What is a Revision Hip Replacement?
In specific circumstances, a patient who previously underwent total hip arthroplasty may need another surgery. A revision hip replacement involves removing any problematic implants and replacing them with new ones.
What Are the Indications for Revision Hip Replacement?
Revision hip replacement may be indicated for a variety of reasons. These include, but are not limited to, infection of the prosthesis, instability or dislocation, fracture, implant loosening, wear of the bearing surface, or poor position of the hip replacement components. Dr. Phillips will evaluate your problematic hip replacement and use physical examination, laboratory testing and imaging studies to identify the issue prior to proceeding with treatment.
What Should I Expect During a Revision Hip Replacement?
Surgery is usually performed under general anesthesia. The time it takes to perform the surgery is dictated by the complexity of the problem. Depending on the approach selected, you may be lying on your back or on your side during surgery. After the approach is complete, the problematic implants are removed from the hip with the help of fluoroscopic imaging. Attention is then turned to treating the issue at hand and reconstructing your hip joint under image guidance to ensure accurate implant positioning. The hip is thoroughly tested for stability and range of motion prior to final implant placement. Once all components are in place the incision is typically closed with a dissolvable suture beneath the skin.
What is the Postoperative Course After a Revision Hip Replacement?
Depending on the complexity of the procedure, you may have a weight bearing restriction after surgery. The majority of patients remain in the hospital overnight prior to being discharged home after a major revision hip replacement surgery. Outpatient physical therapy may be a helpful adjunct to rehabilitation. Depending on the approach utilized, you will have a range of motion restriction for 6 weeks following your procedure. By 12 weeks, most patients are well recovered and beginning to return to more rigorous activities. However, small gains can be made out to the 1 year mark when full recovery has occurred.