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Revision Hip Replacement Surgery

Orthopedic surgeons worldwide, perform Hip replacement most commonly. And it is known to be the most successful surgery. A decrease in the functioning of the implant due to various reasons has been documented after every 10 years. A revision hip replacement surgery is required in those patients who wear out their prosthesis.

What is Revision Hip Replacement Surgery?

In this surgical procedure a part or all of the previous hip replacement is revised. This replacement can be of even a small prosthetic implant replacement to total hip replacement.

This surgery is advised to patients with:

Indications for this surgery include patients with loosening of the joint, aseptic loosening occurs when the hip implants become loose within the bone. This loosening usually tends to be painful, and requires revision hip replacement. Breaking of the bone around the prosthesis or breaking of the prosthesis or plastic wear in which the plastic implant is changed. Dislocation of previous implants also requires a revision. Recurring pain and infection in the joint also call for revision.

How do I prepare for the surgery?

It is necessary that you carefully plan the entire procedure with your orthopedic surgeon. Preparation for the surgery requires a careful planning of the entire procedure with your orthopedic surgeon, as this procedure is a complex procedure and usually the result of the surgery is dependent upon the factors like the quality of the bone, ability to adequately secure the revision hip replacements into position and the age of the patient and tolerance to long surgical procedures. As the patients usually have aged by the time they require a revision surgery, the effects on the patient are more significant (longer surgery, more blood loss). You may be advised, clinical tests including lab testing, urine analysis, EKG, and X-rays, along with additional studies, such as bone scans, which may also be recommended by your doctor.

What exactly is Hip Replacement surgery?

  • Surgical procedure: While some revision cases are relatively straightforward, in some cases a mini-incision operation is not possible. Quality and quantity of the bone which is left behind, determines the difficulty level of the removal of the prosthesis.
  • In Revision joint replacements, the surgeon places a bone graft or some other material around the artificial joint to reinforce the bone as usually there is bone loss around the primary prosthesis.
  • The types of bone graft are:

  • If it comes from your own body, during the same operation, it is commonly called an autograft. Most likely, bone taken from your pelvis is used as the bone graft.
  • Your surgeon may choose to use bone graft from the bone bank when a larger graft is required. This type of bone graft which has been taken from someone else is called an allograft.
  • Cement is removed from the socket of the hip as well as from the femoral canal if in the primary artificial joint cement has been used. This may sometime lead to a fracture of the femur during the operation and your surgeon will also fix the femur during the operation. In cases to take out all the cement sometimes the femur is deliberately broken.
  • After bone and other materials have been applied to rebuild the socket and the femur a new prosthesis is implanted.

Contraindications for this surgery:

If your primary joint is not functioning well due to an infection that is Contraindications for this surgery includes a non – functional primary joint; if your primary joint is not functioning well due to an infection that is uncontrollable, also if the bone has been destroyed so much that it will not support an artificial joint.

Non-tolerance to a major operation due to any medical condition like, dementia or other severe mental disorder, severe vascular disease , poor condition of the skin covering the hip , extreme obesity , paralysis of the quadriceps muscles , terminal illness .

How long will the surgery take?

  • Pre – op: hospital admission at least a day prior to the surgery.
  • Operation: depending on the correction required the duration of the replacement surgery will vary as mentioned earlier. this surgery is done under general anesthesia most commonly and as such time in the operation theatre may be more than three hours (because of anesthesia and preparation).
  • Post – op: you will be moved into the recovery room post surgery, to monitor your vitals as the surgery is done under anesthesia and this stay is for approximately two hours. As this surgery is more multifaceted and compound than the primary replacement the stay may be longer in the hospital
  • Most patients are discharged after 4 to 5 days.

How long is the recovery following revision hip replacement surgery?

The primary requirement of Hip revision surgery is a period of adjustment.
  • Physical therapy: immediately after replacement surgery physical therapy is started and continues throughout the hospitalization and at home for one year after surgery. About limitations in movement required for better healing the surgeon will advise. You need to exercise your legs to reduce swelling, and elevate your legs above the heart when resting. You will have to use a walker after surgery.
  • X-rays of the leg would be taken to monitor healing after approximately a month.
  • You should be able to walk without a limp, and without pain in the hip after approximately six months.
  • After surgery, medicines or therapy would be prescribed by the surgeon to prevent blood clots.
To help you with your daily activities back home you should ensure that there are family members.

What are the risks and complications of revision hip replacement surgery?

  • Respiratory or cardiac malfunction which are anesthesia associated complications may develop.
  • Complications like infection, injury to nerves and blood vessels, fracture, weakness, stiffness or instability of the joint may also arise

What are the benefits of hip revision surgery?

  • Pain Relief
  • Mobility, strength and coordination of the upper body show improvement.
  • Improvement the appearance of the hip and leg.
  • Ability to return once again to normal activity with a pain-free hip.
Revision Hip Replacement Package

Inclusions

  • Airport Pick-up and Drop
  • Hospital Stay in a Private Room as indicated above. One attendant can stay with the patient.
  • Nursing & Diet charges.
  • Routine lab tests
  • Admitting Consultant's visit charges
  • Surgeon’s Fees and OT Charges
  • Cost of the implant/prosthesis

Exclusions

  • Hospital stay after the said period.
  • Visit charges after the said period.
  • Cross consultations, if any.
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