What is Revision Hip Replacement?

Revision hip replacement is a surgical procedure to replace or repair a previously implanted artificial hip joint that has failed due to wear, loosening, infection, dislocation, or other complications. This procedure is more complex than the initial Total Hip Replacement (THR) and requires careful planning and specialized surgical techniques.

Why is Revision Hip Replacement Needed?

Implant Wear & Loosening

Over time, the prosthetic components may wear out or become loose, causing pain and instability.

Infection –

Bacterial infection around the implant can lead to pain, swelling, and implant failure.

Dislocation –

If the artificial hip frequently dislocates, revision surgery may be necessary to correct alignment and stability.

Periprosthetic Fracture –

A fracture around the implanted prosthesis due to trauma or osteoporosis.

Metal Allergies or Reactions –

Some patients experience reactions to metal components, requiring a different type of implant.

Implant Breakage –

Rare but possible if the prosthetic components fail under stress.

Types of Revision Hip Replacement

Partial Revision

Only one component (acetabular cup or femoral stem) is replaced if the rest of the implant is still functional.

Total Revision Hip Replacement

Complete removal and replacement of all implant components due to severe wear, infection, or fracture.

Two-Stage Revision (For Infection Cases)

Stage 1: Removal of the infected implant, placement of an antibiotic spacer.

Stage 2: After infection clears (6-12 weeks later), a new implant is placed.

Preoperative Planning

Medical evaluation & imaging (X-ray, MRI, CT scan).

Infection screening (blood tests, joint aspiration if needed).

Prehabilitation exercises to strengthen muscles before surgery.

Stopping certain medications (blood thinners, NSAIDs).

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