Revision Total Hip Replacement

How Can a Hip Replacement Fail?

There are many reasons why a total hip replacement can fail. These include wear, dislocation, infection, chronic pain and loosening. Dr. Wind has extensive experience in treating failed or painful total hip replacements. Since being in practice he has seen many patients on referral from other physicians for evaluation of problems with hip replacement.

broken hip replacement, failed hip reconstruction, hip dislocation, loose hip prosthesis

Failed hip replacement due to fracture of femoral stem. Original surgery performed in 1999 and patient presented with symptoms in 2011.

The most common reason why a total hip can fail is component wear. Over years of use, the constant motion at the bearing surface of a hip replacement can result in wear of the plastic and/or metal. These wear particles can cause bone loss and loosening on the prosthesis. Wear occurs with all joint replacement, however, inserting the components properly at the original surgery is the best way to keep this problem to a minimum. Once extensive component wear has occurred then often revision surgery is the only viable solution.

Other causes for failure of a hip replacement include chronic instability (dislocation), infection, loosening and implant fracture. Performing the original surgery in a proper manner can reduce the risks of these problems arising. When these problems occur then revising the original prosthesis is often the only option.

What is Revision Hip Replacement?

In basic terms a revision surgery is converting a past surgery to a well functioning hip replacement. This is due to failure of a past hip replacement. Depending on the cause of failure, either one or both of the hip components may have to be removed and replaced. With scar tissue and component exchange this type of surgery is much more technically demanding than primary (or first time) hip replacement. This is why many surgeons will refer a patient with a failed hip replacement to another surgeon who has fellowship/sub-specialty training in complex joint reconstruction. Revision surgery also encompasses challenging cases where other types of past hip surgery, such as fracture fixation, have failed and require revision to a hip replacement. In revision surgery, specialized prosthetic parts are utilized to reconstruct the hip and often bone grafting and metal augmentation is necessary.

Dr. Wind is proud to be able to offer solutions for patients with a failed total hip replacement or problematic past hip surgery. He is available to see any patient regardless of who did the original surgery.

revision hip replacement, fix old hip reconstruction, broken hip prosthetic, Richmond Virginia

Complex revision of failed fracture fixation to a total hip replacement in 87 year-old female. Patient now able to ambulate with full weight bearing and no discomfort.

failed hip replacement, broken hip, hip joint failure, fix broken hip socket

87 year-old female with obvious failure of fracture fixation of an intertrochanteric fracture of the hip. Fracture line is persistent and the hardware is failing in varus.

x Shield Logo
This Site Is Protected By
The Shield →