HIP SURGERY
Revision Hip Replacement
Revision Hip Surgery involves replacing a previously implanted prosthetic joint with new components to improve joint function. This procedure is more complex than the initial surgery and requires detailed pre-operative planning. Dr David Kitchen performs these specialised reconstructions at Burnside Stepney, Ashford Hospital and Western Hospital in Adelaide.
What is Revision Hip Surgery?
A revision procedure involves the removal of existing hardware from the femur (thigh bone) and the acetabulum (hip socket). As the bone is often more fragile or has changed shape since the first operation, Dr David Kitchen uses dedicated revision implants. These components often feature longer stems or specialised modular parts designed to provide additional support and stability within the joint.
Is Revision Surgery Necessary?
A hip replacement may require revision for several clinical reasons. Dr David Kitchen identifies the underlying cause through blood tests and advanced imaging:
Implant Loosening
The bond between the implant and the bone can weaken over time (aseptic loosening), leading to pain.
Wear and Tear
The plastic or ceramic liners can degrade, which may cause inflammation or localised bone loss (osteolysis).
Infection
A deep infection around a prosthetic joint often requires the components to be replaced.
Recurrent DislocationÂ
If the hip joint repeatedly displaces, a revision may be required to adjust the alignment or use a more constrained implant.
Fracture
An injury can result in a fracture in the bone surrounding the existing implant (periprosthetic fracture).
Potential Benefits of Revision Surgery
While more involved than a primary replacement, revision surgery is a vital tool for resolving chronic issues with a failing joint.
Pain Management
Addresses the source of mechanical pain or inflammation from a loose or worn implant.
Joint Stability
Uses specialised components to provide a firm foundation where ligaments or bone may be weaker.
Bone Preservation
Uses modern augments and grafts to manage bone loss and support the new prosthesis.
Mobility
Helps to improve weight-bearing capacity and may make everyday movements easier.
About the Surgery
Revision surgery is individualised to each patient. As the original implant is removed, any bone loss is addressed during the procedure:
- Component Removal: The old femoral and pelvic components are carefully removed to keep as much bone as possible.
- Bone Management: Dr David Kitchen may use metal augments, mesh, or bone grafts to build a stable foundation for the new joint.
- Specialised Implants: These implants often feature longer stems that sit further inside the femur for increased load distribution.
- Reconstruction: The new components are fixed in place and the joint is tested for alignment and stability.
Recovery & Rehabilitation
Many patients report a positive transition through their initial recovery. While the use of robotic technology supports a precise surgical execution, the rehabilitation timeline remains a gradual process:
Day
1 - 4
Hospital Stay
For this stage, the focus is on pain management and initial mobility. Gentle exercises guided by the physiotherapist before discharge.
Week
1 - 6
Early Recovery
You will likely require walking aids for a longer period to allow the new reconstruction to bond with the bone. Wound care and basic mobility are the priorities.
Month
2 - 4
Functional Strengthening
Physiotherapy is used to improve the range of motion and muscle support around the new joint.
Month
6+
Full Recovery
Most patients return to low-impact daily activities, though healing of the bone and soft tissues continues for up to a year.
Risks & Complications
Revision surgery is more involved than a primary replacement. Potential complications include:
Frequently Asked Questions
TAKE THE NEXT STEP
Specialist hip care to improve mobility.
Consulting at sportsmed Stepney & Henley Beach · A GP referral is required.