Do I Need Revision Hip Replacement Surgery?

Do I Need Revision Hip Replacement Surgery?

If you underwent hip replacement surgery approximately 20 years ago, you might now be experiencing recurring pain or discomfort in your hip joint. This could be a sign that you need revision hip replacement surgery. At Rothman Orthopaedic Institute, our experts specialize in providing the best solutions for revision hip replacements in Trenton.

Reasons for Revision Hip Replacement Surgery

Hip replacement surgeries, while durable, are not permanent solutions. Over time, wear and tear on the hip joint components can lead to the need for a second surgery. Common reasons for revision surgery include:

• Worn Implants: Original prosthetic components may wear out or degrade over time.
• Dislocations: Recurrent dislocations of the hip joint.
• Infections: Presence of infection within the hip joint.
• Metal Allergies: Negative reactions to metal components used in the implants.
• Periprosthetic Fractures: Fractures occurring around the implant.
• Traumatic Injuries: Injuries from high-impact activities affecting the hip joint.

Revision surgery aims to restore full function and alleviate pain, similar to the goals of the initial hip replacement procedure. However, the surgical process is more complex and involves replacing or repairing the existing prosthetic parts.

Steps of Revision Hip Replacement Surgery

• Anesthesia: Administered to ensure comfort during the procedure.
• Incision: Along the original surgical site to access the hip joint.
• Tissue Examination: Check for infection or allergic reactions.
• Implant Assessment: Evaluate condition of existing implants.
• Implant Removal: Extract worn-out or damaged prosthetic parts.
• Bone Preparation: Resurface bone to accommodate new implants.
• Augmentation (if needed): Use metal or bone grafts to support new implants.
• New Implant Insertion: Secure new components in place with screws.
• Recovery: Post-surgery, monitor recovery and rehabilitation closely.

Patient Eligibility

Consider revision hip replacement if:

• Conservative treatments fail to alleviate pain.
• Hip pain affects daily activities and quality of life.
• Your orthopaedic surgeon recommends it based on your medical history and condition.

Options for Hip Replacement Surgery

• Total Hip Replacement: Replace damaged components with prosthetics for pain relief and improved mobility.
• Hip Resurfacing Arthroplasty: Preserve femoral head with a prosthetic cap, suitable for future revisions.
• Revision Hip Replacement: Replace existing prosthetics due to wear, damage, or complications.