Revision Hip Arthroplasty

What is revision hip surgery, and how is it performed?

When a primary hip replacement no longer functions as it should, revision hip arthroplasty may become necessary. This article will explain the reasons for this complex surgery, the candidates who might need it, and what the procedure and recovery entail.

At OrthoNeuro, we specialize in hip revision surgery to help patients regain mobility and improve their quality of life. With multiple locations across Columbus, Ohio, our team of expert surgeons provides comprehensive care tailored to each patient’s needs. Call us today to schedule a consultation!

What is Revision Hip Arthroplasty or Revision Hip Surgery?

Revision hip arthroplasty, also known as revision hip surgery, involves replacing or repairing components of a previously implanted artificial hip joint. This surgery addresses problems that can arise after an initial hip replacement, such as implant wear, loosening, or infection.

Unlike a primary total hip replacement, which is typically performed to treat severe arthritis or hip joint damage, a revision procedure is more intricate. It requires specialized expertise to manage the complexities associated with removing and replacing the existing implant.

Reasons for the Surgery

Several factors can lead to the need for revision total hip arthroplasty:

Implant Wear and Tear: Over time, the materials used in hip implants can degrade, especially in active individuals.
Loosening of the Implant: The femoral stem or other parts of the implant can loosen from the surrounding healthy bone, leading to pain and instability.
Infection: An infection in the hip joint can damage surrounding tissues and compromise the implant.
Fractures: A broken bone around the implant may destabilize the joint.
Dislocation: Repeated dislocations can occur if the joint is unstable.
Bone Loss: Loss of remaining bone can weaken the joint, necessitating reinforcement or replacement.

Candidates for the Procedure

Not all patients with hip pain will require a revision hip replacement. However, candidates for this surgical procedure typically exhibit one or more of the following symptoms or conditions:

Persistent pain that interferes with daily activities
Noticeable instability or difficulty walking
Evidence of implant failure or loosening on imaging studies
History of infection in the hip joint
Significant loss of bone around the implant

At OrthoNeuro, a comprehensive evaluation helps determine whether hip revision surgery is the best course of action.

Preparing for the Surgery

Preparation is key to a successful outcome. Patients undergoing revision hip surgery should expect a thorough preoperative process that includes:

Medical Evaluation: Detailed assessments to identify any underlying health issues that might affect surgery or recovery.
Imaging Studies: X-rays and MRIs to assess the condition of the hip joint and surrounding bone.
Medication Management: Adjustments to medications, particularly those that affect bleeding or healing.
Pre-surgical Physical Therapy: Strengthening the muscles around the hip can help support the joint post-surgery.
Home Preparation: Ensuring the home environment is safe and accessible for recovery, with mobility aids as needed.

How is Revision Hip Arthroplasty Performed at OrthoNeuro?

The revision procedure at OrthoNeuro is carefully tailored to each patient’s specific needs. Here’s a general overview of how it’s performed:

Incision and Exposure: The surgeon makes an incision to access the hip joint.
Removal of Old Components: The worn or damaged parts of the implant are carefully removed to avoid damaging the remaining bone.
Bone Grafting: If necessary, a bone graft is used to rebuild or strengthen areas where healthy bone has been lost.
Insertion of New Components: New prosthetic components, including the femoral stem and acetabular cup, are implanted to restore function.
Closure and Stabilization: The surgical site is closed, and the joint is stabilized.

OrthoNeuro’s skilled surgeons use advanced techniques to ensure the highest level of precision and care during revision total hip replacement.

What Will the Recovery Look Like?

Recovery from revision hip arthroplasty can be more challenging than recovery from a primary total hip replacement due to the complexity of the procedure. Here’s what patients can generally expect:

Hospital Stay: Most patients stay in the hospital for a few days post-surgery for monitoring and initial rehabilitation.
Pain Management: Medications will be prescribed to manage post-surgical pain.
Physical Therapy: A structured physical therapy program is crucial for regaining strength, mobility, and flexibility.
Home Recovery: Patients may need assistance with daily activities and will gradually increase their level of activity as healing progresses.
Follow-up Visits: Regular follow-ups with the orthopedic surgeon are essential to monitor healing and implant function.

Possible Complications

As with any major surgical procedure, there are risks associated with revision hip replacement. These include:

Infection: Prompt treatment is essential to prevent complications.
Blood Clots: Prophylactic measures, such as blood thinners, may be used to reduce this risk.
Dislocation: Proper implant placement and adherence to post-operative restrictions minimize this risk.
Nerve or Blood Vessel Damage: Although rare, these complications can occur during surgery.
Fracture: The risk of fracturing the remaining bone around the implant is higher in revision surgeries.

OrthoNeuro’s experienced team takes every precaution to reduce these risks and ensure the best possible outcomes.

Why Choose OrthoNeuro for Your Hip Revision Surgery?

Choosing OrthoNeuro for your revision hip surgery means opting for expert care, advanced technology, and a patient-centered approach. Our surgeons are highly skilled in managing the complexities of revision total hip arthroplasty and are committed to helping you achieve the best possible outcome.

If you’re experiencing issues with your hip replacement, don’t hesitate to contact OrthoNeuro. Our team is here to guide you through the process and help you return to the activities you love. Schedule a consultation at one of our Columbus, OH, locations to learn more about how we can help!

Medically reviewed by Ryan M. Palmer, DO

Related Services

Sources

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

Hip Specialists

IF YOU HAVE SEVERE OR PERSISTENT HIP PAIN THAT INTERFERES WITH YOUR LIFE, CALL ORTHONEURO OR SCHEDULE A CONSULTATION ONLINE TODAY. OUR ORTHOPEDIC SURGEONS PROVIDE STATE-OF-THE-ART DIAGNOSIS AND PERSONALIZED TREATMENT.