REVISION OF A TOTAL HIP REPLACEMENT IN PLYMOUTH
If your hip has been damaged by arthritis, a fracture, or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult.
A revision of a total hip replacement involves the removal of one or both parts of a previously inserted total hip replacement and the insertion of a new replacement to give improved mobility.
Why do I need a revision of a hip replacement?
Unfortunately, some patients will begin to experience pain and dysfunction in the total hip replacement. Such symptoms require careful investigation and, in some cases, re-do or revision of the joint replacement is advised. Mr Stitson specialises in revision joint replacement and will explain why this is required.
Common causes leading to the revision of a hip replacement include:
- Loosening and wear of a hip replacement
- Failure of a component of the hip replacement
- Recurrent dislocation
- Peri-prosthetic fracture
- An infected hip replacement
AT A GLANCE
⏰ The revision of a (uncemented or cemented) total hip replacement typically takes between 2 and 3 hours. Procedures may be longer if the surgery is complex.
🏨 You will be required to stay in the hospital for 2 or 3 nights, however, you may have to stay longer if required. Day case procedures may be appropriate in some cases depending on patient suitability.
💰 Prices start from £25,938 including a pre-assessment, treatment and post-discharge care.
Finance is available through the Nuffield Hospital in Plymouth.
Mr Stitson specialises in lower limb revision joint replacement and will explain why this is required during your consultation.
What are the risks from the revision of a total hip replacement?
While revision hip replacement surgery aims to significantly improve a patient’s quality of life and mobility, like any surgical procedure, it comes with certain risks and potential complications.
Some of the risks associated with hip replacement surgery include:
- Infection:
Infections can occur at the surgical site or within the joint, requiring additional treatment including antibiotics, or even revision surgery to remove and replace the prosthetic joint. - Blood Clots:
Blood clots (deep vein thrombosis or DVT) can form and potentially travel to the lungs (pulmonary embolism), which can be life-threatening. Mechanical calf compression to encourage blood flow is used in hospitals and blood thing drugs are prescribed post-operatively to help reduce the risk.
Bleeding:
Excessive bleeding during or after surgery may require blood transfusion or other interventions.- Blood Vessel or Nerve Damage:
Damage to blood vessels or nerves around the surgical area can result in complications such as reduced blood flow, numbness, weakness, or pain. - Implant Problems:
Prosthetic hip components may wear out over time, become loose, or fail, leading to pain and the need for revision surgery. - Pain and Stiffness:
Some patients may experience ongoing pain or stiffness in the replaced hip, limiting their range of motion. - Fractures:
During surgery, nearby bones can be accidentally fractured, requiring additional procedures for repair. - Anaesthesia Risks:
General anaesthesia carries its own risks, including adverse reactions or complications. Such risks will be described to you by the anaesthetist.
- Limited Improvement:
While most patients experience significant improvement in pain and mobility after knee replacement, some may not achieve the desired level of improvement. - Stiffness/Scar Tissue Formation:
Excessive scar tissue formation (arthrofibrosis) around the joint can limit movement and require further treatment. - Cardiovascular and Respiratory Risks:
Complications such as heart attack, stroke, or pneumonia can arise. The pre-assessment process is designed to pick up those at particular risk.
It’s important to note that while these risks exist, they are relatively uncommon, and the majority of hip revision replacement procedures are successful and lead to improved quality of life.
The decision to undergo hip replacement surgery should be based on a thorough discussion between yourself and Mr Stitson, with particular attention given to your individual health status, lifestyle, and the severity of hip joint symptoms.
Mr Stitson will take all necessary precautions to minimise operative risks and will closely monitor your progress during the recovery period, addressing any potential complications promptly.
WHAT OUR PATIENTS SAY...
Mr David Stitson is in Private Practice at Nuffield Health Plymouth Hospital, Derriford Road, Plymouth, PL6 8BG. He accepts new patient referrals directly from patients, via GP referral, on recommendation from your private medical insurer or via other practitioners including physiotherapists, osteopaths or chiropractors.
Please do get in touch with us to enquire about an appointment or a procedure.
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