Revision Hip Replacement

What is Revision Hip Replacement?

During total hip replacement, the damaged cartilage and bone are removed from the hip joint and replaced with artificial components. At times, hip replacement implants can wear out for various reasons and may need to be replaced with the help of a surgical procedure known as revision hip replacement surgery.

Revision hip replacement is a complex surgical procedure in which all or part of a previously implanted hip joint is replaced with a new artificial hip joint. Total hip replacement surgery is an option to relieve severe arthritis pain that limits your daily activities.

Indications for Revision Hip Replacement

Revision hip replacement is advised for the following conditions:

• Increasing pain in the affected hip
• Worn out plastic or polyethylene prosthesis
• Dislocation of previous implants
• Loosening of the femoral or acetabular component of the artificial hip joint
• Infection around the hip prosthesis, causing pain and fever
• Weakening of bone around the hip replacement (osteolysis)

Procedure of Revision Hip Replacement

Revision hip replacement surgery is performed under general anesthesia. During the procedure, your surgeon will make an incision over the hip to expose the joint. Then, the femur is dislocated from the acetabulum so that the old plastic liner and metal socket can be removed from the acetabulum.

After removal, the acetabulum is prepared using extra bone and wire mesh to make up for the socket space and shape. Then, the new metal shell is inserted into the socket using screws or special cement. A liner made of plastic, ceramic or metal is placed inside the metal socket.

To prepare the femoral component, the top of the femur bone is cut into several pieces to remove the implant. The segments of bone are cleaned and the new femoral implant is inserted into the femur either by a press fit or using bone cement. The segments of the femur and the femoral component are held together with surgical wires. Then the femoral head component made of metal or ceramic is placed on the femoral stem. All the new components are secured in place to form the new hip joint. The muscles and tendons around the new joint are repaired and the incision is closed.

Post-procedure Care for Revision Hip Replacement

After undergoing revision hip replacement, you must take special care to prevent the new joint from dislocating and to ensure proper healing. Some of the common precautions to be taken include:

• Avoid combined movement of bending your hip and turning your foot inwards because it can cause dislocation.
• Place a pillow between your legs while sleeping for 6 weeks.
• Never cross your legs or bend your hips past a right angle (90 degrees).
• Avoid sitting on a low chair.
• Avoid bending down to pick up things; instead, a grabber can be used to do so.
• Use an elevated toilet seat.

Risks of Revision Hip Replacement

As with any major surgical procedure, there are certain potential risks and complications involved with revision hip replacement surgery. The possible complications after revision hip replacement include:

• Infection
• Dislocation
• Fracture of the femur or pelvis
• Injury to nerves or blood vessels
• Formation of blood clots in the leg veins
• Leg length inequality
• Wearing of the hip prosthesis
• Failure to relieve pain

Why Choose Dr. Ali H. Sobh for Revision Hip Replacement?

Dr. Ali H. Sobh completed advanced fellowship training in hip and knee reconstruction and has specialized expertise in complex primary and revision joint replacement surgery. Revision hip replacement requires advanced surgical planning, precise technique, and experience managing prior implants and bone loss.

His approach emphasizes:

• Comprehensive preoperative evaluation and imaging
• Careful assessment of implant failure or loosening
• Advanced techniques for managing bone loss
• Precise implant removal and replacement
• Modern revision implant systems
• Infection prevention and management protocols
• Multimodal pain control strategies
• Individualized recovery and rehabilitation planning

Patients seeking revision hip replacement in Southfield, MI and Royal Oak, MI benefit from experienced surgical care focused on restoring stability, relieving pain, and improving long-term joint function.

Patient Testimonials

Undergoing revision hip replacement can feel overwhelming, especially after a prior surgery. Hearing from patients who have successfully undergone treatment with Dr. Sobh can provide reassurance and insight into the recovery process. To explore real patient experiences and outcomes, click here.

Frequently Asked Questions

Why would someone need a revision hip replacement?

Common reasons include implant wear over time, loosening of components, recurrent dislocation, infection, fracture around the implant, or persistent pain.

Is revision hip replacement more complex than primary hip replacement?

Yes. Revision surgery is generally more complex because it may involve removing existing implants, managing scar tissue, and addressing bone loss. Specialized implants and techniques are often required.

How long does a revision hip replacement last?

Longevity depends on factors such as bone quality, implant type, activity level, and overall health. Modern revision implants are designed for durability and long-term function.

Is recovery different after revision hip replacement?

Recovery may take longer than after a primary hip replacement. A structured rehabilitation plan is essential to restore strength, mobility, and stability.

If you would like to have additional information on treatments of hip conditions or would like to learn more about revision hip replacement, please contact Ali H. Sobh, MD, serving the communities of Southfield, MI.