Total hip replacement revision: procedures, etc. • hello healthy

Definition

What is a total hip replacement revision?

A total hip replacement revision is an operation performed to take the old replacement hip and replace it with a new one. Hip replacement surgery failure is caused by:

artificial ball joints and sockets are worn

Postoperative hip replacement infection

dislocation

fracture of the femur

When do I need to have a total hip replacement revision?

The prosthesis that is inserted in the majority of elderly patients who undergo hip replacement surgery can last for 15 to 20 years, or even a lifetime. However, it is possible for patients to undergo one or more revision surgeries, especially if the initial surgery was performed at a young age and the patient tends to have an active lifestyle.

Precautions & warnings

What should I know before undergoing a total hip replacement revision?

Some cases that can be handled without going through a total hip replacement revision include:

if the symptoms are still mild, you can wait for a while

if there is infection, antibiotics can prevent revision surgery

If the hip replacement is out of the joint continuously, you can use a brace

if you have a fracture, you can try traction treatment

Process

What should I do before undergoing a total hip replacement revision?

In the preparation stage for surgery, make sure you tell your doctor about your health condition, any medications you are taking, or any allergies you have. The anesthetist will explain the anesthesia procedure and give further instructions. Make sure you follow all the doctor's instructions including the prohibition of eating and drinking before surgery. In general, you are required to fast for six hours before the surgery is performed. However, you may be allowed to drink beverages such as coffee a few hours before the surgery.

How is the total hip replacement revision process?

Various anesthetic techniques may be used in this operation. The surgeon will make an incision in the side of the patient's hip, then remove the replacement hip and any cement. The surgeon will insert a new replacement hip. Using acrylic cement or a special coating, the replacement hip can remain attached to the bone. Surgery can be more complicated for patients who have infections, or bones that are thin or damaged.

What should I do after having had a total hip replacement revision?

After having surgery, you are allowed to go home after 5 to 10 days. For several weeks, you will need to use crutches or a cane to walk. Regular exercise has also been shown to speed up the healing process. But before deciding to exercise, you should ask a doctor for advice. Most of these revision operations run smoothly as most people show good progress during the recovery period. Make sure you follow the physiotherapist's instructions regarding exercises to strengthen your hip muscles. Total hip replacement revisions can fail over time.

Complications

What complications can occur?

Each surgical procedure has its own risks, including a total hip replacement revision. The surgeon will explain all kinds of risks that may occur after surgery. Common complications that can occur after surgery are the aftereffects of anesthesia, excessive bleeding, or blood clots in deep veins (deep vein thrombosis or DVT).

Patients who undergo this procedure have the potential to experience complications:

femur apart

nerve damage around the hip

damage to the blood vessels around the hip

infection in the hip

stretchable replacement hips

there is bone formation in the muscles around the hip replacement

dislocation

difference in foot length

Dead

You can reduce your risk of complications by following your doctor's directions before surgery, such as fasting and stopping certain medications.

Hello Health Group does not provide medical advice, diagnosis or treatment.