When do you need a hip replacement surgery revision
While implants typically last around 25 years, there are some signs you might need revision surgery. Here are 5 common reasons:
1.Implant Loosening
This happens when the implant loses its grip on your bone. Experience of groin or thigh pain despite a seemingly well-functioning hip could be a sign of implant loosening.
Top-quality implants, especially those made with ceramic and highly crosslinked polyethylene, can help minimize wear and tear. Always invest in a good quality implant from a reputable brand!
2.Bone Quality Woes
Early menopause or a history of a hysterectomy can weaken your bones, increasing wear and tear on the implant. Here's another reason to invest in a good quality implant - it can handle the extra stress. There are also different implant types available to discuss with your doctor.
3.Fracture:
A high-impact accident, or even a break near the implant itself can lead to a fracture. Suboptimal implant quality, particularly in the stem or neck component, may lead to a structural failure under stress.In some cases, pre-existing bone weakness can contribute to a periprosthetic fracture.
The complications arising due to a fracture might necessitate a revision surgery in both hip and knee replacements.
4.Dislocation:
This often happens because the implant isn't positioned properly. Before jumping to revision surgery, rule out infection with a CT scan and check the cup placement. Damaged muscles can also play a role, so a thorough examination is crucial.
5.The Dreaded Infection
This is the worst-case scenario and comes with the longest recovery. In some cases, a spacer (a temporary implant) might be needed, followed by a specialized revision surgery. Unfortunately, some infections don't respond to antibiotics, and the spacer doesn't work.
So preventing infection is key! This involves careful pre-surgical preparation, using sterile equipment and an experienced surgical team. Revision surgery is complex, so picking a skilled and experienced surgeon is vital.
Disclaimer: This post isn't a substitute for professional medical advice. Talk to your doctor about any concerns you have regarding your hip replacement.
"
Dr Pankaj Walecha, MS(Orthopaedics)
Fellow Hip & Knee Surgery, UK
Joint replacement fellowships (South Korea, Germany)
Google Location- goo.gl/maps/gZhc7PPVN3XQeYLV6
Email- drpankajwalecha@gmail.com
The Waleus clinic,
7/7, Balraj Khanna Marg, East Patel Nagar, New Delhi -110008
(Walking distance from Patel Nagar Metro station, Exit from gate no 2)
011-40503072, 9873824600, 9643757716
Timings-
Evening - 5pm- 8.30 pm (Monday to Saturday)