Treatment/Treatment Details/Revision Hip Replacement Surgery

Revision Hip Replacement Surgery

Revision hip replacement addresses failed, worn, or loose hip implants, using advanced techniques to restore function and relieve pain.

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Addressing Failed or Worn Hip Implants

Revision Hip Replacement is a complex procedure performed to address problems with a previous hip replacement, such as implant wear, loosening, infection, or failure. This procedure is more complex than the initial replacement and requires specialized expertise.

Common reasons for revision include implant wear over time (typically 15-25 years), aseptic loosening (implant coming loose without infection), infection, instability or dislocation, periprosthetic fractures (fractures around the implant), and implant failure. Revision surgery involves removing the old components and replacing them with new, often more durable implants.

At Mountain Spine & Orthopedics, our hip specialists have extensive experience with complex revision procedures, using advanced techniques and specialized implants to address bone loss, restore stability, and provide lasting pain relief. We work closely with each patient to understand their specific situation and develop a personalized revision plan.

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Who Needs Revision Hip Replacement?

Patients with hip implant loosening causing pain or instability
Those with significant implant wear after 15-25 years
Individuals with hip replacement infection requiring implant removal and replacement
Patients experiencing recurrent dislocations or instability
Those with periprosthetic fractures around the implant
Patients with implant failure or breakage
Individuals whose hip replacement is no longer providing adequate pain relief

What Conditions does Revision Hip Replacement Surgery Help Ease?

This procedure may help with:

Trochanteric Bursitis Hip Dysplasia Hip Impingement (Femoroacetabular Impingement)Snapping Hip Syndrome Hip Pain Hip Arthritis

Revision hip replacement addressing failed implant

The Revision Procedure

The previous incision is used or extended to access the hip joint
The old implant components are carefully removed, preserving as much bone as possible
Any bone loss is addressed with bone grafts or specialized revision implants
New implant components are selected and positioned to restore stability and function
Specialized revision implants may be used to address bone loss or instability
The hip is tested to ensure proper stability and range of motion
The patient begins rehabilitation to restore function

Benefits of Revision Hip Replacement Surgery

Addresses failed or worn hip implants
Restores stability and function
Provides lasting pain relief
Uses advanced revision techniques and implants
Addresses bone loss with specialized components
Improves quality of life and mobility

Recovery After Revision Surgery

Recovery Timeline: 3-6 Months for Full Recovery

Recovery from revision hip replacement may be longer than the initial replacement due to the complexity of the procedure and potential bone loss.

Phase 1 (Weeks 1-2): Hospital stay (typically 2-4 days), protected weight-bearing, pain management, and prevention of complications. Early mobilization is important.

Phase 2 (Weeks 2-6): Progressive weight-bearing as tolerated, Physical Therapy to restore strength and mobility, and gradual return to daily activities. Some patients may require extended protected weight-bearing.

Phase 3 (Months 2-3): Continued strengthening, improved mobility, and return to most daily activities. Driving may resume when cleared by the surgeon.

Phase 4 (Months 3-6): Full recovery with return to normal activities. Long-term outcomes are excellent with proper rehabilitation and implant selection.

Related Hip Treatments

Explore other hip treatment options:

Total Hip Replacement Surgery Hip Arthroscopy Treatment Hip Labral Repair Surgery Hip Resurfacing Surgery Hip Fracture Surgery Hip Impingement Surgery Core Decompression for Avascular Necrosis Hip Bursectomy Surgery

Frequently Asked Questions

What is revision hip replacement surgery?

Revision hip replacement is surgery to replace a failed or worn-out hip implant. Common reasons include loosening, infection, dislocation, fracture, wear, or instability. It's technically more complex than primary replacement with longer recovery.

When is revision hip replacement needed?

Revision is needed for persistent pain, implant loosening, recurrent dislocations, infection, component wear causing metallosis or osteolysis, or periprosthetic fracture. Some patients require revision decades after initial replacement due to normal implant wear.

How long does revision hip replacement take to heal?

Recovery typically takes 6 to 12 months, longer than primary replacement. Patients use crutches/walker for 6-12 weeks. Physical therapy is more intensive. Some revisions requiring bone grafting or custom implants need extended protected weight-bearing.

What are the risks of revision hip surgery?

Revision surgery carries higher risks than primary surgery including infection (2-5%), dislocation, nerve injury, blood loss requiring transfusion, bone fracture during component removal, and re-revision. Success rates are 80-90%, lower than primary surgery.

Can you have multiple hip revision surgeries?

Yes, though each subsequent revision becomes more challenging due to bone loss and scarring. Modern techniques like trabecular metal cones, modular components, and bone grafting enable multiple revisions. However, outcomes decline and complication rates increase with each revision.

Schedule a Consultation Today

Experiencing problems with your hip replacement? Our hip specialists offer expert revision surgery to address failed or worn implants. Schedule a consultation with Mountain Spine & Orthopedics today. Same-day and next-day appointments are often available.

Locations Offering Evaluation

Our board-certified specialists offer revision hip replacement surgery evaluation and treatment at locations across Florida, New Jersey, New York, and Pennsylvania. Schedule a consultation at a clinic near you.

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Meet our Doctors

Dr. Monica McPhail-Pruitt

Pain Management

Dr. Monica McPhail-Pruitt is a highly respected anesthesiologist, dually board-certified in both anesthesiology and pain medicine, who specializes in developing expert perioperative pain strategies. Her compassionate, patient-centered approach ensures individuals are fully supported through the healing process, helping them achieve smoother recoveries and an improved quality of life.

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Dr. Douglas Slaughter

Orthopedic Spine Surgeon

Dr. Douglas Slaughter is a board-certified orthopedic spine surgeon with over two decades of experience, whose unique background in mechanical engineering informs his expertise in comprehensive and reconstructive techniques. Recognized as a 2023 Top Orthopedic Spine Surgeon, he provides highly personalized, patient-centered care designed to restore mobility and relieve pain.

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