✦ Complex Re-operative Surgery

Revision Hip Replacement

Q: What are the symptoms of a hip replacement needing revision?

Warning signs include deep groin or thigh pain, limping, instability, clunking, and progressive loss of function in a previously well-functioning replacement. Any of these require prompt specialist review.

Q: What is stage 1 revision for infected hip replacement?

Stage 1 removes the infected implant, debrides infected tissue, and places an antibiotic-impregnated cement spacer. Stage 2, performed after confirmed infection clearance, reimplants a new prosthesis.

Q: How long is revision hip replacement recovery?

Recovery takes longer than primary replacement — typically 6–12 months for full functional improvement, depending on the complexity of the revision.

Removal of a failed or worn hip replacement and reimplantation with new specialised components — addressing loosening, wear, infection, instability, or fracture in a previously replaced hip.

2–4 Hours PROCEDURE

5–7 Days HOSPITAL STAY

~80% SATISFACTION RATE

6–12 Months FULL RECOVERY

What is Revision Hip Replacement?

Revision hip replacement surgery involves removing a failed primary hip replacement — acetabular cup, femoral stem, or both — and replacing them with new, often more complex components designed to provide stable fixation in bone that has been compromised by prior surgery, wear, or infection. Indications include aseptic loosening (the most common cause), polyethylene or ceramic wear, periprosthetic joint infection (requiring two-stage revision), recurrent instability and dislocation, periprosthetic fracture, and adverse reactions to metal debris. Careful pre-operative evaluation to identify the exact failure mechanism is essential before planning revision surgery.

Suitable for patients with a previously implanted hip replacement who experience return of pain, instability, hip clicking or clunking, limp, or declining function attributable to implant failure confirmed on clinical and radiological assessment.

How the Procedure Works

Pre-op Investigation

X-rays, CT scan, blood markers (CRP, ESR), and joint aspiration where infection is suspected — full failure analysis before planning.

Component Removal

Failed acetabular cup and/or femoral stem are carefully extracted, preserving remaining bone stock.

Bone Defect Reconstruction

Bone defects are classified and addressed with augments, structural allograft, reinforcement rings, or metaphyseal sleeves.

Revision Implant Fixation

Larger, fully porous-coated or cemented stems and cups provide stable primary fixation in compromised bone.

Two-Stage Protocol (Infection)

Stage 1: remove infected implant, place antibiotic cement spacer. Stage 2 (6–12 weeks later): reimplant when infection is eradicated.

Outcomes

2–4 HoursDURATION

5–7 DaysHOSPITAL STAY

~80%SATISFACTION

6–12 MonthsFULL RECOVERY

Who Needs This Treatment?

→Expert identification of the failure mode before surgery — the most critical step
→Specialised revision implant systems for all levels of bone deficiency
→Two-stage revision for infection — highest eradication rates in the literature
→Comprehensive post-operative rehabilitation programme
→Full referral and investigation network for complex cases in Hyderabad

"Revision hip replacement is demanding surgery that requires careful planning. The key question is always: why did the first replacement fail? Once we know that, we can plan a solution that addresses the root cause — not just the symptoms."

— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic & Trauma Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked

What are the symptoms of a hip replacement needing revision?+

What is stage 1 revision for infected hip replacement?+

How long is revision hip replacement recovery?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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