Reasons for a Revision Hip Replacement
Revision hip replacement is performed to take out previously implanted total hip replacement and replace it with a new hip replacement. The causes for this are numerous but can commonly include loosening, infection and mechanical failure. The procedure is often more complicated than the initial hip replacement.
Consideration on Revision Hip Replacement
When planning for the surgery, these factors need to be considered.
- What caused the hip failure?
- What type of hip replacement is currently in place and how long has it been in place?
- Is the hip infected?
- Which hip replacement components have failed and what needs to be replaced?
- What has the failure led to? For instance, is there loss of bone? Is the bone stock left enough to hold the new implant? If the bone loss is significant then how is that to be managed to provide adequate fixation of the implants?
- How are the implants to be fixed? Is cemented or cementless fixation more appropriate?
For these reasons, no hip replacement revision surgery is ever the same and each procedure is tailor made according to the patient and their needs.