| | | | | approach when performing a total hip replacement.... |
| Revision Hip Replacement | | | | |
| | | | | Approaches for Revision Hip Surgery |
| Revision Hip Replacement in India | | | | The approaches are the same as when performing |
| Modern hip replacement has resulted in huge benefit | | | | primary hip replacements but the surgical approach |
| for patients with arthritic hip disease providing them | | | | can be extended for increased exposure for what is |
| with reduction of pain, return of function and | | | | a more complex procedure.... |
| consequently an improved quality of life. The clinical | | | | |
| success of total hip replacement is often taken for | | | | Advantages |
| granted by the general population. | | | | Relief of pain and restoration of hip function |
| There is evidence of increased longevity (twenty | | | | Return to a full and active life style |
| years or more) with some total joint replacements, | | | | |
| but many of these mechanical joints fail at around | | | | Disadvantages |
| fifteen years when the hip joint loosens. Revision hip | | | | Failure of the hip implant over time |
| surgery is technically extremely difficult and few | | | | Inherent risks of surgery |
| orthopaedic surgeons have extensive experience in | | | | |
| this field... | | | | Possible Complications |
| | | | | - Dislocation: This occurs when the ball of the femoral |
| Why does a hip need to be revised ? | | | | component is dislocated from the acetabular cup. |
| Pain is the primary reason for revision. Usually the | | | | - Infection: A bacterial invasion of the hip joint. |
| cause is clear but not always. Hips without an obvious | | | | - Thromboembolism: Blood clots and migration of the |
| cause for pain in general do not do as well after | | | | clot to the lungs. |
| surgery. | | | | - Leg length discrepancy: Limb length discrepancies..... |
| Plastic (polyethylene) wear This is one of the easier | | | | |
| revisions where only the plastic insert is changed | | | | Recovery |
| Dislocation (instability) means the hip is popping out of | | | | The first day most patients will have had their |
| place. | | | | intravenous drip removed. The physiotherapist will |
| Loosening of either the femoral or acetabular | | | | see you after surgery and from then on begin with |
| component. This usually presents as pain but may be | | | | muscle strengthening and stretching exercises. You |
| asymptomatic. For this reason, you must have your | | | | will be taught the safe way of getting in and out of |
| joint followed up for life as there can be changes on | | | | bed... |
| X-ray that indicate that the hip should be revised | | | | |
| despite having no symptoms. | | | | Revision Hip Surgery in Detail |
| Infection usually presents as pain but may present as | | | | As more primary arthroplasties are performed |
| an acute fever or a general feeling of unwell. | | | | particularly in young patients to try and attain an |
| Osteolysis (bone loss) This can occur due to particles | | | | improved quality of life the risk of revision surgery |
| being released into the hip joint that result in bone | | | | increases. The problem with revision surgery is that |
| being destroyed | | | | removal of the hip prosthesis and replacement with a |
| Pain from hardware e.g.. cables or wires causing | | | | second, third and even fourth artificial joint requires |
| irritation... | | | | increased technical skills, an array of specialist |
| | | | | equipment and bone grafting facilities. These complex |
| Revision Hip Replacement | | | | operations have a longer operation time, a longer |
| Revision total hip replacement is performed when the | | | | rehabilitation and a higher complication rate. |
| original primary total hip replacement has worn out or | | | | Unfortunately it is not the same as replacing a |
| loosened in the bone. Revisions are also carried out if | | | | mechanical part where once the new part is in place |
| the primary hip replacement fails due to recurrent | | | | the machine continues to perform as if it were new. |
| dislocation, infection, fracture or very rarely, ongoing | | | | The problem lies in the fact that the mechanical |
| pain and significant leg length discrepancy.... | | | | components wear and loosen. The loosening of these |
| | | | | components within the bony supports is often |
| Surgical Approaches | | | | associated with bone resorption (osteolysis) and the |
| There are four approaches to the hip and access | | | | surrounding scaffolding for subsequent hip |
| takes advantage of the muscular planes surrounding | | | | replacements is weakened.... |
| the hip joint. | | | | |
| Anterior (front) Approach : - | | | | |
| The anterior approach has been revitalised for | | | | Please log on to : |
| minimally invasive surgery (MIS) — a procedure | | | | Send your query : Get a Quote |
| that We Care India partner surgeon specialises in that | | | | |
| can significantly reduce recovery time — when | | | | We Care Core Values |
| performing a total hip replacement... | | | | We have a very simple business model that keeps |
| Lateral (side) Approaches : - | | | | you as the centre. |
| The anterolateral approach is the most commonly | | | | Having the industry’s most elaborate and |
| used approach for total hip replacements. The direct | | | | exclusive Patient Care and Clinical Coordination teams |
| lateral approach exposes the hip joint by detaching | | | | stationed at each partner hospital, we provide you |
| the upper end of the thigh bone (the greater | | | | the smoothest and seamless care ever imagined. |
| trochanter).... | | | | With a ratio of one Patient Care Manager to five |
| Posterior (rear) Approach : - | | | | patients our patient care standards are unmatched |
| The posterior approach is the second most common | | | | across the sub continent. |