All about revision hip replacement surgery

Written in association with: Mr James Donaldson
Published: | Updated: 26/09/2024
Edited by: Conor Lynch

Revision hip replacement surgery is a procedure performed to replace or repair an existing artificial hip joint that has either worn out, loosened, or become damaged over time. While a total hip replacement is designed to last for many years, factors such as wear and tear, infection, or bone loss can necessitate a second surgery to restore function and relieve pain.

 

Unlike the initial hip replacement, revision surgery is often more complex. This is because the surgeon must remove the existing implant, which may have become integrated into the surrounding bone, before placing the new one.

 

Additionally, the patient may have experienced bone loss or other complications that make the procedure more technically challenging. It requires a high level of expertise and specialised planning to ensure that the new implant is securely positioned and functional.

When it is required

Several factors can lead to the need for revision surgery. These include implant loosening, where the components no longer fit tightly within the bone, and osteolysis, where the bone around the implant deteriorates. In some cases, infection or joint instability may also be reasons for revision. Pain, limited mobility, and a noticeable decrease in the joint's function are typical symptoms indicating that revision surgery may be necessary.

 

Recovery

The recovery process after revision hip replacement surgery tends to be longer and more demanding compared to the initial procedure. Physical therapy is a crucial component, helping patients regain strength and mobility in the hip joint. The success of the surgery largely depends on the patient’s overall health, the quality of the bone, and the surgeon’s skill.

 

For patients experiencing problems with their original hip replacement, revision surgery offers a second chance at regaining mobility and improving quality of life, often with long-lasting results. 

By Mr James Donaldson
Orthopaedic surgery

Mr James Donaldson is a well-respected consultant orthopaedic surgeon with HCA Healthcare. He is based at The Wellington Hospital and The Wellington Hospital Elstree Waterfront along with an NHS consultant post at the Royal National Orthopaedic Hospital in Stanmore. His subspecialties include hip and knee issues and he offers a first-class service in arthroscopy, replacement and revision surgeries

Mr Donaldson was awarded his medical qualification at University College London Medical School in 2002, receiving a certificate of merit in his MB finals. He then worked on the Royal National Orthopeadic Hospital rotation until 2013 to complete his training. Mr Donaldson went on to complete two sub-specialist fellowships: a one-year international fellowship in Toronto, Canada and a six-month fellowship at Stanmore on the joint reconstruction unit. He is currently a consultant orthopaedic surgeon at the Royal National Orthopeadic Hospital. He is on the clinical governance committee at Stanmore and sits on a number of multidisciplinary national meetings for nationwide complex case referral. 

Throughout Mr Donaldson's illustrious career, he has been awarded ten academic prizes including a surgery distinction in 2000 and a pharmacology certificate of merit in 1998. Later on in his career, he was awarded the Royal College of Surgeons Preiskel Elective Prize in 2001 and the Jacques Duparc prize from the European Federation of National Associations of Orthopaedics and Traumatology in 2009. He has written numerous textbook chapters and articles in peer-reviewed journals and has co-authored a website for junior orthopaedic trainees and medical students. He is a member of a number of professional bodies including the British Orthopaedic Association and the Royal College of Surgeons.

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