Why Do Patients Need Revision Hip Replacement Surgery in Trenton?

Get the best revision hip replacement from the experts at Rothman Orthopaedic Institute.

Unfortunately, no hip replacement operation can provide a truly permanent solution. Modern hip replacement components have long lifespans — but, after an average of 20 years, normal or excessive wear and tear can necessitate a second surgery to replace or repair parts. The experts at Rothman Orthopaedic Institute have extensive experience offering revision hip replacement surgery in Trenton; they can help you to better understand both the reasons why this type of operation is needed and what the surgical procedure entails.

Patients and Procedures of Revision Hip Replacement

Before assessing the step by step procedure of revision hip replacement surgery in Trenton, it’s important to consider the reasons why this operation is prescribed and the types of patients for whom it is recommended.

Some of the most common issues that may lead to revision surgery are:

• Worn implants

• Repeated dislocations of the affected hip

• Infection within the hip joint

• Allergies and negative reactions to metal components

• Periprosthetic fractures around the implant components

• Traumatic injuries from high-impact activities

The ultimate goal of a total hip replacement revision surgery is the same as that of the original hip replacement procedure: to restore the full function of your hip and relieve painful symptoms. However, the procedure itself is distinctly different.

The step-by-step process of revision hip replacement surgery in Trenton is as follows:

1. Anesthesia: The first step of the revision surgery procedure is the administration of anesthesia—either general, spinal, epidural, or regional nerve block.

2. Incision: The actual surgical process begins with the creation of an incision along the original incision line of the first hip replacement operation. This opens and exposes the hip joint.

3. Examination of tissues: It is possible that the internal tissues of the hip joint may contain infection or allergic irritation. The surgeon will analyze tissues to identify any such issues.

4. Assessment of prosthetic parts: The surgeon will likewise analyze the condition of the original implant parts to determine which components have become degraded or loosened.

5. Removal of implants: Next, the original prosthetic implants will be removed, including original cement casing.

6. Controlled fractures (optional): If needed, the surgeon will perform a controlled fracturing of the thigh bone. This enables fixed stems to be more easily removed and is immediately restored following fracturing. It is not necessary in all cases.

7. Bone surface preparation: Once all original prosthetic parts are removed, the pelvis and femur bone surfaces are resurfaced and prepared for the new revision parts.

8. Metal augmentation (optional): If a high degree of bone loss has occurred, metal augmentation or bone grafting may be used to supplement the remaining bone. This is not necessary in all cases.

9. Insertion of revision implants: The new implants are then inserted and installed, using screws to stabilize the new parts. All parts will be tested for fixture and smooth motion. The incision will then be closed and the surgery completed.

10. Initial recovery: Following the surgical procedure, you will be transferred to a recovery room. Your anesthesia will wear off after several hours; after waking, you will be moved to your hospital room for further monitored post-surgery recovery.

While nobody would choose to undergo a second surgery without need, a revision hip replacement surgery in Trenton can provide effective, long-term relief and restoration—which means you can return to your normal, healthy lifestyle. And under the care of the doctors and specialists at Rothman Orthopaedic Institute, you can have confidence that your operation will be performed by the most skilled, qualified medical professionals available. To learn more, visit us here or contact us at 1-800-321-9999.