Revision Hip Replacement

What is Revision Hip Replacement?

Revision Hip Replacement, also known as Revision Total Hip Arthroplasty (rTHA), is a complex surgical procedure performed to replace a previously implanted hip prosthesis that has failed due to wear, infection, instability, or other complications. This procedure restores hip function and alleviates pain when a primary hip replacement is no longer effective.

Indications for Revision Hip Replacement

• Implant wear and loosening – Over time, hip implants can degrade, causing pain and reduced function.
• Periprosthetic fractures – Fractures occurring around the implant may necessitate revision.
• Infection (Periprosthetic Joint Infection – PJI) – A deep infection can require complete removal and staged revision.
• Hip dislocation and instability – Recurring dislocations may require a more stable implant.
• Metal hypersensitivity or adverse reactions – Some patients may develop reactions to metal debris from the implant.

Challenges and Considerations

• Bone loss management – Special implants and bone grafting may be needed to restore lost bone.
• Infection control – A two-stage revision may be performed in cases of infection.
• Soft tissue reconstruction – Restoring soft tissue integrity is crucial to maintaining stability.

Surgical Procedure

1. Comprehensive Evaluation – Advanced imaging and lab tests identify the cause of implant failure.
2. Surgical Planning – Custom implants or specialized prostheses may be used.
3. Implant Removal & Bone Grafting – The failed implant is removed, and bone grafting may be performed to restore bone stock.
4. New Implant Placement – A new, stable prosthesis is implanted.
5. Postoperative Recovery & Rehabilitation – Intensive physiotherapy to regain strength and mobility.

For expert consultation and personalized treatment options for hip replacement surgeries, schedule an appointment with Dr. Kshitij Mody today.