✦ Complex Revision Surgery

Revision Hip Replacement

Q: What are the signs that a hip replacement has failed?

Progressive groin or hip pain that was not present before, recurrent dislocation, a feeling of looseness in the joint, swelling, or a declining ability to walk despite previously good function — all warrant investigation with X-rays and blood tests.

Q: What are the most common reasons hip replacements fail?

Aseptic loosening from wear particle reaction, polyethylene wear, instability and dislocation, periprosthetic fracture, and infection account for the majority of failures. Correctly identifying the cause before revision determines the success of the outcome.

Q: Is revision hip surgery more complicated than primary replacement?

Significantly so. Greater blood loss, longer operative time, bone deficiency, distorted anatomy, and scar tissue all make revision surgery more challenging. In experienced hands, outcomes are still very good and the majority of patients improve substantially.

Q: How long is recovery after revision hip replacement?

Initial mobility begins within days of surgery. Weight-bearing restrictions depend on fixation quality. Full functional recovery — returning to independent daily activity — typically requires 6–12 months of consistent rehabilitation.

When a previous hip replacement fails through loosening, wear, instability, or infection, this reconstructive procedure removes the failed implant and rebuilds the joint with a new, stable prosthesis.

90–180 min PROCEDURE

4–7 Days HOSPITAL STAY

>85% SUCCESS RATE

6–12 Months FULL RECOVERY

What is Revision Hip Replacement?

Revision hip replacement is a reconstructive procedure performed when a primary hip prosthesis has failed — most commonly through aseptic loosening, significant wear, recurrent dislocation, periprosthetic fracture, or prosthetic joint infection. Removing the original implants, managing bone loss, and achieving durable fixation with revision-specific components is considerably more demanding than primary hip replacement. At Lux Hospitals, Dr. Sai Kishan conducts a thorough pre-revision evaluation — including advanced imaging, inflammatory markers, and joint aspiration — to confirm the failure mechanism before committing to any surgical strategy.

Appropriate for patients with a symptomatic, deteriorating previous hip replacement where investigations have confirmed the cause of failure — including loosening, wear, instability, periprosthetic fracture, or proven infection — and where revision surgery is clinically indicated to restore function.

How the Procedure Works

Pre-revision Investigation

CT, X-ray, blood infection markers, and joint aspiration characterise the failure mechanism and guide selection of the revision implant system.

Anaesthesia & Surgical Exposure

The previous approach is used where possible; meticulous dissection through fibrous scar tissue exposes the failed components.

Component Removal & Bone Evaluation

Failed acetabular and femoral components are extracted; bone loss is quantified and categorised to guide reconstruction planning.

Reconstruction with Revision Implants

Tantalum cups, augments, and stemmed femoral implants are used to achieve durable fixation in the compromised bone environment.

Wound Closure & Early Recovery

The wound is closed in layers; weight-bearing is guided by fixation quality; structured physiotherapy starts as early as the reconstruction allows.

Outcomes

90–180 minDURATION

4–7 DaysHOSPITAL STAY

>85%SUCCESS RATE

6–12 MonthsFULL RECOVERY

Who Needs This Treatment?

→Eliminates pain and dysfunction caused by a failing hip prosthesis
→Addresses bone deficiency using modern porous metal augments and bone graft
→Restores joint stability through precise component positioning and soft tissue repair
→Manages prosthetic joint infection via debridement or staged revision protocols
→Specialist revision implant platforms engineered for challenging bone stock scenarios
→Systematic pre-operative failure analysis reduces the likelihood of further failure

Revision hip surgery is not a repeat of the original procedure — it is an entirely different operation requiring a completely different mindset. Getting to the root cause of the failure is what makes a revision successful.

— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery

Common Questions

Frequently Asked

What are the signs that a hip replacement has failed?+

What are the most common reasons hip replacements fail?+

Is revision hip surgery more complicated than primary replacement?+

How long is recovery after revision hip replacement?+

Not sure which treatment is right for you?

Book a consultation with Dr. Sai Kishan and get a personalised treatment plan.

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