Revision total hip replacement

What is a revision hip replacement?

A revision hip replacement is a second (or subsequent) surgery on a previously placed hip replacement.

One or more components — cup (acetabulum), head, or stem — are replaced or repositioned.

The most frequent reasons for doing this are pain, wear, loosening, instability, or a fracture.

There are different reasons for a revision and therefore also different complaints.

Below are some listed:

Pain in the groin, buttock, or thigh (start-up pain, nocturnal pain).
Instability/recurrent dislocation (hip “pops out of the socket”)
Wear or loosening of components (clicking/cracking, loss of function)
Periprosthetic fracture. This is a fracture around the prosthesis, causing it to come loose.

In case of pronounced and persistent complaints, surgery is necessary.

The surgeon will discuss with you what type of surgery is needed.

It may involve a cup revision, which refers to the replacement of the cup, or a stem revision, which refers to a replacement of the stem.

A revision is technically more complex than an initial placement, and rehabilitation often takes a little longer.

Many patients can already take cautious steps on the day of the procedure or the following day. In the beginning, this is with one or two crutches.

Patients usually stay in the hospital for a few days until the wound is completely dry.

At home, physiotherapy should be continued to strengthen the muscles.

Our team guides you step by step, with attention to pain control, muscle strengthening, and safe movement.

Our department has created a hip brochure. This explains everything you need to know about a hip replacement and rehabilitation.

A hip newspaper was also created. You will receive this daily as a patient during your stay.