The Hip Revision Centre of Excellence at BMI Thornbury Hospital is the first private service of its kind in the United Kingdom.
What is hip revision?
Hip replacement surgery is usually a very successful operation, resulting in the majority of patients subsequently having reduced pain and able to return to their day-to-day activities. Unfortunately in a small minority of cases the joint can fail and become painful.
There are many reasons why this may occur, but the commonest causes are infection, fracture of the bones around the joint, dislocation or simply the joint wearing out.
The operation to revise your joint is like any other surgical revision procedure, in that the operation is more complex than the original one. Rehabilitation following surgery is often more protracted and the risk of potential complications developing is greater.
Therefore, at BMI Thornbury Hospital we have brought together a team of consultant specialists who work together to minimise those risks and help you have a successful outcome.
The hip revision team
Dr Des Breen - Consultant in Anaesthesia and Critical Care Medicine
Professor lan Stockley - Consultant Orthopaedic Surgeon, specialising in hip and knee revision surgery
Dr Rob Townsend - Consultant Microbiologist specialising in infection control and the management of orthopaedic infections
What are the benefits of hip revision surgery?
Hips are revised in order to ease your pain and allow you to undertake activities of everyday living once again. In the majority of cases the operation is successful, but it is important to note that your hip may not be as strong as it was following your first hip replacement.
What does the surgery of hip revision involve?
When you meet with your consultant the surgeon will ensure that you have the opportunity to ask any questions you may have about your hip revision surgery. At the consultation, after an examination of your hip, investigations will be organised and then the consultant will discuss with you what will happen before, during and after the procedure.
You will attend a pre-assessment appointment and be seen by the nurse and physiotherapist. You will require an anaesthetic and the consultant anaesthetist will discuss with you, before surgery what options are available. They will also explain the need for you to spend 24-36 hours in the Critical Care Unit.
Your surgeon will aim to reuse the existing scar from your previous operation, but it may have to be lengthened to allow access to remove your failed hip and replace with the new one. There are many different surgical techniques and hip prostheses available for revising hips.
Depending upon the reasons for failure, the surgeon will discuss with you the appropriate technique and hip prosthesis. Sometimes the surgeon may decide to undertake the revision in stages, which would require two operations.
Following surgery, you should be able to go home within five to ten days. Under supervision from one of our physiotherapists, you will be shown how to walk, initially with a walking frame and subsequently with crutches. Appropriate rehabilitation with the physiotherapy team should help you return to your normal activities as soon as possible.
Revision surgery is a much bigger procedure than your first hip replacement and recovery tends to take twice as long, so you will need to be patient. Most of our patients are very pleased with the outcome following their revision surgery, as it allows them to be active once again.
If you'd like to know more about the services that the Hip Revision Centre offers, please call 01142 661133 or enquire online.