Posted on : 20/05/2022      Views : 1294

Should You Consider a Second Hip Replacement?

Total hip replacement is one of the most successful orthopedic procedures. Total hip replacement allows people to live more active lifestyles without debilitating hip pain in the great majority of situations. A hip replacement, on the other hand, can fail for a variety of reasons over time. Or it may also be performed to manage complications like infections, dislocation of the prosthesis, or fractures of the bone around the hip replacement. As per our experts practicing hip replacement surgery in Bangalore, this is where revision hip replacement can save your day. However, you may have some queries and concerns regarding the same. Here, we have discussed the same. 
 
Why do hip replacements wear out?
Hip replacements can fail due to a variety of factors. Aseptic loosening is the most common cause of a hip replacement failing. When hip implants become loose within the bone, this is known as aseptic loosening. A loose hip implant is frequently uncomfortable and necessitates a revision hip replacement. Infection, breaking of the prosthesis, breaking of the bone around the prosthesis, and other problems are also causes of a hip replacement wearing out. Treatment other than revision hip replacement may be required depending on the cause of the implant failing.
 
When revision total hip replacement is recommended?
As suggested by our experts practicing joint replacement in Jayanagar, the following are the conditions that necessitate revision of total hip replacement. 
Loosening of the prosthesis-The cause of loosening is not always evident, although factors such as recurrent high-impact exercises, extra body weight, and wear of the plastic liner between the ball and the metal cup may all play a role. Furthermore, patients who are younger at the time of their first hip replacement are at a higher long-term risk of requiring revision surgery due to loosening or wearing away of the prosthesis. 

Infection- Infection of a complete hip replacement can be painful, and the implant may begin to lose its adhesion to the bone. Even if the implant is adequately secured to the bone, the infection may cause pain, instability, and drainage. Because bacteria cannot be easily removed from a joint replacement with only antibiotics, revision surgery is frequently required.

Frequent dislocation of the prosthesis- A hip replacement has the same ball-and-socket construction as your natural hip. The ball must remain inside the socket for the hip to function properly. Trauma or specific hip postures can cause the ball to get displaced from the socket. Recurrent hip dislocations may necessitate revision surgery to properly align your hip joint or the insertion of a specific implant designed to prevent dislocations.

Allergic reaction to metals- Metals used in implants can corrode or deteriorate, resulting in microscopic particles falling off the device and into the space around the implant. This is more prevalent with "metal-on-metal" devices, which have a metal ball and socket components. These accumulated metal particles can cause injury to the bone and soft tissues around the hip in certain people, necessitating revision surgery. In very rare circumstances, a patient's allergy to the metal used in implants may cause pain near the implant site. 

Fracture- A fracture surrounding the implant components is frequently due to a fall and necessitates revision surgery. Your doctor will assess numerous aspects, including the amount of residual bone if your implant is loose, and the location of the fracture, to determine whether a revision is required.
 
Why are these surgeries considered complex?
Revision hip replacements are more difficult surgeries, and the results may not be as good as the first hip replacement. The quality of the bone and the capacity to effectively hold the revision hip replacements into position are two of the four challenges encountered during surgery. Additionally, removing the prior hip replacement may entail more extensive surgery.

These issues, when combined, frequently necessitate a considerably more complex revision hip replacement. Your orthopedic surgeon must prepare carefully to guarantee that they can create a hip that will allow you to function normally.

Another issue with revision hip replacement is that the procedure itself can be more difficult. Patients are typically older and less tolerant of lengthy surgical procedures. Technically, the operation is more complicated than the primary hip replacement procedure. 

Another issue with revision hip replacement is that the procedure itself can be more difficult. Patients are typically older and less tolerant of lengthy surgical procedures. The procedure is technically more complex than primary hip replacements, and the patient's consequences are more severe (longer surgery, more blood loss). As a result, revision hip replacement must be properly planned and executed. The involvement of general practitioners, anesthesiologists, and orthopedic surgeons is critical.

If you or someone you know is suffering from any kind of complications and is in need of revision hip replacement surgery, consult your doctor immediately. For any concerns related to the same, you can consult our doctors from the best hospital in Bangalore.