Hip Revision Surgery

Hip revision surgery is a procedure that fixes and substitutes a previously implanted artificial hip joint. This may be necessary if an infection or damage has occurred to the prosthetic after an initial hip replacement surgery. The preparation for this surgery can be done in a similar manner as the preparation for the initial hip replacement. The main objective of this surgery is to enhance the performance and functionality of the artificial hip joint.

How can one determine if they require a hip replacement?

If you are experiencing these symptoms associated with arthritis, it is advisable to contemplate undergoing a hip replacement procedure.

• intense pain in the hip that is not alleviated by medication and hinders your ability to work, sleep, or engage in regular daily tasks
• stiffness in the hip, which limits movement and poses challenges in walking

What distinguishes a hip replacement from a hip revision?

In simpler terms, hip replacement involves replacing a natural hip with an artificial cup and head, while hip revision surgery replaces certain components of the artificial joint with new ones. The number of hip revision surgeries needed depends on the extent of damage and the age of the patient.

Hip revisions are typically performed when there is a noticeable issue with the structure that can result in infection, fracture, or the dislocation of the joint.

How should I prepare for hip revision surgery?

Prior to your hip revision surgery, you will have a meeting with your care team approximately one month in advance to talk about the surgery as well as any potential risks involved. Additionally, they will conduct a physical examination, go over your complete medical history, and review any medications or supplements you are currently taking. It may also be necessary to undergo various tests as part of the preparation process.

• Lab testing.
• Urine analysis.
• Electrocardiogram (EKG).
• X-rays.

Once you have confirmed a date for your hip revision surgery, you will also need to set up appointments with a physical therapist to see them following your procedure. In order to ensure that you are well prepared for the surgery, your surgeon will give you detailed instructions, such as information on which medications are acceptable to continue taking and which ones you should refrain from taking before the procedure. It is important to follow your provider’s guidance and only cease taking medications if they approve it as safe to do so.

Procedure of Revision Hip Replacement

Revision hip replacement surgery is conducted while the patient is under general anesthesia. The surgeon will make an opening in the hip area to access the hip joint. Then, the femur is dislocated from the acetabulum in order to remove the old plastic liner and metal socket from the acetabulum.

Once the acetabulum is removed, it is made ready by using additional bone and wire mesh to compensate for the socket’s size and form. Next, a new metal shell is placed inside the socket, secured with either screws or specialized cement. A liner composed of plastic, ceramic, or metal is then placed within the metal socket.

In order to prepare the femoral component, the upper part of the thigh bone is divided into multiple parts to remove the implant. These bone sections are cleansed and a new femoral implant is inserted into the thigh bone either by fitting it tightly or by using bone cement. The bone segments and the femoral component are connected together using surgical wires. Next, a metal or ceramic femoral head component is placed on the femoral stem. All of the new components are anchored to create the new hip joint. The muscles and tendons surrounding the newly formed joint are repaired, and the incision is sewn up to complete the procedure.

recovering from a hip revision surgery

The amount of time it takes to recover from hip revision surgery varies for each person and depends on the extent of the surgery. Generally, it takes a few weeks to several months to fully recover. Immediately after the surgery, patients typically stay in the hospital for a few days to be closely monitored and receive rehabilitation. Physical therapy is also necessary for a revision hip replacement to help regain mobility and strength.

After undergoing the necessary revision surgery, it is crucial to prioritize self-care and the well-being of your hip. This involves steering clear of challenging situations and activities that exert excessive force on your hip joint. Following a few weeks of recovery, with the supervision of your doctor or physical therapist, you can gradually begin to walk using crutches or walkers.

The majority of patients typically resume their normal activities after 3 to 6 months following the revision surgery. However, the duration of your recovery may vary, either shorter or longer. It is crucial to adhere to the recommendations provided to guarantee a successful and healthy recuperation.

The benefits of hip revision surgery

The patient’s level of benefit from the operation will vary depending on the purpose of the procedure. Various factors leading to hip revision surgery are aimed at addressing different underlying issues. However, the primary objective remains the relief of pain. Hip revision surgery has the potential to achieve the following:

• The pain experienced due to the loosening of the artificial hip joint can be greatly alleviated through significant improvement.
• overcome infection in cases of infection
• enhance the stability in instances of recurring dislocation.

Hip revision surgery, like hip replacement surgery for patients, aims to enhance pain relief and joint performance by addressing the root cause. Additionally, it can result in improved joint strength and better balance for the patients.

Treatment in Türkiye:

The medical staff of surgical teams, doctors, and consultants at REHABTÜRK can provide the best treatment options and free consultations, striving to stay up-to-date on the latest medical technologies and methods.

Ask for a free consultation.