Hip Revision Surgery
When patients suffer from hip arthritis, a total hip replacement is often very effective in relieving pain and restoring function in the hip.
Hip replacements can help patients live an active lifestyle for many years after the procedure. However, over time the implant components can wear down or loosen, requiring a second procedure called a hip revision.
Hip revision surgery is generally more complicated than the initial hip replacement, so it is important to choose a surgeon that specializes in this procedure. Dr. Niels Linschoten has extensive experience in hip revision surgery and often sees patients requiring hip revision surgery in his practice.
Total Hip Replacement
During a total hip replacement, the damaged portions of the hip are replaced with prosthetic components. The hip is a “ball and socket” joint; the ball-shaped end of the upper thighbone fits into a socket in the pelvic bone. The “ball” portion of the joint is replaced with a metal ball attached to a stem, called the femoral component. The thighbone is hollowed out, and the stem is placed into that space for stability. The socket is then replaced with a metal component called the acetabular component, and a plastic spacer is inserted between the metal ball and socket.
Dr. Linschoten uses the direct superior approach for total hip replacement. The direct superior approach is less invasive than anterior hip replacement and often results in less blood loss, less damage to soft tissue, and less pain after surgery. The anterior approach also carries a risk of numbness in the front and side of the thigh, while the direct superior approach does not. The incision placement is also cosmetically favorable, as it is in an area that is easily hidden, even in a bathing suit.
The majority of patients who have had a hip replacement are able to enjoy reduced pain and improved function for at least 10-15 years. However, over time the implants can wear or loosen, requiring new implants.
When Is a Hip Revision Recommended?
There are several different reasons why a patient might need hip revision surgery. Sometimes, complications from the initial hip replacement procedure can lead to the need for a hip replacement. More commonly, a hip revision is needed because of wear on the original implant.
Hip replacement implants, on average, last 10-15 years. During this time, the implant components experience some wear and tear from normal use, just like any natural joint in your body. Wear and tear can impair the function of the implant. The implant may loosen or become unstable, limiting your range of motion.
Symptoms that may indicate the need for a hip replacement include pain, stiffness, and instability. Some fractures of the hip or upper thighbone may require a hip revision procedure, as well.
Hip Revision Procedure
Hip revision surgery is often more complex than the original hip replacement procedure and can have increased risk of complications. For this reason, it is important to choose a surgeon experienced in hip revision surgery.
During the procedure, Dr. Linschoten carefully removes the old implants to preserve as much of the healthy bone as possible. He then prepares the hip for the new implants.
Hip revision implants may differ slightly from the implants used in the original procedure. The stem of the femoral component may be longer for a revision implant to better distribute weight within the joint. The acetabular component may also be slightly different if there is bone loss or weakened bone in the pelvis. If there is significant bone loss surrounding the implant, a bone graft may be used to strengthen the bone in the hip.
Recovery from hip revision surgery can vary for each patient, depending on the severity of the case. Physical therapy is an important part of recovery and the long-term outcome of surgery. It is important to follow all instructions given to you by Dr. Linschoten to reduce your risk of complications.
Hip Revision Surgery in Baton Rouge, LA
Dr. Niels Linschoten has over 25 years of experience in orthopaedic surgery. He specializes in complex hip procedures, including hip revision surgery. If you think hip revision surgery may be right for you, please call Dr. Linschoten’s office to set up a consultation: