Revision Surgery
The normal life of initial hip replacement will hold for roughly 15 to 20 years. The period might vary according to condition of the patient. For those younger patients who actively engage in physical activities, the period might vary. The initial procedure might start after a series of tests that include x-ray, CT scan or even MRI I some cases. Once the relocated joint is thoroughly studied to understand the extent of the damage to the parts and components and the level of dis location, the revision surgery will be planned.
The reasons for revision Surgery
The reason why revision surgery is necessitated could be broadly classified into three categories.
- If the dislocation is frequent in a hip replacement then a revision surgery is suggested. In this case the ball that has to be snugly fit inside the socket comes out of its designated position.
- More wear and tear due to the active usage causes loose or broken joints. This is predominant with young patients who are very active and the hip joint is subjected to constant action that causes mechanical damage. These damages are considered by the natural tissues as foreign material that causes reactions resulting ultimately in either loosened or broken joints.
- Biological infection also is a major cause. This is a risk that might happen immediately after the hip replacement and if the initial six weeks are crossed the risk gradually reduces. Bacterial infection in other parts of the body might get transmitted to the hip replacement and cause infection there even.
When is a Revision Surgery undertaken?
A varied reasons and complications may lead to Revision Surgery such as:
- General wear and tear: The implant is made of hard plastic or consists of metal which due to the continuous friction break down and leads to its deterioration. If the part of the implant is worn out, then the surgeon may repair it. If the implant is completely damaged then the implant has to be removed and a new one to be inserted.
- Side-effects of the implants: Due to the wear and tear of the implant, small particles accumulate in the joints. The anti-bodies attack this foreign material to eliminate it. However, the anti-bodies also affect the bones near the implant. It further causes the bones to break and thereby cause instability of the implants.
- Dislocation: Damaged ball and socket implants, causing dislocation, are removed and a new implant is inserted.
- Fracture: Fracture of the bone near the hip needs a revision surgery to repair it. The original implant may be removed and the fracture will be tended to. Then a new implant may be inserted.
- Infection: One of the most complicated causes of hip replacement surgery is causing infection in the implant area. In case of infection, the implants will be removed, the infection treated and anti-biotic laced spaces will be inserted.
Benefits of Revision Surgery:
- The revision surgery helps to eliminate the chronic hip pain.
- The surgery improves stability, mobility, the co-ordination and the appearance of the legs.
- The surgery also helps people to return to their normal life and undertake normal routine activities with ease.
Precautions:
The artificial hip should be treated with care. Avoid heavy labor exercises and sports. Care should be taken during sleep and sitting.
