may necessitate revision surgery.

Who Needs Revision Hip Surgery?

Not every person who experiences complications with their hip replacement will need revision surgery. However, individuals who are experiencing persistent pain, difficulty walking, or recurrent dislocations are more likely candidates. 

Revision surgery is also considered for patients whose primary total hip replacement has failed due to infection, implant wear, or bone fractures around the implant. Your orthopedic surgeon will evaluate your symptoms and perform imaging studies to determine if a revision procedure is necessary.

Preparing for Revision Hip Replacement Surgery

Preparing for hip revision surgery involves several steps to ensure the best possible outcome. Your surgeon will likely recommend:

  • Preoperative evaluation: This includes a thorough assessment of your overall health, including blood tests and imaging studies.
  • Medication adjustments: You may need to adjust certain medications, especially blood thinners or medications that affect healing.
  • Prehabilitation: Physical therapy exercises may be suggested before surgery to strengthen the muscles around the hip joint, which can improve recovery.
  • Home preparation: Arranging for a safe, accessible home environment for your recovery is important, including assistive devices if necessary.

What Happens During Revision Hip Replacement Surgery?

Revision hip replacement surgery generally follows these steps:

  1. Anesthesia: The procedure begins with the administration of general or spinal anesthesia.
  2. Removal of the old implants: The surgeon carefully removes the failed or damaged implants.
  3. Bone graft or repair: If bone loss or damage is present, the surgeon may utilize techniques to strengthen the area around the hip joint.
  4. Implanting new components: The new prosthetic components are inserted and secured in place.
  5. Closing the incision: The surgical area is closed, and a drain may be placed to reduce post-operative swelling.
 

The length and complexity of the surgery depend on multiple factors that will be outlined by your treating surgeon prior to the operation.

Possible Complications

As with any surgical procedure, there are risks associated with revision total hip arthroplasty. Some of these include:

  • Infection: Though rare, infection is a significant concern and may require further intervention.
  • Blood clots: Blood clot formation in the legs or lungs is a potential complication.
  • Bone fractures: During or after surgery, fractures near the implant site can occur.
  • Dislocation: There is a risk that the new implant could dislocate, particularly in the early stages of recovery.
  • Loosening of the implant: Over time, the new implant may loosen, especially if bone quality is poor.

Recovering from Revision Hip Replacement Surgery

Recovery from revision hip surgery is typically longer than from primary surgery. After the procedure, you will likely need physical therapy to regain strength and mobility. 

Full recovery can take several months, and it may involve using assistive devices, such as crutches or a walker, during the initial weeks. Following your surgeon’s recommendations and attending follow-up appointments are crucial for a successful outcome.

How Can I Prevent the Need for Hip Revision Surgery?

While some factors leading to hip revision surgery are beyond your control, there are steps you can take to reduce the risk of needing a revision procedure:

  • Follow post-operative care guidelines after your initial hip replacement surgery.
  • Maintain a healthy weight to reduce stress on your hip joint.
  • Stay active: Engage in low-impact activities to keep your muscles strong and your joints flexible.
  • Avoid high-impact activities: Protect your hip from excessive strain.
  • Attend regular check-ups with your orthopedic surgeon to monitor the health of your hip replacement.

 

Consult JIS Orthopedics for Expert Care

If you’re experiencing issues with your hip replacement, our team at JIS Orthopedics is here to help. We specialize in both primary and revision hip replacement surgeries and are committed to providing the highest level of care. Contact our offices in New Albany or St. Clairsville today to schedule an appointment!

Medically reviewed by Dr. Alexander G. Athey

  1. https://orthoinfo.aaos.org/en/treatment/revision-total-hip-replacement/

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