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Hip Revision Surgery

Hip revision surgery is a more complex procedure compared to the initial hip replacement and is designed to replace a worn, loose, painful or infected hip replacement implant. The surgery aims at relieving pain, improving function and restoring stability to the hip joint. If you are facing any discomfort in your hip joint, don't hesitate to consult orthopaedic doctors from Pristyn Care or book an appointment with Pristyn Care for an accurate diagnosis and effective treatment.

Hip revision surgery is a more complex procedure compared to the initial hip ... Read More

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What Is Hip Revision Surgery?

Hip revision surgery is performed to replace an old or failed hip replacement implant. Over time, wear and tear, infection or injury can cause the original hip replacement to become loose, painful, or even fail. When this happens, hip revision surgery may be recommended by your orthopaedic surgeon.

Hip revision surgery procedure often requires special planning and the use of custom-made implants and bone graft material. Unlike a primary total hip replacement, which is a more straightforward procedure, a hip revision surgery procedure is usually more complicated and takes longer to conduct.

The goal of hip revision surgery is not just about replacing the old implant but also managing the supporting bone structure which may have been weakened over time. Despite its complexity, hip revision surgery has a high success rate, providing patients with relief from pain and improved mobility.

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What Are The Types Of Hip Revision Surgery?

There are different types of hip revision surgery based on what parts of the original hip implant need replacing:

  • Partial Revision: In this type of surgery, only some components of the original implant are replaced – either just the ball or socket. This is done when only certain parts have worn out or become loose.
  • Full Revision: All components of the original implant are removed and replaced with new ones in a full revision. This surgery is necessary when there is significant bone loss or damage around the implant.
  • Two-Stage Revision: This involves two separate surgeries. First, the old implant is removed and the area is cleaned out. Then, several weeks later, the new implant is inserted. This procedure is particularly effective for treating an infection in the hip joint.
  • Revision with Bone Grafting: In cases where there has been significant bone loss around the original implant, bone grafts may be used to rebuild the structure before inserting the new implant.

Diagnosis Before Hip Revision Surgery

Before undergoing hip revision surgery, your doctor will thoroughly evaluate your condition to make an accurate diagnosis. This process typically includes:

  • Physical Examination: The doctor will assess the extent of pain, the range of motion, and the stability of your hip joint.
  • X-rays: This imaging technique helps in evaluating the position and condition of your implant components.
  • Advanced Imaging: Your doctor might use CT scans or MRI to capture a more detailed view of your hip joint and surrounding bone.
  • Blood Tests: These are done to check for signs of infection which may indicate a need for revision surgery.
  • Aspiration of Joint Fluid: A sample of fluid may be drawn from your hip joint to test for infection.

What Is The Procedure For Hip Revision Surgery?

Hip revision surgery is a complex procedure that involves the following steps:

  • Removal of Implant: Your surgeon begins by removing all or part of the original hip implant components that have worn down or loosened.
  • Assessment: The surgeon then assesses the condition of the surrounding bone and soft tissues. This helps determine the best approach for the revision process.
  • Bone Preparation: The bone is prepared to accept the new implant components. This may require bone grafts or other techniques to address any bone loss.
  • Insertion of New Implant: Finally, the new hip replacement parts are inserted. The exact surgical technique used will depend on various factors including the extent of damage and the surgeon’s preference.

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Who Is The Right Candidate For Hip Revision Surgery?

The decision to undergo hip revision surgery is typically based on a patient’s symptoms, level of discomfort, and impact on daily activities. While each case is unique, certain criteria can help ascertain if someone is a suitable candidate for a hip revision surgery procedure. These include:

  • Wearing and Loosening: Over time, if the components of the original hip replacement have worn down or become loose causing pain and instability, you may require a hip revision surgery.
  • Infection: If you have an infection around the hip implant that is damaging the surrounding bone and tissues, you may need this procedure.
  • Repeated Dislocation: If your hip joint dislocates repeatedly, revision surgery may be needed to stabilise the joint.
  • Fracture: A fracture around the hip implant can also necessitate a hip revision surgery procedure.

What Are The Benefits Of Hip Revision Surgery?

Hip revision surgery is a secondary surgery performed after a primary hip replacement has failed or become damaged. It offers significant advantages, such as:

  • Pain Relief: Chronic pain resulting from a damaged or unsuccessful hip implant can be alleviated through this procedure. It enables restoring comfort and functionality to the hip joint.
  • Enhanced Mobility: By replacing worn-out or shaky components with new ones, the surgery can revive the range of motion and enhance the patient’s ability to conduct everyday activities.
  • Increased Strength: The fresh implant components are designed to provide superior stability and support, allowing for improved strength and weight-bearing capacity in the hip.
  • Infection Control: If the initial implant has become infected, hip revision surgery becomes critical to eliminate the infection and thwart its further spread.
  • Improved Function: Patients frequently report improved overall hip function and an easier return to their regular lifestyle after a successful hip revision surgery procedure.

How To Prepare For Hip Revision Surgery?

Preparation is key for a successful hip revision surgery. Here are the steps you can take:

  • Consult with your surgeon about the hip revision surgery procedure, potential risks, and likely hip revision surgery recovery timeline.
  • Complete the recommended essential medical tests or checks, like blood tests, X-rays, or CT scans.
  • If you are a smoker, quit, as it can hinder healing.
  • Arrange assistance at home during the initial recovery period.
  • Attend physical therapy sessions before surgery to boost strength and flexibility.

What Are The Recovery Tips And Precautions To Follow After Hip Revision Surgery?

Recovery from hip revision surgery typically takes longer than from an initial hip replacement. Here’s what you can expect:

  • Expect a hospital stay of 3-5 days for monitoring and initial physical therapy.
  • Weight-bearing and movement restrictions will be imposed for several weeks.
  • Continue with physical therapy to regain strength and mobility.
  • Use aids such as walkers or crutches during the early recovery phase.

Key precautions to take include:

  • Avoid high-impact activities to safeguard the new implant.
  • Diligently follow all instructions from the surgeon and physical therapist.
  • Keep an eye out for infection signs, such as fever, redness, or heightened pain.
  • Regularly attend all follow-up appointments for monitoring and necessary adjustments.

Potential Risks Or Complications Associated With Hip Revision Surgery

While hip revision surgery is generally safe, like any operation, it carries some risks and potential complications, including:

  • Infections at the surgical site
  • Dislocation of the new hip joint
  • Fractures around the implant
  • Nerve damage
  • Blood clots
  • Implant failure or loosening over time

Discuss the hip revision surgery risks with your surgeon and report any troubling symptoms promptly during recovery. With appropriate care and rehabilitation, most patients witness significant improvements in pain reduction, mobility, and quality of life post hip revision surgery.

What Is The Cost Of Hip Revision Surgery In India?

Embarking on the journey of a hip revision surgery can be challenging, especially when it comes to understanding the costs involved. In India, the cost of this crucial operation varies greatly depending on several factors, and it’s important to consider these as you prepare for your hip revision surgery procedure.

The hip revision surgery cost in India generally falls within a broad range, impacted by factors including:

  • Surgeon’s Skill and Experience: The expertise and experience of your surgeon can greatly influence the cost. Specialists with a high hip revision surgery success rate and vast experience may charge more than less experienced doctors.
  • Hospital Facilities: Hospitals equipped with advanced technology and superior facilities will charge more due to the higher cost of using cutting-edge medical equipment.
  • Location: The geographical location of the hospital can also affect the cost. Metropolitan cities often have higher costs compared to smaller towns due to elevated operational costs.
  • Complexity of Procedure: If your condition requires a more complex procedure, this will likely impact the overall costs. More complicated or lengthy surgeries necessitate more resources and time, hence costing more.

Is Hip Revision Surgery Covered Under Insurance?

Navigating through the financial aspect of medical treatments can seem daunting. However, understanding how health insurance comes into play can ease this burden.

In most cases, hip revision surgery is covered by health insurance plans in India. This becomes particularly helpful in managing the cost of your treatment. However, coverage details and out-of-pocket costs that patients may be responsible for can differ greatly depending on individual plans and providers.

Typically, insurance will cover hip revision surgery if it is considered medically necessary due to conditions such as wear and loosening of the original implant components, infection around the hip implant, dislocation or instability of the hip joint or fracture around the implant.

On the contrary, if the original hip replacement was performed for cosmetic reasons and not deemed medically necessary, or if the revision surgery is deemed elective or not medically necessary, then insurance may not cover it. Additionally, if the patient has not met their deductible or out-of-pocket maximum for the year or if prior authorisation has not been obtained from the insurance provider before the surgery, then coverage may be denied.

Before embarking on your hip revision surgery journey, it is crucial to converse with your insurance provider to fully understand your coverage and potential costs.

FAQs

1. What is the difference between hip revision surgery and hip replacement?

Hip revision surgery procedure is conducted to repair or replace a failed hip replacement. A hip replacement is an operation to replace the natural hip joint with an artificial one, often due to conditions like arthritis, which can cause damage to the hip joint and make movement painful. However, over time, these artificial joints can become loose or wear out. In such cases, a hip revision surgery is needed to rectify the issue.

2. How successful is hip revision surgery?

The hip revision surgery success rate for varies depending on various factors such as the patient’s age, health status, and the reason for revision. However, in general, it has shown favourable results with many patients experiencing a reduction in pain and improvement in mobility after the surgery.

3. What are the risks associated with hip revision surgery?

As with any surgical procedure, there are certain risks associated with hip revision surgery too. These include infection, blood clots, nerve injury, fracture of the bone during surgery and dislocation of the hip post-surgery. However, your doctor would discuss these hip revision surgery risks with you in detail before you opt for the surgery.

4. What is the recovery time for hip revision surgery?

Hip revision surgery recovery time can vary from person to person based on numerous factors such as their overall health condition, age and physical fitness level. On average, it may take around 6-8 weeks for an individual to recover fully from the surgery during which they are likely to undergo physiotherapy to regain strength and mobility in their hip.

5. How long does a hip revision surgery take?

The duration of a hip revision surgery can depend on many factors including the extent of damage that needs correction and the complexity of the procedure. Typically, it is a longer process than a primary hip replacement and can take several hours.

6. Will my insurance cover the cost of hip revision surgery?

While many health insurers do cover the hip revision surgery cost, this can vary greatly. Some insurers may cover only a part of the cost, while others may cover the entire cost. It is advisable to discuss this with your insurance provider in detail before scheduling your surgery.

7. Is hip revision surgery a common procedure?

Hip revision surgery is not as common as primary hip replacement surgery. It is typically performed when there are problems with a previous hip replacement — such as wear, infection, dislocation or loosening. However, with an increasing number of people receiving hip replacements, there has been a rise in the number of hip revision surgeries being performed.

8. What are the steps involved in hip revision surgery?

During hip revision surgery, the surgeon removes your old hip prosthesis and replaces it with new artificial parts. The hip revision surgery steps involved can vary depending on the complexity of your situation and the specific type of revision needed, ranging from a simple liner exchange to changing out the entire prosthesis. The surgeon will discuss the specific steps for your situation prior to the operation.

9. How does one cope with post-hip revision surgery?

Post-hip revision surgery, it is important to follow all instructions provided by your doctor and physiotherapist. Regular exercises to restore strength and mobility should be followed diligently. Pain can be managed with medication prescribed by your doctor. It is also crucial to monitor the surgical area for any signs of infection such as redness, swelling, or elevated temperature.

10. How often does a hip replacement fail requiring a hip revision surgery?

The need for hip revision surgery can depend on various factors including the type and quality of the original hip implant used and the patient’s age, weight, activity level, and overall health condition. On average, most modern hip replacements are designed to last for 15-20 years or more. However, in some cases where there have been complications or issues with the original hip replacement, a revision surgery may be needed sooner.

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