Revision Hip Arthroplasty

Complex surgery to address failed hip replacements and restore function

What is Revision Hip Arthroplasty?

Revision hip arthroplasty is a complex surgical procedure to replace or repair a failed hip replacement. This specialized surgery addresses complications from previous hip replacements, including implant loosening, wear, infection, or dislocation. It requires advanced surgical expertise and often involves bone grafting and specialized implants.

Complex Procedure: Revision hip surgery is significantly more complex than primary hip replacement, with surgery times of 2-4 hours and longer recovery periods.

When is Revision Hip Surgery Needed?

Revision hip arthroplasty may be necessary for various reasons:

  • Implant Loosening: When the implant becomes loose from the bone over time
  • Wear and Tear: Excessive wear of plastic components leading to bone damage
  • Infection: Deep infection around the implant requiring removal and replacement
  • Dislocation: Recurrent dislocations that cannot be treated conservatively
  • Fracture: Bone fractures around the implant (periprosthetic fractures)
  • Implant Failure: Mechanical failure of implant components
  • Osteolysis: Bone loss due to wear particles

Revision Surgery Process

1

Comprehensive Evaluation

Detailed assessment including imaging, blood tests, and sometimes aspiration to determine the cause of failure.

2

Surgical Planning

Complex pre-operative planning including bone stock assessment, implant selection, and potential need for bone grafting.

3

Revision Surgery

2-4 hour procedure to remove old implants, address bone loss, and install new components, often with bone grafting.

4

Extended Recovery

Longer recovery period (4-6 months) with careful monitoring and specialized rehabilitation.

Types of Revision Procedures

Partial Revision

Replacement of only the failing component (cup or stem) when the other component is functioning well.

Complete Revision

Replacement of both cup and stem components when both have failed or to ensure compatibility.

Complex Revision

Extensive surgery with bone grafting, structural support, and specialized implants for severe bone loss.

Challenges and Considerations

Revision hip surgery presents unique challenges:

  • Bone Loss: Previous surgery may have resulted in bone loss requiring reconstruction
  • Scar Tissue: Previous surgery creates scar tissue making the procedure more difficult
  • Longer Recovery: Extended healing time and rehabilitation period
  • Higher Risk: Increased risk of complications compared to primary surgery
  • Specialized Expertise: Requires surgeon with extensive revision experience
  • Multiple Procedures: Some cases may require staged procedures

Need Revision Hip Surgery?

Our specialized orthopedic surgeons have extensive experience in complex revision hip procedures. Schedule a consultation to discuss your options and develop a personalized treatment plan.

Schedule Consultation+1-555-BLUME-MD

Specialized revision surgery expertise. Second opinion consultations available.