Mr Paul Gaston, Orthopaedic Surgeon

MBChB (Hons), FRCSEd, FRCS (Tr&Orth)

Revision Hip Replacement

Revision hip replacements may be required when the original hip replacement wears out or loosens. Loosening of the hip can be caused by various forms of arthritis (most commonly osteoarthritis), bone diseases, bone abnormalities, and injury.

The Procedure

The revision procedure is usually more complex than a first hip replacement. The old components need to be removed and new, usually larger ones, need to be put in their place.  Sometimes the bone has been worn away and will need replacing with artificial or grafted bone.

A cut is made along the hip and thing.  When the join has been replaced, your surgeon closes the cut with stitches or clips.  The operation usually lasts two to three hours.  Fine plastic drainage tubes are usually left in for about 48 hours afterwards.  A special wedge shaped pillow may be placed between your legs to hold your legs slightly apart to help reduce the changes of your hip dislocating.

The operation is usually done under general anaesthesia, which means that you will be asleep. However, for some patients, epidural or spinal anaesthesia is preferable. This completely blocks the feeling in your legs but you stay awake. Your surgeon and anaesthetist will discuss with you which type of anaesthesia is most suitable in your case. 

After Surgery

You will be in hospital until you are able to walk safely with the aid of sticks or crutches.  This will probably be four to five days after your operation.

0131 316 2530

Clinics on a Monday morning