Mr. Sudheer L Karlakki
MBBS, FRCS(Ed&Gl), FRCS(Orth), Msc(Orth Eng), LLM (Med Law)
GMC membership number: 4340252
Consultant Hip & Knee
Replacement & Revision Specialist
Honorary Senior Lecturer
Robert Jones & Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry
01691 404344 & 07384 277867
Revision Hip Replacement:
It is a surgery involving replacement of a worn & loose, infected, mal-aligned implants and fractures around a previous surgery. Most of the revision or redo surgeries are for a worn and loosened hip replacement which is associated with surrounding bone loss.
The surgery is complex, prolonged and technically challenging as it involves removal of old implant, cement from the weakened bone and fixing a new implant. It may be necessary to utilise bone graft to make up for the bone loss.
Your general condition, amount of bone loss and extent of surgery required influences the duration and outcome of surgery.
If you have had a hip replacement and starting to encounter pain in the groin or in your proximal thigh upon activity, it's best to get it checked by a specialist, often a simple plain x-ray is all that is required in addition to the examination to begin with.
Failure of replaced joint and the bone loss that goes with it, is often very subtle with minimal symptoms to begin with. Therefore any recent and persisting of symptoms, especially after years of good service in groin or the top end of thigh particularly after activity is best to get checked out by a revision specialist.
Surgery is not only aimed towards improving symptoms but also towards minimising further bone loss. Extent of bone loss not only influences the complexity of surgery but can also lead to insufficiency fracture, the surgery for which can be more serious.
