Revision Hip replacement is a
surgical procedure in which a part or all of the previous hip replacement is
revised. This can range from a small prosthetic implant replacement to total
hip replacement.
India
is a popular destination abroad for revision hip replacement surgery. Revision hip replacement is an
orthopedic surgery to replace an earlier hip prosthesis that has worn out.
Though first-time hip joint replacements are common and successful nowadays,
they tend to wear out with time. When a patient’s hip replacement has worn out,
he/she may need a revision hip surgery.
Revision
hip replacement surgery is more complicated and time-consuming than first-time
total hip replacement surgery. As a result, cost of revision hip surgery is
very high in USA, Canada and UK. It would be much more affordable to get your
revision hip replacement surgery in India at world class hospitals by board
certified orthopedic surgeons.
Hip
replacement is the most common surgery performed by the orthopedic surgeons
worldwide. Unfortunately in spite of being the most successful surgery, with
every 10 years it has been documented that there is a decrease in the
functioning of the implant due to various reasons. 10 years after a hip
replacement, there is a 90% chance the implant will be functioning well, 20
years after surgery, and the chance is about 80%. By 25-30 years after surgery,
about 50% of hip replacements are still working well. Those patients who wear
out their prosthesis require a revision hip replacement surgery.
What exactly is Hip Replacement surgery?
- The hip joint is located at the meeting point of the upper end of the femur, or thigh bone, and the pelvis, or the hip bone. There is a ball at the end of the femur, which is called the femoral head; it fits in a socket (acetabulum) in the pelvis. This ball allows a wide range of motion.
- Depending upon the extent and the correction required in some cases a mini-incision operation is not possible while some revision cases are relatively straightforward. It is dependent on the quality and quantity of the bone which is left behind after the implant has been removed and also on the difficulty level of the removal of the prosthesis.
- As compared to primary joint replacements the Revision joint replacements are much different. As there is almost always bone loss around the primary prosthesis, the surgeon places a bone graft or some other material around the artificial joint to reinforce the bone. Most likely, bone taken from your pelvis is used as the bone graft.
Doctors
may attach replacement joints to the bones with or without cement.
- Cemented joints are attached to the existing bone with cement, which acts as a glue and attaches the artificial joint to the bone.
- Uncemented joints are attached using a porous coating that is designed to allow the bone to adhere to the artificial joint. Over time, new bone grows and fills up the openings in the porous coating, attaching the joint to the bone.
Doctors
often use general anesthesia for joint replacement surgeries, which means
you'll be unconscious during surgery. But sometimes they use regional
anesthesia, which means you can't feel the area of the surgery and you are
sleepy, but you are awake. The choice depends on your doctor, on your overall
health, and, to some degree, on what you prefer.
Your
doctor may recommend that you take antibiotics before and after the surgery to
reduce the risk of infection. If you need any major dental work, your doctor
may recommend that you have it done before the surgery. Infections can spread
from other parts of the body, such as the mouth, to the artificial joint and
cause a serious problem.
Some
doctors are doing hip replacement surgery through smaller incisions. This is
called minimally invasive surgery. It may mean less blood loss and a smaller
scar. But it can also mean a longer time in surgery because the surgery is
harder to do. And if the new hip cannot be fitted properly through the smaller
incision, the doctor may have to make a larger opening anyway. Minimally
invasive surgery is not done often for hip replacement. If you are interested
in this type of surgery, talk to your doctor. Whether the procedure is a good
idea for you depends on your doctor's opinion and also on his or her training
and practice.
Benefits:
- Pain relief.
- Improved ease in movement.
- Treatment of infection and avoiding further complications.
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