Revision hip replacement surgery is for people who have had previous total hip replacement surgery, and who need to have another procedure to repair or replace the artificial hip joint.
Total hip replacement surgery is initially carried out to replace a damaged or diseased hip joint, typically for someone with a degenerative disease such as osteoarthritis. While the replacement hip is strong and made from durable metal, it doesn't last forever. Even the best quality artificial hip has a maximum lifespan of 15 to 20 years, so for many people it becomes necessary to have revision surgery to replace the artificial joint. This is especially true for younger people who have a total hip replacement, and for people who are particularly active.
Replacement of a worn-out artificial joint isn't the only reason someone might need revision hip replaced surgery. Other common reasons to revise or replace an artificial hip joint include infection of the existing artificial joint, recurrent dislocation of the artificial joint, or a mechanical failure such as a break in the joint. For most people who have total hip replacement surgery the risk of any of these problems happening is low. However, for an older patient, or someone who has had multiple hip surgeries, the risk of problems such as recurrent dislocation is higher.
In revision hip replacement surgery, the patient's artificial hip joint is repaired or replaced. The nature of the surgery depends on why the patient is having the revision. Most revision procedures are performed under general anaesthetic, but some patients might have a local anaesthetic combined with sedation to ensure they stay relaxed.
For instance, if the patient's artificial hip joint is infected, the revision surgery might involve thoroughly cleaning the hip joint to remove as much of the infection as possible. Typically this is only possible if the infection is in the very early stages. If the infection isn't diagnosed within the first few days, it's often necessary to replace the joint.
When a patient suffers from repeated dislocation of their artificial hip joint, the surgery may involve implanting a device that makes the joint more stable. Alternatively, the joint might be replaced with one that provides a better fit for the patient.
If revision surgery is needed to revise a mechanical failure or fault, part or all of the artificial hip joint might be repaired or replaced. Sometimes, a bone graft might be needed to rebuild the hip or femur. This is necessary because mechanical failure of a hip joint can cause bone loss in some cases.
To prepare for a revision hip replacement, a patient must have a preoperative evaluation, just as they did for their initial hip replacement surgery. Their general health is reviewed, any medications they're taking are evaluated, and their level of general surgical risk is assessed. This is important to determine if there are any health risks, such as infection, that need to be resolved before surgery, or if there are any medications the patient takes that might increase their risk of surgical complications.
Because there are often factors that complicate surgery, such as bone loss or infection, recovering from a revision hip replacement often takes longer than recovering from an initial hip replacement surgery. Often there are also additional factors a patient needs to be aware of during their recovery. For instance, if a patient has had a bone graft they might need to refrain from putting their full weight on the joint for some time after surgery. If a patient has had an infection of the hip joint they'll typically have to take antibiotics for several weeks or longer after surgery.
I am writing to thanks you & your staff fro the wonderful work you did on my hip repllacement. It is so nice not to be in constant pain and it's enjoy able to go for a walk now & not dread it as before. I can't thank you + the staff at the cavell hospital enough.
After years of arthritic pain, steroid injections, physiotherapy and arthroscopy (which actually made things far worse)... I now feel like a new woman thanks to the knee surgery you performed last month - I have no doubt this is due in no small part to your skill as a surgeon. The wound healed quickly, recovery has been rapid, without any complications and the scar is neat and beautifully stitched!!
Having recently undergone a full left knee replacement I am 100% satisfied with everything Mr Saksena and his team at The Cavell provided. I was given plenty of advice both before and after my surgery, which was very reassuring. My recovery has been rapid with minimal pain and within 8 weeks I had full extension and 130 degree flexion back in the knee. I wouldn't hesitate to recommend Mr Saksena as an orthopaedic surgeon.
I had a total knee replacement with Valgus Deformity 7 weeks ago, and this gave the surgeon extra work to do, I only have good things to say about this surgery and after care with all staff involved at Chase Farm Hospital, as in my experience I have heard a lot of good and bad things about this type of surgery, Well I can only say that if anyone has concerns about this please try not to worry it is worth while as it has given me a new lease of life to what I had before, and yes the first 2 weeks are the worse, but please do try your exercises, because as they say you only get the real benefit if you are prepared to do your bit. Thanks very much for my new lease of life yet again.
I was very fortunate to be referred to Mr Saksena as an NHS patient and was very impressed with the treatment and care provided by Mr Saksena and the whole team at Cavell Hospital. Once discharged, someone was always available to talk to you and an appointment was made immediately if you needed to see a nurse (which I did several times, due to a normal discharge from my wound). The entire staff were all friendly, cheerful and efficient. The scar is very neat and after 7 weeks I am walking well and just using a stick outdoors.
I would like to just sincerely thank you for the job you did on my knees, both of them. Before I had my knees replaced I was in constant pain, which had been the case for nearly 5 years. It was so bad that I often wondered what the use was in living! Now, nearly 2 years later, I feel I have my life back. I can now walk without pain and every single day, and I mean every single day, I walk the roads that I walked pre-operations and I remember the pain that I was in for every small distance I had to walk. Now, I walk with a smile on my face and a thrill in my heart, so very grateful for having the freedom to enjoy walking once again. I also have great fun going with the grandchildren to the park and playing with them, which before the operation was impossible as all I could do was basically sit and supervise them. So there too there is a huge change.
You did a total knee replacement on my right leg on 22nd March in the Kings Oak Hospital and it has been very successful. I am now almost pain free with the knee getting stronger each day. I would like to thank you and your excellent medical team for doing such a neat job. I would also like to thank the wonderful nurses at the hospital who were always cheerful and efficient.
In September 2014 I underwent a knee replacement operation. Mr Saksensa was an amiable professional with a calming influence and caring nature. His team were friendly and supportive. My knee replacement was a complete success and I am still enjoying my favourite sport of skiing.
You performed a partial meniscectomy at Highgate Hospital in late april. I would like to thank you for your hardwork; the problem has been entirely resolved and I am pretty sure that is down to the procedure rather than the passage of time as the condition persisted during the prior two months. Some part of that is surely down to your skill.