A revision hip replacement can be described as a difficult surgery in which the whole or part of an implanted hip joint is replaced with a fresh artificial hip joint. The total hip replacement procedure can be a viable option to ease acute arthritis pain, which limits the activities you can perform. In the total replacement of your hip, the bone and cartilage that have been damaged are taken out of the joint and replaced by artificial components. Sometimes, the revision total hip replacement surgeon in Faridabad implants may wear out due to various reasons. These implants may need to be replaced through the use of a procedure referred to in the field of revision hip replacement. He is trusted revision total hip replacement doctor in Faridabad.
Why Choose Dr. Sunil Choudhary Clinic for Revision Total Hip Replacement in Faridabad?
Revision hip replacements are recommended for patients suffering from the following ailments:
- The pain is getting worse in the affected hip due to the injury
- Plastic or polyethylene prosthesis
- Dislocations of implants from the past
- Loss of the femoral Acetabular component of the hip artificial joint
- An infection around the prosthesis for the hip that causes pain and fever
- A weakening of cartilage surrounding the joint replacement (Osteolytic)
The revision hip surgery is done under general anaesthesia. In the course of surgery, your surgeon will create an incision across the hip, exposing the joint. Then, the femur is removed from the acetabulum, so that the old liner and the socket made of metal can be removed from the acetabulum.
After the removal of the acetabulum, it is made by using bone and wire mesh to create the socket’s space and form. The new shell is placed inside the socket with screws or specific cement. A liner comprised of ceramic, plastic, or even metal is then inserted inside the socket made of metal. Dr. Sunil Choudhary Clinic is one of the best revision total hip replacement clinic in Faridabad. He offer revision total hip replacement in Faridabad.
Trusted and Best Revision Total Hip Replacement Doctor in Faridabad
To prepare the femoral portion to be prepared, the top of the femur’s bone is cut into several pieces to remove the implant. The bone fragments are cleaned, and then the implanted femoral bone is placed into the femur by pressing it in or with bone cement. The femur’s segments, as well as the femoral component, are held together using surgical wires. The femoral head component, comprised of ceramic or metal, is put over the top of the femoral shaft. All of the new components are secured in place to create the hip joint. The tendons and muscles around the joint are rehabilitated, and the incisions are closed.
Following a revision hip replacement, you need to be extra careful to avoid the new joint from becoming dislocated and to ensure that the joint is healing properly. The most common precautions to take include:
- Do not combine movements of bending your hips and rotating your foot backwards, as it could result in dislocation
- Make sure to place an armrest between your legs when you sleep for six weeks.
- Do not cross your legs or bend your knees more than an angle of right (90 degrees)
- Beware of sitting on low chairs
- Do not bend down to pick up objects, and instead, a grabber can be used for this purpose.
- Make use of a toilet seat that is elevated
Risks of Revision Total Hip Replacement in Faridabad
Like any major surgery, there are dangers and complications that can arise from surgical revision for hip replacement. The potential complications that could arise after revision hip replacements include:
- Infection
- Dislocation
- The femur is fractured pelvis
- The nerves are injured, or the blood vessels
- The formation of blood clots can occur in the leg veins
- Leg length inequality
- Prosthetics for the hip may wear out.
- Inability to alleviate the pain
Understanding Hip Replacement Failure and Revision Surgery
Causes of Hip Replacement Failure: Hip replacements may fail for various reasons. Earlier hip implants had an average lifespan of 15-20 years, but advancements such as uncemented stems, and highly cross-linked poly, and ceramic heads have extended the life span to over 30 years. Previously, hip replacements failed due to polyethylene wear over time, leading to implant loosening and failure. Other causes of hip revision include periprosthetic fractures, infection, dislocation of the hip, and metal sensitivity.
Symptoms of Failure: Patients experiencing hip replacement failure may present with pain, limping, and difficulties carrying out their daily activities.
Revision Hip Arthroplasty: In a revision hip arthroplasty, the loose or failed components are removed using specialized instruments, and the bone is thoroughly cleaned of debris. Special implants designed for revision are then used, integrating into the native bone. Surgeons may also use bone grafts to reconstruct bone defects. Revision hip arthroplasty is a major surgery, more time-consuming, and requires longer incisions due to scar tissue. It demands considerable surgical skill and specialized instrumentation to ensure successful outcomes. However, the procedure carries a higher risk of complications, such as sciatic nerve palsy, dislocation, stiffness, heterotopic new bone formation, periprosthetic fracture, and blood loss compared to standard hip replacement.
Recovery and Precautions: Recovery from revision hip arthroplasty usually takes 6 weeks to 3 months. Patients may be recommended to use standard hip replacement precautions, such as an abduction pillow and walking aids like a stick or walker. Improvement may continue for up to 2 years after surgery.
At Dr. Sunil Choudhary’s, a skilled surgeon specializes in hip revision surgeries, using the latest techniques and advanced implants to ensure long-lasting results and improved quality of life for our patients. We prioritize patient care and safety, and our commitment to excellence has made us a trusted choice for hip revision surgeries.
FAQs for Revision Total Hip Replacement in Faridabad
Is a hip revision a replacement for the other?
The revision of a hip is a procedure that replaces or repairs the hip implant, which has worn out. The procedure involves removing the original implant and replacing it with a new one.
What are the reasons why someone might need a revision of the hip?
Common reasons for a second hip replacement are loosening of the implant and dislocation, infection and wear and tear of the implant, as well as fractures at the site of the implant.
How do you have a revision surgery for hip replacement carried out?
A revision surgery for hip replacement is the removal of the previous hip implant, as well as assessing and preparing the bone for placement, before putting in an implant of a different type. The procedure could be accompanied by bone grafts or specific implants, based on the severity of the damage.
What are the dangers of revision surgery for hip replacement?
There are risks of bleeding, blood clots, dislocation of the implant, as well as blood vessel or nerve injury, and differences in the length of the leg. There is also a greater risk of complications when compared to the hip replacement surgery that was performed initially.
What is the recuperation time following an arthroplasty revision?
Recovery following revision hip replacements may take a few months. It usually involves a mix of physical therapy and gradual return to a routine. Recovery can last up to a year, depending on the individual situation.
