Revision Hip Replacement
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.
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
Who Needs This Treatment?
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Eliminates pain and dysfunction caused by a failing hip prosthesis
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Addresses bone deficiency using modern porous metal augments and bone graft
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Restores joint stability through precise component positioning and soft tissue repair
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Manages prosthetic joint infection via debridement or staged revision protocols
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Specialist revision implant platforms engineered for challenging bone stock scenarios
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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
Revision Hip Replacement Cost in Hyderabad
The cost of Revision Hip Replacement in Hyderabad at Lux Hospitals generally ranges from ₹4,00,000 to ₹8,50,000, with an average estimated cost of ₹6,25,000. Revision hip replacement may be required when a previous hip replacement develops complications such as implant loosening, infection or mechanical failure. The final cost depends on the complexity of revision surgery, bone condition, implant requirements and whether additional procedures are needed.
| Procedure | Approximate Cost Range |
|---|---|
| Loosening, infection, failed primary | ₹4,00,000 ₹8,50,000 |
Revision hip replacement is generally more complex than primary hip replacement because the surgeon may need to remove existing implants, address bone loss or infection, and use specialized revision components. Treatment may require staged surgery in selected cases, particularly when infection is present, which can significantly affect the overall cost.
Factors Affecting Revision Hip Replacement Cost in Hyderabad
The total cost of revision hip replacement varies according to the reason for revision and the condition of the hip joint and surrounding bone. Important factors include:
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Reason for revision, including implant loosening, infection, dislocation, wear, fracture around the implant or failure of the previous hip replacement
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Extent of bone loss around the existing implants, which may require bone grafting, specialized components or additional reconstructive techniques
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Complexity of removing the previous implants, particularly when components are firmly fixed or difficult to access because of previous surgery
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Type and number of revision implants required, including specialized stems, cups, liners, augments or other components selected according to the patient's bone condition
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Presence of infection around the hip replacement, which may require additional investigations, prolonged antibiotic treatment or staged revision surgery
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Associated fractures, soft-tissue damage or instability that may require additional surgical procedures during the revision
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Preoperative investigations such as X-rays, blood tests, joint-fluid analysis or advanced imaging when required to identify the cause of implant failure
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Hospital stay, anaesthesia, implants, surgical consumables, blood management, rehabilitation and follow-up care, all of which can vary with the complexity of the revision procedure
Insurance Coverage for Revision Hip Replacement
Revision hip replacement may be covered by health insurance when medically necessary, subject to the policy's terms, exclusions, waiting periods, implant limits and pre-authorization requirements. Coverage may vary depending on the reason for revision and whether infection treatment, specialized implants or staged procedures are included in the approved coverage.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
Dr. Sai Kishan Sirasala, Consultant Orthopaedic Surgeon at Lux Hospitals, Hyderabad, can evaluate patients with a failed or painful previous hip replacement and determine the appropriate revision treatment approach based on clinical findings and imaging. During the consultation, the doctor may assess: Symptoms following the previous hip replacement, including persistent pain, reduced mobility, instability, clicking, limb-length concerns or difficulty with daily activities History of the primary hip replacement, including the date of surgery, implant type, previous complications and any earlier revision or infection treatment X-rays and other imaging to assess implant position, loosening, bone loss, fractures and changes around the hip replacement Possible infection around the artificial joint through clinical assessment and appropriate blood or joint-fluid investigations when indicated Condition of the surrounding bone and soft tissues to determine whether specialized revision implants or reconstructive techniques may be required Stability and function of the hip, including assessment for recurrent dislocation or other mechanical problems Whether revision can be performed in a single operation or whether staged treatment may be appropriate, particularly when infection or significant bone loss is present Expected rehabilitation, weight-bearing restrictions and follow-up requirements after revision hip replacement
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