Revision Hip Replacement
A revision hip replacement is done to replace a worn-out hip replacement implant. Hip replacement is a traditional procedure performed by orthopedic surgeons and the surgery is incredibly successful and has excellent results in the vast majority of patients. The problem, unfortunately, is that over time replacements wear out completely.
Hip revision surgery by Dr. Divyanshu is performed to repair an artificial hip joint that has been damaged over time due to an infection surrounding the joint or due to normal wear and tear of the prosthetic hip. Revision surgery helps to correct the problem so the hip can function better again.
The use of artificial hip in the patients is extremely effective in improving hip joints that are damaged by some form of arthritis or by injury. Artificial joints, do not last forever but usually, it can last for 10-15 years, depending on the patient’s daily use of the joint. Patients after hip replacement surgery are typically over the age of 55 and have developed severe arthritis in the hip. After a certain period of normal wear and tear of the hip joint, the prosthetic hip does not fit as securely and is not as effective. In these cases, revision hip surgery may be recommended by your orthopedic doctor.
Why Hip Revision Surgery is Recommended
Pain is the principal sign for hip replacement and is reliably relieved as early as one week after hip replacement surgery. Pain from an arthritic hip is located in the groin and buttock. Radiation into the thigh may occur and at times pain might be present in or even below the knee. The pain in the hip often described as a dull ache that is difficult to localize. Physical exercise aggravates the pain while bed rest relieves it.
Impart Wear and Loosening
When an artificial hip is placed in the patients, it is either pressed or cemented into position so that it fits tightly into the thighbone (femur) and pelvis. While it may not move at first, that does not mean it will not move over time. This is typically a slow process that leads to issues with the normal function of prosthetic implants.
There are several factors that may contribute to implant wear and loosening including the patient’s age, sex, weight, and activity levels.
Infection may occur at any time after total hip replacement surgery. The risk is usually higher during the first six weeks, the risk of ‘late’ infections after that period is lower. Sometimes, infections in the mouth, gums or teeth or in the lungs, urine or skin can cause bacteria to enter the blood cells. This bacteria can then seen and infect a hip replacement, causing hip pain and high fever. In the presence of a prosthetic infection, a joint replacement surgeon will attempt to identify the bacteria that are causing the infection and the vast majority of treatments including hip revision surgery and a course of antibiotics that specifically target the infecting bacteria. By Dr. Divyanshu SN Goyal Revision hip surgery for infection can be done in different ways, to determine which surgical procedure is best for you, he will consider a number of factors including;
- The type of bacteria
- The duration and severity of the infection
- Your preference for a specific treatment
Debridement- Debridement is the medical procedure of removing dead, damaged or infected tissue to improve the healing potential of the remaining healthy tissue. Removal can be done by surgical, mechanical, chemical, autolytic and by maggot therapy. After Debridement hip surgery you will receive antibiotics for several weeks to help cure the infection.
Staged Surgery- This spacer in the hips is treated with antibiotics to help fight the infection and will remain in your hip for several days. During this time, a patient will also receive intravenous antibiotics by surgeons. An antibiotic spacer is placed in the hip joint during the first stage of treatment to prevent joint replacement infection.