REVISION HIP

REPLACEMENT
SURGERY
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REVISION HIP REPLACEMENT SURGERY INDIA - INTERNATIONAL
PATIENT SERVICES

Why does a hip need to be revised ?

Pain is the primary reason for revision. Usually the cause is clear but not always.
Hips without an obvious cause for pain in general do not do as well after surgery.

Plastic (polyethylene) wear This is one of the easier revisions where only the
plastic insert is changed

Dislocation (instability) means the hip is popping out of place.

Loosening of either the femoral or acetabular component. This usually presents

as pain but may be asymptomatic. For this reason, you must have your joint
followed up for life as there can be changes on X-ray that indicate that the hip
should be revised despite having no symptoms.
Infection usually presents as pain but may present as an acute fever or a general
feeling of unwell.

Osteolysis (bone loss) This can occur due to particles being released into the hip
joint that result in bone being destroyed

Surgical Approaches

There are four approaches to the hip and access takes advantage of the muscular
planes surrounding the hip joint.

Anterior (front) Approach : -

Lateral (side) Approaches : -

Posterior (rear) Approach : -

Approaches for Revision Hip Surgery

The approaches are the same as when performing primary hip replacements but the
surgical approach can be extended for increased exposure for what is a more
complex procedure.

Advantages : -

Relief of pain and restoration of hip function

Return to a full and active life style

Disadvantages : -

Failure of the hip implant over time

Inherent risks of surgery

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