REVISION HIP REPLACEMENT
Whilst modern hip replacement surgery is a very effective procedure, there are situations where one or more of the implants or the bearing surface require revision. This may be for recurrent dislocation, loosening, wear, fracture or infection. Your pre-operative clinic visits and investigations are tailored to provide sufficient information to form a suitable operative plan for your revision surgery. Depending on the reason for revision, there are multiple different surgical strategies and implants that may be required, the details of which will be discussed with you prior to your operation.
HOSPITAL STAY AND REHABILITATION
Compared with your initial hip replacement, you can expect to potentially have a longer hospital stay and a more prolonged rehabilitation period. This may also mean a longer period before you are able to return to work, depending on your job and your commute.
The potential risks and complications of revision total hip replacement are similar to those of primary total hip replacement, namely infection, DVT/PE, nerve or blood vessel damage, dislocation, leg length discrepancy, fracture, loosening and wear. However, because of the previous operations, along with potential further tissue damage depending on the reason for revision, the incidence of some of these complications is higher. To reduce the need for blood transfusion, in the absence of infection, a cell saver is routinely used so any blood loss can be returned directly to you during or after the operation.
Specific risks and complications pertinent to your particular surgery will be discussed with you in detail prior to the procedure, and if you have any particular concerns or feel you have not fully understood, Jonathan would be happy to clarify things at a clinic appointment prior to surgery.
When you come in for surgery, you will be asked to sign a consent form detailing the procedure and demonstrating that you accept and understand the risks and potential complications of your operation.