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Most elderly patients who undergo hip replacement can expect the prosthesis to last 15 to 20 years, and sometimes even for life. However, some patients may require one or more revisions of their hip replacement, especially if the initial surgery was performed at a young age the patient leads an active physical lifestyle, the implant or bone anchoring had failed, or a deep infection developed.
A hip revision may involve the partial or complete replacement of your previous hip prosthesis, and thus the operation varies from minor adjustments to a more significant operation. The surgery can range from a simple liner exchange to changing one or all components of the previous hip replacement. Extra bone, such as cadaver bone, may be needed to compensate for any bone loss, and additional metal implants for stabilisation.
A revision total hip replacement is a more complex operation than a primary total hip replacement and typically requires more time.
The decision to proceed with complex revision hip replacement surgery should be made after a thorough evaluation by a healthcare professional, taking into account the individual patient’s specific medical history, condition, and overall health
Complex Revision Hip Replacement is a difficult procedure that requires careful planning and precise execution.
The surgical approach will be based on the patient’s general and orthopaedic condition, the need for accessory reconstruction of the bones and the soft tissues around the hip joint, available implants and the surgeon’s expertise.
In selected cases (infection), the hip revision process may need more than one procedure, first, control the infection, insert a temporary implant, and later insert a final prosthesis.
In our preoperative clinics, we routinely use 3D reconstruction techniques that allow us for meticulous assessment, digital planning and virtual surgery before the real surgery. We also employ patient-specific techniques, and we design custom-made implants, in cases when the readily available implants can’t support the demands of the surgery.
Our approach relies heavily on technology, utilising CT scans and 3D technology to create the best prosthesis configuration for each patient. Through this method and building our prostheses, we aim to provide the highest quality implementation using 3D modelling and printing technology to guide us.
Post-surgery care is essential to ensure a successful recovery. Here are some key aspects:
Immobilisation and Weight-Bearing: Patients may initially use crutches or a walker to avoid putting excessive weight on the operated hip. The surgeon will provide specific weight-bearing guidelines that should be closely followed to protect the joint.
Pain Management: Medications are prescribed to manage post-operative pain. Patients should adhere to the prescribed regimen and communicate any concerns about pain control with their healthcare provider.
Physical Therapy: Physical therapy is a critical component of recovery. Therapists design a customized exercise program to improve strength, flexibility, and joint mobility. Patients should diligently participate in these exercises to aid their rehabilitation.
Wound Care: Proper wound care is essential. Keep the surgical site clean, dry, and inspect for signs of infection, such as redness or swelling.
Activity Restrictions: Patients should adhere to activity restrictions and avoid high-impact activities or movements that could stress the hip joint, especially in the early post-operative period.
Follow-Up Appointments: Regular follow-up appointments with the surgeon are crucial to monitor progress and address any concerns or complications that may arise.
Medication Management: Patients may need to continue medications, such as blood thinners, to prevent blood clots as advised by their healthcare provider.
Assistive Devices: In some cases, patients may need assistive devices for an extended period, such as raised toilet seats or grab bars, to enhance safety and mobility at home.
Lifestyle Adjustments: Depending on individual circumstances, patients might need to make adjustments to their living space or daily routines to facilitate a smoother recovery.
Comprehensive post-surgery care is vital to a patient’s overall well-being and the long-term success of complex primary hip replacement surgery. Effective communication with the healthcare team and strict adherence to their recommendations are crucial for a smooth recovery process.
If patients are worried about their level of pain, experience significant bleeding, or notice fever or redness around the surgical site, they should contact the office immediately. If assistance is needed after hours, patients can contact the hospital where the surgery was performed, and they will contact Professor Al Muderis on their behalf.
Norwest Private Hospital: (02) 8882 8882
Macquarie University Hospital: (02) 9812 300
For further information, click here or to check your eligibility, please contact our team.
X-ray facilities at all locations | Urgent appointments available if necessary.
Professor Munjed Al Muderis is an orthopaedic surgeon and a clinical professor at Macquarie University and The Australian School Of Advanced Medicine. He specialises in hip, knee, trauma and osseointegration surgery. He is a fellow of the Royal Australasian College of Surgeons and Chairman of the Osseointegration Group of Australia.