A hip replacement is a highly effective procedure for relieving pain and restoring mobility, but in some cases, the artificial hip joint may wear out, become loose, or experience complications over time. When this happens, revision hip replacement surgery may be required to replace the worn or damaged prosthesis. Mr. Sanjiv Manjure, an experienced orthopaedic consultant in Luton, specialises in revision hip replacement surgery, providing personalised care with a focus on achieving the best possible outcomes. This guide covers the procedure, recovery, risks, and why Mr. Manjure is the ideal choice for your care.

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What is revision hip replacement surgery?

Revision hip replacement surgery is performed when a previous hip replacement fails or experiences complications. The surgery involves removing the old, worn-out prosthesis and replacing it with a new one. Reasons for requiring a revision procedure include:

• Implant wear and tear: Over time, the artificial hip joint may wear down, leading to discomfort and reduced functionality.
• Loosening of the implant: The prosthesis may become loose and fail to stay securely in place.
• Infection: Infection at the surgical site can compromise the integrity of the original hip replacement.
• Dislocation or instability: The joint may become unstable or prone to dislocation, especially after multiple surgeries.
• Bone loss: Significant bone loss in the hip joint may make it difficult for the implant to be properly secured.

Revision hip replacement is a complex procedure that requires expert care and precision, particularly in cases of significant bone loss or complications from previous surgeries.

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Who can benefit from revision hip replacement surgery?

Candidates for revision hip replacement surgery include individuals who:

• Have experienced pain, discomfort, or instability after a previous hip replacement.
• Have developed complications such as implant loosening, wear, or infection.
• Have experienced a hip fracture or significant bone loss that has affected the stability of the implant.
• Have had a hip replacement that no longer provides adequate pain relief or mobility.

Mr. Manjure will perform a thorough evaluation to determine if revision surgery is the most appropriate option for you and ensure the best possible outcome.

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The procedure

Pre-operative preparation

Before undergoing revision hip replacement surgery, Mr. Manjure and his team will ensure that you are fully prepared for the procedure. This includes:

• A comprehensive consultation to review your medical history, prior hip surgeries, and any complications you may have experienced.
• Pre-surgical tests such as blood work and advanced imaging scans to assess the condition of your hip joint, the status of the previous implant, and any bone loss.
• Instructions on fasting and stopping medications that may interfere with the procedure.

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The surgery/procedure itself

Revision hip replacement surgery is typically performed under general anaesthesia. The procedure involves:

• Removal of the original prosthesis, which may be challenging if the implant is well-fixed or if bone loss has occurred.
• Restoration of bone loss, which may require the use of bone grafts or specialised implants designed to provide additional support.
• Placement of a new, custom prosthesis designed to fit your anatomy and offer improved stability.

The surgery can take 2-4 hours, depending on the complexity of the case. Mr. Manjure uses advanced techniques and precision tools to ensure the best possible fit and minimise the risks associated with revision surgery.

Mr. Manjure performs revision hip replacement surgeries at The Manor Hospital in Bedford, which is known for its modern surgical facilities, as well as at Luton and Dunstable University Hospital, which offers comprehensive orthopaedic care. Both hospitals are equipped with the latest technology to support complex revision surgeries and provide excellent post-operative care.

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Duration and post-op care

After surgery, you will spend some time in the recovery room while the medical team monitors your condition. Most patients stay in the hospital for 3-5 days, depending on the complexity of the surgery. Immediate post-operative care includes:

• Pain management through medication.
• Physiotherapy to begin restoring movement and strength to the hip.
• Assistance with mobility using crutches or a walker.

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Recovery and aftercare

Recovery from revision hip replacement surgery varies based on the complexity of the procedure, but most patients follow this general timeline:

• First Few Days: Pain management and initial rehabilitation with support for walking and movement.
• First Few Weeks: Gradual improvement in mobility, with physiotherapy focusing on strength-building and restoring joint function.
• 3-6 Months: Full recovery, during which time patients gradually resume their normal activities and continue physiotherapy to enhance hip stability and strength.

Mr. Manjure will provide follow-up care to ensure you are healing properly and achieving the best recovery results. He will guide you through each stage of the recovery process to ensure that your new hip joint functions optimally.

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Risks and complications

As with any surgery, revision hip replacement carries some risks, though these are rare and can be minimised with careful planning and post-operative care. Possible complications include:

• Infection at the surgical site.
• Blood clots, particularly in the legs.
• Implant failure or loosening, particularly if bone quality is poor.
• Dislocation of the new hip joint.
• Nerve or blood vessel injury during the revision procedure.
• Fractures during the removal of the old implant or due to bone loss.

Mr. Manjure uses advanced techniques to reduce the risks associated with revision surgeries. Close post-operative monitoring, follow-up care, and adherence to rehabilitation instructions are essential for the best possible outcome.

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Why choose Mr. Sanjiv Manjure in Luton?

Mr. Sanjiv Manjure is an experienced orthopaedic consultant with over 20 years of expertise in hip surgery, including revision procedures. His commitment to providing personalised care, combined with his advanced skills in performing complex hip surgeries, ensures that patients receive the best possible care. Patients who choose Mr. Manjure for revision hip replacement benefit from:

• Access to leading hospitals like The Manor Hospital and Luton and Dunstable University Hospital.
• A tailored approach to revision surgery that addresses the unique challenges of each case.
• Advanced, minimally invasive techniques to improve recovery times and reduce complications.
• Comprehensive aftercare to support a smooth recovery and help patients regain optimal hip function.

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FAQs

How long will my new hip last after revision surgery?
A revision hip replacement can last between 10-20 years, depending on factors such as your activity level and overall health. Mr. Manjure will choose the most appropriate implant to ensure long-term durability.

What is the recovery time for revision hip replacement surgery?
Recovery time varies based on the complexity of the procedure, but most patients begin walking with assistance within a few days and resume normal activities within 3-6 months.

Can I return to sports after revision hip replacement?
You may be able to return to low-impact activities, such as swimming or walking, within a few months. Mr. Manjure will provide specific guidelines for your recovery and when it's safe to resume various activities.

What happens if my hip replacement fails again?
While this is rare, further revision surgery may be needed in cases of implant failure. Mr. Manjure will guide you through all available options and ensure the best solution for your long-term care.

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Contact us today to learn more about revision hip replacement surgery with Mr. Sanjiv Manjure. If you're experiencing pain or complications with a previous hip replacement, book a consultation to discuss how we can help restore your mobility and quality of life.