Hip

Hip Revision Surgery

What is hip revision surgery?

While hip replacement surgery and hip joint resurfacing are often successful, it can sometimes be necessary to replace the joint again. If it is found that the artificial components in your hip are damaged, it can lead to infection and you may feel increased pain in the area.

“My aim in any joint replacement surgery is to give you a long-term solution that shows results beyond your goals; however, sometimes hip revision surgery is a necessary part of that journey,” says Dr Rhys Clark.

When is a revision necessary?

There are a few reasons that your hip replacement may need to be revised. If the artificial joint loosens, this can lead to infection, pain, and even dislocation. The polyethylene (plastic) and/or the metal components used in hip replacements can become infected or worn down over time. Other reasons for revision surgery are tendon irritation, implant breakage, and bone fractures.

“Osteolysis (bone loss) is another reason we complete a revision surgery. This occurs when debris from the artificial materials weaken the bones and surrounding soft tissues in your hip.”

What’s involved?

You will be required to have blood tests to identify any infections, and a CT scan or X-ray will help identify the extent of the damage. Hip revision replacements are often more complex than the initial replacement surgery, which can mean that there is a longer recovery time and a higher risk of complications. The complexity of your surgery will depend on the level of damage to the artificial joint and your surrounding bone. Rhys will assess whether you require only minor adjustments, or a more complex revision.