Top Things To Know About Hip Replacement Revision Surgery

Do you think you might need hip replacement revision surgery? In this video consultant orthopaedic surgeon Jibu Joseph talks through the symptoms that might indicate you need hip revision surgery and how it works.
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- CHAPTERS --
00:00 - 00:43 - Introduction
00:43 - 01:30 - Symptoms
01:30 - 02:31 - Pain
02:31 - 03:14 - Difference in leg length
03:14 - 03:50 - Surgical wound
03:50 - 04:32 - Loose or worn hip implant
04:32 - 05:10 - Hip Dislocation
05:10 - 05:40 - Hip Fractures
05:40 - 06:19 - How is a revision different from a hip replacement?
06:19 - 07:29 - The surgery itself
07:29 - 08:45 - Recovery
08:45 - 09:42 - Outro
If you are in the initial phase of recovery from a hip replacement your pain should gradually improve over the first 6 - 12 weeks, and your mobility should gradually improve throughout this period. If you are not recovering at the expected rate, you become unwell with an increase in hip pain or reduction in mobility, or your wound becomes a problem, it is important that you immediately contact the hospital that your procedure was performed in and your surgeon is notified as you may need to be reviewed urgently.
Common Symptoms
Pain - If your hip was previously pain-free but you now have hip pain, this would be an indication that further review is required. Hip pain is commonly felt in the groin or thigh at the front. If the pain is in your buttock, it may be coming from your hip, but it could also be coming from your back or sacro-iliac joints (your posterior pelvic joints).
Instability - You may also notice that your hip feels less stable, especially when standing on the affected side alone. Sometimes patients find it hard to describe instability and so it presents as a general loss of confidence in the hip when weight-bearing, especially if you’re twisting or turning at the same time. For some patients this is only with specific movements but for others they may feel that their hip is unstable with all movements. This symptom can be very troublesome and can really cause a significant restriction in your mobility and ability to about your life as usual. Even if it isn’t causing significant pain, it’s worth reaching out to your specialist sooner rather than later.
Length Difference - Another potential sign that you should speak to your specialist is if you have the feeling that one of your legs is shorter, or longer, after hip replacement. If the length of your legs are within 10 mm of each other, then most people can’t tell the difference, but sometimes you can. This can sometimes be resolved quite easily with a shoe raise.
Wound - If at any time your hip wound becomes problematic, or you become unwell and you then develop acute hip symptoms speak to your specialist.
Why hip revision surgery
Wear and loosening - One of the most common reasons for Hip revision surgery is to replace a prosthetic joint that has become loose or worn. This is more common in patients whose hip replacements were done more than 10 - 15 years ago, but it can occur sooner if you are especially active.
Dislocation and instability - Another common reason for Hip revision surgery is hip instability or dislocation. Your hip is at greatest risk of dislocating within the 1st 3 months after surgery, but after this time period reduces as the post-operative scar tissue matures. The risk of dislocation does however increase again after 10 years or so, as you get older, your stabilising muscles potentially get weaker, and your hip may have become worn or loose.
Infection - Surgical wounds would normally stop leaking within the first 7 days after surgery, and any discharge after this time-period would require review by your specialist. Wounds can remain red at the edges for prolonged periods but if the skin surrounding the wound becomes red this this would also require review by your specialist. If your wound becomes red or has a discharge after the initial post-operative period it is important to contact your specialist for urgent review as this may be a sign of a deeper infection rather than just a superficial wound infection.
Mr Jibu Joseph is a consultant orthopaedic surgeon. He practises at Ross Hall Hospital www.circlehealthgroup.co.uk/c...
If you have any of the symptoms outlined in this video, seek professional medical help immediately.
Do you want to hear more about hip pain, or other orthopaedic conditions? Leave a comment below and we will plan future videos on suggested topics.
To see how Ross Hall Hospital can help you - www.circlehealthgroup.co.uk/h...
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[@krystynakrupa1799]

Excellent video. Thank you for explaining the surgery and recovery. I’ve had revision done but nobody told me about the longer recovery.