Specialist management of worn, loosened, or failed hip replacements
When a previous hip replacement wears, loosens, dislocates, or fails, revision surgery may be needed. This is complex, specialist work requiring careful planning around bone loss, implant removal, and reconstruction. Mr Wilson has a particular interest in the management of these challenging cases.
Revision surgery is more complex than a first-time hip replacement. It requires detailed pre-operative planning, often with specialist imaging and blood tests to rule out infection. It may also involve specialised implants or bone grafting to reconstruct areas of bone loss. Mr Wilson will explain the specific plan for your surgery, including how it differs from a primary hip replacement.
Recovery from revision surgery is generally slower and more variable than after a first hip replacement, reflecting the greater complexity of the procedure. Mr Wilson will give you a realistic, individual recovery plan, and you'll typically have closer follow-up during your rehabilitation.
Revision hip replacement — frequently asked questions
Not necessarily. Ongoing pain after a hip replacement has several possible causes, some of which don't require further surgery. Mr Wilson specialises in investigating painful hip replacements thoroughly before recommending a course of action.
Infection is investigated using a combination of blood tests, joint aspiration (sampling fluid from around the joint), and imaging. This is an important step before any revision surgery, because it affects the surgical plan.
Revision surgery is generally more complex and can carry higher risks than a primary replacement, because of factors such as existing bone loss and scar tissue. Mr Wilson will discuss your individual risk profile and how it will be managed.
This varies by individual case and the type of revision performed. Mr Wilson will give you a realistic expectation based on your specific surgery and bone quality.
