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secretary@david-george.co.uk
Revision Hip Replacement
If a previous hip replacement becomes painful, unstable, or worn over time, it may need to be revised - removing the existing implant and replacing it with a new one. Revision surgery is more complex than a first-time hip replacement, and benefits from a surgeon with specific experience in this area.
Mr George undertook a British Hip Society Travelling Fellowship at the Helios ENDO-Klinik in Hamburg - internationally recognised for its expertise in complex revision and infected joint replacement - as part of his focused training in this field.
Why Revision Surgery May Be Needed
Implant wear or loosening — over time, the components of a hip replacement can wear or loosen from the bone
Instability or recurrent dislocation — the joint repeatedly moving out of position
Infection — a more serious complication requiring specialist management, sometimes in stages
Fracture around the implant — a break in the bone surrounding the existing prosthesis
Ongoing pain — persistent pain following a previous replacement once investigations have identify the cause
Not all pain after a hip replacement means the implant has failed.
Mr George carries out a comprehensive assessment — including imaging and, where infection is suspected, specific tests — to accurately identify the cause of your symptoms before recommending revision surgery.
Thorough Investigations First
What Revision Surgery Involves
Revision hip replacement is generally more complex and takes longer than primary hip replacement, since it involves carefully removing the existing implant, addressing any bone loss, and fitting new components suited to the altered anatomy left behind.
Recovery is also typically longer and more variable than after a first-time replacement, and is best discussed individually based on your specific situation.
Total hip replacement in a stable position with good quality surrounding bone
The implant has become progressively loose with bone loss
The original hip replacement has been replaced with a new implant to compensate for the bone loss
Why Experience Matters Here
Revision surgery is a distinct skill set from primary joint replacement, and outcomes are closely linked to a surgeon's specific experience with complex and revision cases. This is an area of particular focus in Mr George's practice, informed directly by his fellowship training in revision and infected joint replacement.