Any problem with the joint:
There are many causes for a painful hip replacement, those that would require revision surgery can include:
Generally it was believed that the first shot at achieving a good joint replacement is the best, and any redo surgery is never as good. It is still firmly believed that the ‘first shot is the best shot’, but if it has gone wrong for whatever reason – then revision hip surgery becomes necessary. Fortunately as surgical techniques, instrumentation and prosthesis have evolved and improved in the recent years the majority of revision surgery yields excellent long lasting results.
This hip replacement was infected and became loose until dramatically the cup spun out of the acetabulum breaking the screws and the patients bone as it did so
This kind of problem requires specialist surgery, equipment and prosthesis: below is a trabecular metal augmentation system used to rebuild the acetabulum, and a long stem uncemented femoral component
Revision THR for a posterior column fracture done while attempted THR by non hip surgeon…. Cup medialised and fractured through medial wall. Treated with Posterior column plating (for fracture) and TM Cage to span large medial defect.
A cemented acetabular revision for a recurrently dislocating hip: using a special double articulating cup which grasps the femoral head to stop dislocation.
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