Revision Hip replacement is the term used for the procedures performed to repair or replace a failed or malfunctioning hip replacement. This is specialized surgery that should only be done by surgeons with experience in Hip replacement surgery.The indications for revision surgery include aseptic loosening, infection, recurrent dislocation, fractures around components, component wear and component failure.
In aseptic loosening the surgery is performed to prevent boneloss due to granulation formation.Granulomas can be seen on radiographs but may not cause pain to the patient until boneloss is in an advanced stage and creates a fracture of the bone.
Infection of a Hip replacement is often a difficult diagnosis to make and may require several special investigations. The revision is mostly done as a two stage procedure to prevent re-infection of the new replacement.
Revision surgery requires meticulous pre-operative planning as well as specific instruments and implants to correct the problem, and each patient has to be assessed to find a suitable solution for their specific problem. For an assessment click here