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Revision hip replacement refers to the necessity for modifications or replacements of a prior hip replacement surgery. It can involve minor adjustments or extensive procedures, including substantial bone replacements. In a typical hip replacement, the hip socket and femur head are replaced with artificial components made of materials such as metal and plastic.
Major Reasons for Revision Hip Replacement
- Implant loosening and wear
- Surgical site infection
- Hip joint instability
- Fractures around the implant
- Limited range of hip motion
When a patient is referred to a revision hip replacement program, the orthopaedic surgeon will recommend treatments based on the diagnosis, considering the patient's age, activity levels, and medical history. The assessment involves reviewing radiological, medical, physical, and historical records. Both non-surgical and surgical options are discussed with the patient during counselling and education.
Revision hip replacement surgery is a complex procedure performed under general or regional anesthesia. It begins with an incision near the hip joint, often using the same incision as the initial surgery, followed by the careful dissection of tissues to access the joint. The surgeon then removes the old hip implant components, including the artificial joint and any cement with antibiotics in cases of infection. Afterward, they prepare the bone surfaces for the new components and securely insert and align the femoral and acetabular components. Soft tissues around the hip are repaired, and the incision is closed. Post-surgery, patients undergo a rigorous rehabilitation program to regain strength, flexibility, and hip function. Revision hip replacement surgery is more intricate than the initial procedure, typically necessitated by implant failure or complications from prior surgeries, with the ultimate aim of alleviating pain, restoring function, and enhancing mobility in the hip joint.
Once the decision to undergo revision hip replacement has been made, the orthopaedic surgeon will coordinate the surgical procedure. The process typically begins with the administration of anesthesia, which can either be spinal or general, depending on the patient's specific requirements and the nature of the joint being replaced. Once the anesthesia takes effect, the skilled surgical team goes to work, skilfully replacing the old hip implant components with a precisely tailored prosthesis. This transformative procedure offers hope to individuals suffering from joint-related issues, enabling them to regain their quality of life and enjoy a more comfortable and mobile future.
Essential Aspects of Recovery After Revision Hip Replacement Surgery
Postoperative care following revision hip replacement surgery consists of several essential components, including immediate and ongoing phases of rehabilitation.
- Immediate Postoperative Care
- Physical Therapy
Immediate Postoperative Care
In the immediate aftermath of revision hip replacement surgery, a pivotal phase of your recovery begins. During this period, medical professionals closely monitor your condition. They focus on effective pain management, wound care, and the initiation of gentle hip exercises.
Physical Therapy
Physical therapy is a cornerstone of your recuperation journey after revision hip replacement surgery. Collaborating with a licensed physical therapist, you'll embark on a personalized exercise program tailored to your unique needs. These exercises are specifically crafted to enhance hip flexibility, bolster strength, and expand your range of motion. Early exercises may encompass ankle movements, gentle hip bends, and muscle strengthening exercises. Your physical therapist will guide you through each step, ensuring you progress safely and steadily.