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Hip Replacement Dislocation: Symptoms and Treatment

Revision hip replacement refers to the procedure to repair or replace a failed first hip replacement. Over the past three decades total hip replacement has become one of the most important surgical procedures to return patients to active, contributing members of society. The surgical procedure to replace a worn out, painful hip with prosthetic components () has been performed on millions of patients with great results and overall few complications. Once reserved for the senior citizen with a sedentary lifestyle, total hip replacement is rapidly becoming an operation in demand by a mid-life, still working patient population who demand high function and long lasting mechanical properties to coincide with a highly active lifestyle.

• 00.73, Revision of hip replacement, acetabular liner and/or femoral head only; and

19. Stockley I, Mockford BJ, Hoad-Reddick A, Norman P. The use of two-stage exchange arthroplasty with depot antibiotics in the absence of long-term antibiotic therapy in infected total hip replacement. 2008;90(2):145-8

Hip Replacement Failure: Symptoms and Treatment

Fortunately, despite the complexity for the surgeon and the prolonged rehabilitation for the patient – if the underlying cause for the failure of a total hip replacement can be determined and a well thought out plan is executed well, a satisfactory outcome for revision total hip replacement can be as high, with up to 90% of patients having a good to excellent result. It is important to have an experienced surgeon and support staff to take on the difficulties inherent to this type of surgery in order to improve the chances of achieving this high rate of success.

If it is no longer possible to overcome pain and other symptoms caused by wear and tear of the hip joint (coxarthrosis) by non-surgical means, replacement of the worn joint by a hip prosthesis can provide long-term relief from symptoms.

Revision or Second Hip Replacement Surgery - Verywell

Finally, revision hip replacement surgery has a less predictable longevity. Typically a revision hip surgery done for loosening or instability is secured to less healthy bone and as such will not bear up as well to the stresses of living as well as when the bone was of better quality when the patient was younger and more active. Additionally, if the revision was done for an infected hip replacement, the risk of a re-infection is high with studies that indicate that in 10 – 15% of the joints the infection is not cleared and they become infected again [5]. Re-infected joint replacements are particularly difficult challenges for the patient and the surgeon.

From the patient’s perspective, the recovery from a revision hip replacement can take much longer than what the patient remembers from the original hip surgery. In fact, it can take up to a year after surgery before the patient finds routine daily activities easy to do. Some patients will require some form of walking assistance in the form of a cane or walker for the rest of their lives. The final maximum range of motion achieved is often less than what the patient remembers their first hip replacement had reached and in fact, stiffness is quite common with revision joints. In addition, leg length discrepancies are more common with revision hip replacement surgery than with primary hip replacements and patients may need a lift in a shoe or have many of their shoes fixed with lifts to compensate for a shorter or longer leg.

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Hip Replacement Surgery - Types of Implants

Dislocation is one of the most common complications that occurs after revision hip replacement surgery and is a result of many adverse forces at work. Sometimes weakened musculature fails to keep the hip together. Other times the position of the components is not optimal. Still other times, the patient does not follow the instructions given and puts the hip at repeated risk through early over activity. There are a variety of techniques known to the surgeon to improve the chances that the ball will stay in the socket after surgery, but dislocation is still a common event for the revision hip replacement patient.

Hip Replacement Types Prosthesis 2018 | Orthopedic …

8. Berry DJ, Chandler HP, Reilly DT. The use of bone allografts in two-stage reconstruction after failure of hip replacement due to infection. 1991;73A:1460-1468

Types Of Prosthesis For Total Hip Replacement ..

3. Raut VV, Siney PD, Wroblewski BM. One-stage revision of infected total hip replacements with discharging sinuses. 1994;76(B):721-4

for total hip replacement with the advent of improved ..

Revision hip replacement surgery is significantly more challenging to perform and fraught with many more complicating events than is found with primary hip surgery. It is truly more art than science to successfully complete some of these very difficult revision surgeries and achieve a stable, flexible and functional hip in the end. Many surgeons who feel comfortable doing primary joint replacement surgery will not tackle revision surgery because of these added challenges and risks.

My Choice of Hip Replacement - Mr Winston Kim | Total …

Revision hip replacement surgery is much different from that of performing primary hip replacement surgery as there are many variables that occur during surgery that, while anticipated, can change the course of the surgical procedure to one of increased difficulty and operative time. For instance, in almost all revision hip surgery procedures there will be bone loss around the implant. This occurs from either a biologic event such as osteolysis, where the bone is dissolved away through a complex series of biologic interactions between the plastic or cement debris and the cells of our bodies that clean up such things; or from infection, where the offending organism chews away at the bone; or from the resultant fracture of weakened bone in the removal of the implant.

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