What makes revision surgery complex?
Bone is often missing because of loosening or removal of the old implant. Large defects can develop around the hip socket. They need to be reconstructed to provide secure support for the new replacement.
Our approach
- 1Identify the cause using imaging, blood tests and joint aspiration. Revision without a clear cause has poor prospects.
- 2Always exclude infection, even when loosening appears mechanical.
- 3Plan with CT when there are large bone defects.
- 4Replace only what needs replacing. Well-fixed, correctly positioned components are retained where possible.
- 5Set an individual aftercare plan: weight-bearing depends on the bone reconstruction.
Realistic expectations
Revision is a larger operation than a first replacement. Recovery takes longer and the risk of complications is higher. With careful planning and an experienced team, most patients achieve a considerably improved and more stable hip.