DR. CHETAN WANKHEDE is Consultant Orthopaedic Surgeon and Hip Replacement Surgeon in Thane and Mumbai.

Total Hip Replacement is a very successful procedure and many patients undergoing a total hip replacement do not experience any problems. However, it may become necessary for hip replacements to be revised for periprosthetic fracture due to fall, Infection, Loosening, metallic / poly wear

Why is it done?

Most hip revision surgeries are done because the hip has become loose, due to the ball wearing the socket down. This leads to inflammation and the loosening of the socket. Often patients who have had a hip replacement at a young age take lots of activity in physical activities.

Other Reasons are:

• The hip has become dislocated due to an infection
• A fracture has caused the hip replacement to require a revision
• Malalignment; the original implant was positioned incorrectly.

Procedure:

During surgery patient is position in lateral decubitus position Posterior approach is taken damaged bone and implant is taken out. Incase of fracture fracture bone is fixed with plate, screw and wiring.Revision implant is placed and joint is totally replaced with or without cement depending upon bone stock and age. Postoperative is made to walk as early as possible with toe touch and subsequently full weight bearing. Your physiotherapist will teach you how to safely get in and out of bed. You will be asked to wear compression stockings for the next six weeks to reduce the risk of developing a blood clot. It will be advisable to sleep on your back and to avoid bending at the hip, twisting your waist and crossing your legs. When you can safely walk and your wounds are clean and have healed, you will be discharged. Most patients go home 2-3 days after the surgery.