Revision Hip Replacement
Revision Hip Replacement
Dr Ashok Raju Gottemukkala, MBBS, MS (Ortho), Fellow in Joints, is a top-rated joint replacement surgeon (Primary & Revision Hips) with more than 13 years of experience in medical treatment and surgery. He is a Consultant Orthopaedic and Best Joint Replacement Surgeon at Sunshine Hospital, Hyderabad.
Dr Ashok Raju Gottemukkala is the top orthopaedic surgeon in Hyderabad and provides prompt patient care, successful knee replacement surgeries, hip replacements, fracture fixation, and other trauma care services.
What is Revision Hip Replacement Surgery?
Revision hip replacement surgery is a procedure performed to replace a damaged hip. Artificial implants may get damaged over time due to infection or normal wear and tear, necessitating additional surgery. Revision surgeries are performed to correct these problems so that your hip starts functioning normally.
You need more than one revision, depending on the severity. However, these are the most complicated surgeries with less satisfying outcomes than the first hip replacement.
When is it necessary to have a revision hip replacement surgery?
The primary reason for the revision is pain, but not always. Your surgeon may prescribe revision hip replacement surgery if you have:
- Pain without an obvious cause
- Plastic wear
- Loosening of implants
- Infection
- Acute fever or a general feeling of being unwell during pain
- Pain from hardware such as metals or cables used
- Osteolysis
What happens during the revision hip procedure?
During revision hip joint replacement surgery, a worn-out surface may be resurfaced or replaced. The revision hip joint replacement surgery involves three phases.
First Phase: In this phase, the appropriate THR components are removed, causing minimal damage to the bone containing them. Your surgeon uses specialised equipment like an ultrasonic machine to remove the cement safely from your bone.
Second Phase: For the new hip replacement, the surgeon replaces the lost bone with a bone graft or special porous metal augments to create a solid foundation.
Third Phase: Your surgeon places the new THR using cemented or uncemented implants.
If your THR is deeply infected, your surgery involves only 2 phases. Your surgeon may use both cemented and uncemented implants to revise hip replacement surgery. However, it is always advisable to use uncemented implants.
Preparation for Revision Hip Replacement Surgery
- Before revision surgery, you need to schedule a complete physical examination with your healthcare provider to ensure that you are healthy enough to have the surgery.
- If you have any other chronic medical conditions, such as heart disease, those specialists should evaluate you.
- Your doctor will order imaging tests, including X-rays, other imaging tests, etc., to learn about all health conditions.
- Blood tests will be mandatory to check whether you have an infection or an allergic reaction to the metal components implanted in your hip.
- Do not eat or drink anything the night before the surgery.
- Choose a family member or a friend, or ask your doctor for a caregiver who can assist you post-surgery because you will lose your mobility following the surgery.
- Depending on your condition, you need to stay at a nursing facility or rehabilitation centre.
- Your surgeon may extend your hospital stay for faster recovery.
- You need to keep your legs elevated for the first 4 to 6 weeks following the revision hip replacement surgery.
- Stop smoking at least four weeks before the operation, as it can increase your risk of infection.
- Losing weight will help you decrease the stress you place on your new joint.
- Remove any loose rugs as they may interfere with your walking.
- Make sure that you tape down all the electrical cords in your home.
- Avoid climbing stairs
- Arrange a chair with armrests and an ottoman for appropriate leg support.
- Use the cordless phone for greater efficiency in answering phone calls.
- reports all the infections to the surgeon before the surgery itself
Why Choose Dr Ashok Raju for Revision Hip Replacement Surgery in Hyderabad?
Dr Ashok Raju is a senior consultant hip surgeon currently practising at Hyderabad Sunshine Hospital. It is a multi-speciality ortho unit where board-certified orthopaedic surgeons perform revision hip replacement surgeries using the most advanced technologies for the patients seeking treatment.
With a team of experienced supporting staff, Dr Ashok Raju handles many complex surgeries, including knee replacement, hip replacement, and others. They adapt to the modern approach to inform, empower, and treat patients with the utmost satisfaction. They provide patients with the latest and most advanced revision hip replacement surgery and hip treatment in India.
Infrastructure & Technology for Revision Hip Replacement Surgery in Hyderabad
- State of the Art OTs with Hepa Filters
- TKR surgery using the “Zero Technique.”
- All knee and hip replacements
- Radiology and Imaging Services (CT, MRI, X-Ray)
- A wide range of pathology and microbiology
Specialists
Dr Ashok Raju and the team at Sunshine Hospitals is well equipped and supported by
- The best hip arthroscopic surgeons
- Skilled aestheticians
- A separate orthopaedic care unit for hip surgery patients
- Modern Intensive Care
- Well trained and qualified physiotherapists
- Well certified staff
Revision Hip Replacement Surgery in Hyderabad FAQs
The following are the complications associated with Revision Hip Replacement Surgery:
- Infection
- Loss of new prosthesis
- Bone fractures during or after surgery
- Dislocation
- One of your legs is shorter than the other
- Loss of bone in the joint
The following are the precautions you need to take after the revision surgery:
- Don’t try the combined movement of bending your hip and turning your foot inwards.
- Never cross your legs.
- Avoid bending down to pick up things.
- Use an elevated toilet seat.
- Never bend your hips past the right angle (90 degrees).
- Keep a pillow between your legs while sleeping.
- Avoid sitting on low chairs.
The non-surgical treatment options for your hip surgeon include
- Analgesics, antibiotics, and other medications
- Physical/occupational therapy
- Injections
- Rest
The following are some of the complications of not undergoing revision hip replacement surgery:
- Pain
- Loss of joint motion
- Joint weakness
- Numbness
- Early-onset of arthritis
It depends on the type of work activity. If you are engaged in desk jobs, you can return to work within 4 to 6 weeks. If you are involved in physical tasks like lifting, walking, or travelling, you need to wait three months or more if required.