What is Revision Hip Replacement Surgery?

Revision hip replacement surgery is performed when the primary hip prosthesis fails for any reason, such as wear, recurrent dislocation, chronic infections, or instability. It involves removing the old prosthesis and replacing it with a new implant using specialized tools and components to accommodate changes in the pelvic and femoral bones.

Symptoms

• Persistent hip pain
• Difficulty moving or walking after a period of having the first prosthesis
• Feeling of joint instability or dislocation
• Recurrent swelling or infection around the prosthesis
• Leg length discrepancy or altered gait

Diagnosis

• X-Rays to detect wear or displacement of components
• MRI or CT scans to evaluate surrounding bones and tissues
• Blood tests to check for signs of infection or inflammation
• Joint fluid analysis in cases of suspected infection

Treatment Methods

• Non-surgical (temporary): Pain medications, physical therapy sessions, and mobility aids, but this is only a temporary solution.
• Surgery: The most effective option, involving removal of the old prosthesis and implantation of a new one designed to fit the altered bone structure, sometimes using additional supports or bone grafts.

When is Surgery Necessary?

• If pain is unbearable despite treatment
• When the prosthesis fails to perform its function
• In cases of infection unresponsive to medication
• Recurrent dislocation or fracture around the prosthesis

Patient Education After Revision Hip Surgery

• Avoid sudden movements or excessive bending during the first few weeks
• Follow physical therapy sessions to restore muscle strength
• Maintain a healthy weight to reduce stress on the joint
• Use walking aids as needed
• Attend regular follow-ups with the doctor to monitor the condition of the new prosthesis