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Revision of Hip Replacement

Revision hip replacement surgery is recommended for those patients who have already operated for total hip replacement in the past; however these patients are witnessing pain, discomfort or instability in their artificial hip joints again. Mostly this is because of wear and tear over the period of time or some infection or injury or some time due to come complication in previous surgery. Usually, a total hip replacement can last for 30 years or even longer; however, with time due to the loosening causes pain, discomfort or instability to patient. Revision Hip Replacement Surgery is considered to be bit  complex than one have gone initially but with the availability of latest technology only a experience joint replacement surgeon perform it well.

Hip replacement is basically a surgical process for replacing the hip joint by prosthetic hip implant. The surgery of hip replacement may be accomplished as a hemi replacement or a total replacement. This is usually done when a patient have had gone through hip surgery 10 -20 year ago, but still the person is facing problem. Then, he again go for hip surgery, it’s known as hip replacement surgery.

Those hip joint replacement orthopaedic operations are usually conducted for relieving unbearable arthritis pain or for fixing brutal physical joint injuries as an important part of hip fracture management. A total hip replacement comprises of replacing both the femoral head and the acetabulum whereas hemiarthroplasty usually refers to the replacement of the femoral head.

During the Revision of Total Hip Replacement Surgery  

During revision of total hip replacement surgery, a experience joint replacement surgeon either removes the implant from from the hip socket or repairs it or replaces the implant with new ones. The length revision of total hip replacement surgery depends upon the complexity of the individual case but usually take longer time than the one who is going for hip replacement first time.

The Minimal Invasive Hip Replacement Surgery is the latest technology used for treating the damaged hip. In the procedure, an incision in made on the tissue present nears the hip and then the implants are placed inside with the help of instrument. The implants are placed in such a way that it gets adjusted with other parts of the body such as ligament and bones.

Computer Navigated Surgery

This is also latest current technology where the image is taken in the computer with the help of the infrared cameras are used. At first an image is taken with the help of the infrared cameras that gets stored in the computer. Then with the help of the image surgeon decides the exact location where implant is to be placed so that it gets adjusted with the muscle, ligaments, the bones, and various other structures of the body.

The reasons behind the damage of the hip joint

There exist various reasons behind the damage of the hip joint. Some of them are mentioned below.

  • Lack of calcium
  • Infection
  • Age
  • Fractures
  • Accidents
  • Heredity
  • Arthritis

The symptoms

Everyone must consult a doctor whenever they face any kind of pain in their hip joints. Some of the symptoms and signs of a damaged hip joint are discussed here.

  • Swelling in the hip joints.
  • Unbearable pain.
  • Weak hip joints.
  • Unable to sit for a long time.
  • Problem in walking.
  • Fever from a terrible pain

Approaches of hip replacement surgery

Several modern techniques for hip replacement surgery are adapted by the doctors. In this article such techniques will be discussed.

There are numerous incisions, determined by the nature of their association with the gluteus medius. The approaches are mentioned below.

Posterior approach

The posterior approach focuses on the hip joint and capsule via the back, taking the short external rotators and piriformis muscle off the femur. This is a very effective approach.

Lateral approach

The lateral approach is normally applied for for hip replacement. The approach specifically requires height of the gluteus minimus and gluteus medius for accessing the joint.

Antero-lateral approach

The anterolateral approach generally helps in developing the gap between the gluteus medius and the tensor fasciae latae.

Anterior approach

The anterior approach utilizes a gap between the tensor fasciae latae and the sartorius muscle.

Minimally invasive approach

The minimally invasive surgery helps in reducing elastic tissue damage via decreasing the size of the incision.

CAS and advantages

Computer Navigated Surgery processes are also accessible for guiding the surgeon in providing enhanced accuracy. Numerous commercial CAS systems are obtainable for utilization worldwide. Hip Nav was considered as the initial system invented particularly for total hip replacement. Advantages of this kind of surgery are mentioned below.

  • lesser incisions- faster recovery and Less pain
  • Minimum hospital stay
  • Minimum Scarring
  • a lesser amount of bleeding and requirement of blood transfusion
  • Less interruption of tissue
  • A durability of implant greatly enhanced
  • Minimizing the risk of dislocation after hip replacement surgery

Proper medicine and their regular dosage

If someone is going for hip replacement surgey then the patient must undertake instant treatment. The patients must follow all the suggestions and advices of their doctors. A suffering individual must take proper drugs and therapies to avoid the dangers of hip replacement surgery. So, everyone should take necessary precautions to fight against such risk factors. Proper guidance is also needed to get rid of this disease. Regular check up is also highly suggested. A victim must take medicines or therapies on regular basis.

Risk factors

Risk factors of hip replacement surgery are

  • Dislocation
  • Vein Thromobosis
  • Fracture
  • Metal sensitivity
  • Inequality of leg length
  • Nerve palsy
  • Metal toxicity
  • Osteolysis

With the expertise of joint replacement surgeon and the availability of latest technolgy, the success rate for revision of total hip replacement surgery has been maximized but less than when one go for hip replacement first time achieving most patients with excellent results, pain is eliminated and mobility restored. The recovery and rehabilitation are almost same the time taken for recovery for first hip replacement. The patients who are planning for revision hip replacement are need to be careful for the first few months of procedure to refrain any possibility of a dislocation.

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