Revision hip replacement

What is a revision hip replacement?

Revision hip replacement is a 're-do' or 'second' artificial hip replacement, performed because of problems with the previous implants.

Why is revision required?

The most common reason for requiring revision is loosening of the old implants. Loosening usually occurs slowly over many years, with the artificial hip joint becoming increasingly painful over time. Other reasons for requiring revision hip replacement include infection, dislocation or fracture.

What does revision hip replacement involve?

Revision hip replacement procedures are very variable, depending on the problem and the requirements of the operation. In general, revision is technically more demanding than 'first time' hip replacements and is associated with a higher risk of complications. Revision hip replacement often involves the removal of failed implant(s) and insertion of new components. In addition, as a result of the gradual loosening process over time, bone quality may be compromised and a bone grafting may be required. For infection, a 'two-stage' revision may be recommended - this is where the old implants are removed and the final implants are inserted in a second procedure after the infection has been erradicated. Before undertaking revision hip replacement, I will discuss the recommended procedure with you in detail.

This information handout has been written by Dr Patrick Weinrauch for the purposes of patient education. The details provided are of general nature only and do not substitute for professional recommendations based an individual clinical assessment.