Revision hip replacement is a surgery performed to repair an artificial hip joint that sustains damage due to infection. Sometimes, artificial hip joints are damaged over time as a result of wear and debris from artificial surfaces. Occasionally instability or dislocation can also require a revision hip replacement. The surgery helps to repair the damaged components allowing for proper function to be restored. Revision surgery is a means of correcting the problem so that the hip may return to normal. However, a prosthetic hip only lasts 10-20-years before it becomes worn out and needs to be replaced.
A great amount of preparation is required prior to surgery. At the time of my patient’s appointment, I carry out a series of tests to determine the work that needs to be done on the hip. These tests include an EKG, x-ray, bone scan and laboratory (urine) testing to conduct a thorough analysis of my patient’s health and determine whether they qualify for revision hip surgery.
Beforehand, an anesthesiologist discusses the types of anaesthesia used, including the risks and benefits of the procedure. In addition, dental work must be done before surgery; this involves cleanings and checking for cavities.
During revision hip replacement, the damaged artificial hip joint is removed and replaced with a new one. In some cases, more than one procedure may be required, in which old scar tissue is removed during the first surgery to treat the infection. After removing scar tissue, I prescribe antibiotics to treat the infection. Then, a second surgery can be performed when the infection has cleared, and a new prosthetic hip joint can be placed.
Once the surgery is complete, additional medicines are prescribed to prevent the formation of blood clots and treat pain. Generally, the patient requires assistance by means of a walker or cane. Within six months, the hip would have healed completely without a limp present.
Any patient who has a prosthetic joint where pain or dysfunction makes it impossible to function normally.
Hip revision surgery needs to be completed when the artificial joint is damaged. This is because the joint may not remain attached to the bone, affecting the movement of the hip and causing pain. This procedure is carried out to repair the prosthetic component and treat pain due to infection.
After surgery, you will notice an improvement in your mobility. For example, you will be able to rotate better at the hip and display a range of motion at that particular site. In addition, the coordination of the torso and head will be improved, and you can return to normal activities without experiencing any hip pain.
Johannesburg Surgical Hospital, 219 Beyers Naude Drive,
Northcliff
Randburg
2195
