Revision Hip Arthroplasty
Revision Hip Arthroplasty - Related Videos
07:45
The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
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Cited by 7 •
2022
A complex revision hip arthroplasty was performed using a custom-made implant and mixed reality technology. According to the authors' knowledge, this is the first report of such procedure described in the literature.
10:35
Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
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Cited by 16 •
2017
Differential diagnostics in painful arthroplasty is crucial for treatment success. Joint aspiration is routinely performed preoperatively. Multiplex polymerase chain reaction of the joint aspirate and the sonication fluid, a feasible tool for quick pathogen detection from these samples is described.
10:10
Reverse Total Shoulder Arthroplasty
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Cited by 5 •
2011
Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder.
09:50
A Revised Method for Inducing Secondary Lymphedema in the Hindlimb of Mice
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Cited by 7 •
2019
This animal model enables researchers to induce statistically significant secondary lymphedema in the hindlimb of mice, lasting at least 8 weeks. The model can be used to study the pathophysiology of lymphedema and to investigate novel treatment options.
07:52
Revised and Neuroimaging-Compatible Versions of the Dual Task Screen
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Cited by 4 •
2020
We developed the original Dual Task Screen (DTS) as a portable, low-cost measure that can evaluate athletes with sports-induced mild traumatic brain injury. We revised the original DTS for future clinical use and developed a neuroimaging-compatible version of the DTS to measure neural underpinnings of single and dual task performance.
FAQs
Revision surgery must address the condition of an existing prosthesis as well as any damage caused by failure, loosening, wear, pain, or infection. After removing failed components, the surgical team evaluates the remaining bone and soft tissues before choosing a reconstruction strategy. This additional assessment makes planning more demanding than placing an implant during primary replacement.
The condition of the bone and soft tissues determines how the hip can be reconstructed after failed components are removed. Bone damage may require specialized fixation or bone grafting, while soft-tissue assessment contributes to restoring hip stability. Evaluating both structures helps the surgical team select implants and reconstruction methods suited to the patient’s existing anatomy.
Common indications described for revision include persistent or recurrent pain, implant loosening, component wear, infection, and other forms of prosthesis failure. These problems can compromise stability, mobility, or the durability of the original replacement. Identifying the underlying cause is important because the revision must correct the failed situation rather than simply replace components without addressing associated damage.
Restoration depends on removing failed components, assessing structural damage, and securing replacement implants with an appropriate reconstruction plan. When necessary, specialized fixation or bone grafting supports reconstruction where the original implant no longer provides adequate support. The intended result is improved stability and function, with pain relief and mobility serving as important clinical outcomes.
Planning begins with careful preoperative assessment and identification of why the existing hip prosthesis has failed. Surgeons then anticipate the condition of the bone and soft tissues, determine which components require removal or repair, and prepare a reconstruction strategy. This process guides decisions about replacement implants, specialized fixation, and possible bone grafting before surgery begins.
These options may be needed when removal of failed components leaves bone damage or insufficient support for standard implant placement. Specialized fixation helps secure the new components, while bone grafting can contribute to reconstruction of affected bone. Their use reflects the intraoperative structural findings and supports efforts to restore stability and improve the durability of the revision.
Clinical outcomes include relief of pain, restoration or preservation of mobility, improved hip stability, and recovery of function. Long-term success also depends on how effectively the reconstruction addresses the original failure and supports the replacement components. These outcomes explain why revision surgery is undertaken despite its greater complexity compared with the initial hip replacement.
Revision hip arthroplasty provides a treatment pathway for patients whose prior hip replacements no longer provide acceptable pain relief, stability, or function. By combining failure assessment with reconstruction of damaged bone and soft tissues, it can address complications while attempting to preserve or restore mobility. Its clinical relevance lies in managing failed implants and improving longer-term patient outcomes.