Revision Hip Replacement: Restoring Mobility and Function

Revision hip replacement, also known as revision total hip arthroplasty, is a specialized surgical procedure performed to replace a previously implanted artificial hip joint that has developed complications, experienced wear and tear, or is no longer functioning effectively. This procedure aims to address issues that have arisen since the initial hip replacement surgery and restore optimal hip function. Here’s a comprehensive overview of revision hip replacement, including its reasons, procedure, recovery, and potential benefits:

Reasons for Revision Hip Replacement:

Revision hip replacement becomes necessary for various reasons:

  • Implant Wear: Over time, the artificial components of the hip joint may wear out, leading to pain and reduced mobility.
  • Infection: Infection around the joint or within the implant can compromise its function.
  • Instability: Poor implant positioning or ligament issues can cause joint instability.
  • Fractures: Bone fractures around the implant can necessitate revision surgery.
  • Component Loosening: Implant components may become loose within the bone.

The Surgical Procedure:

Revision hip replacement involves these steps:

  1. Preoperative Evaluation: Thorough assessment of the hip joint’s condition and factors contributing to the revision.
  2. Incision: An incision is made to access the hip joint and remove the existing implant.
  3. Component Removal: Existing implant components are carefully removed, addressing any complications.
  4. Bone Preparation: Remaining bone is prepared to receive new implant components.
  5. Implantation: New components are inserted, often with additional techniques to enhance stability.
  6. Closure: The incision is closed with sutures or staples.

Recovery and Rehabilitation:

Recovery after revision hip replacement includes:
  • Hospital Stay: The length of stay varies, and patients may require a longer stay than initial hip replacement.
  • Physical Therapy: Intensive rehabilitation aims to regain strength and mobility.
  • Gradual Return to Activities: Rehabilitation plans are tailored to individual progress.

Benefits of Revision Hip Replacement:

Revision hip replacement offers several potential benefits:

  • Restored Function: Addressing complications can significantly improve hip function and mobility.
  • Pain Relief: Resolving issues such as implant wear or instability can alleviate persistent pain.
  • Enhanced Stability: Properly positioned implants improve joint stability and movement.
  • Long-Term Success: When performed correctly, revision surgery can extend the life of the implant.

Important Considerations:

While revision hip replacement can be transformative, it’s important to note:

  • Complexity: Revision surgery can be more intricate due to existing implants and potential complications.
  • Patient-Specific Factors: Success depends on factors such as bone quality, infection control, and joint stability.


Revision hip replacement is a specialized procedure aimed at addressing complications that arise after an initial hip replacement surgery. This surgery can restore function, alleviate pain, and improve quality of life for individuals facing implant-related issues. If you’re experiencing persistent hip pain, instability, or other complications after a hip replacement, discussing the possibility of revision surgery with your orthopedic surgeon can help determine the best approach for regaining optimal hip health and function.