Total Hip Revision Surgery
During hip replacement surgery, the hip joint is typically replaced with implants made from a combination of plastic, ceramic, and metal. While this procedure is generally successful, complications can sometimes arise over time, necessitating a revision total hip replacement.
In many cases, only specific components of the prosthetic need to be revised. However, in some instances, the entire prosthetic may need to be replaced. If the bone surrounding the hip is damaged, additional augments or implants may be required to provide structural support. If an infection is detected, a staged hip revision procedure will often need to be performed. Contact us today to schedule an appointment with some of the leading specialists in hip revision surgery in Scottsdale.
Diagnosis
The hip revision specialists at The Joint Replacement Center of Scottsdale will put you through a physical examination to test your hip’s strength and mobility. They will use diagnostic tests such as MRIs or X-rays to get a better view of the extent of the damage. From there, they will recommend the best course of action to get you back on the move. Blood tests may also be ordered if there is reason to believe there is an infection in your hip.
Stages of Hip Revision
One Stage Revision
Most revision hip surgeries can be accomplished with a single procedure. Even though these procedures are generally more complex than primary hip replacement, patients can often still return home the same day as the procedure. Your specific needs will be determined at the time of your consultation.
Two Stage Revision
In cases of infection, the surgery will likely be performed in 2 stages. During the first stage the implant is removed and replaced with an antibiotic spacer to help fight infection over the course of several weeks while you are also treated with intravenous antibiotics. During the second stage of this procedure, once the infection has been cleared, the spacer is removed and a new prosthetic is inserted.
About the Procedure
A revision hip replacement is often more complex and might take longer than the initial replacement. To begin, we follow the original line of incision to expose your hip joint. We then examine the soft tissues and look for your signs of infection. The components of the hip will be assessed closely to determine which parts need to be revised.
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Frequently Asked Hip Surgery Questions.
We’re here to address your concerns and provide clarity about all aspects of hip surgery. Contact us if you have additional questions you would like answered.
Can I swim?
You can swim 2 weeks after surgery.
When can I drive?
Each patient is different and it depends on which leg was operated on but generally when:
- You are not taking narcotics during the day
- You can comfortably get in on the drivers side
- You feel you are strong enough to get from the gas to the brake quickly enough to avoid an accident
When can I golf?
Typically 6 weeks after surgery.
When can I fly?
You can fly 2 weeks after surgery, but with precautions. You are at risk for a blood clot for 3 months after surgery. If you fly during this time you should be on aspirin 81 mg twice a day or a stronger blood thinner for air travel.
Will I set off metal detectors?
Your hip may set off the metal detectors. Always budget extra time when visiting a location with metal detectors. If you do set off the detector, notify the TSA agent that you have a joint replacement. Airports no longer accept implant cards as proof and will still require you to undergo screening.
What activities will I be allowed to do after I am healed?
Most patients can return to all activities 3 months after surgery although full healing can take up to 1 year. However, high impact activities such as running can lead to early wear of the joint and should be avoided.
What are the extra pin holes for?
The pin sites are where Dr. Martin attaches the robotic trackers. No hardware is retained at the site.
What does the Robot do and why do I need a CT scan?
The robot provides accuracy and precision in order to improve on the results of traditional joint replacement. Dr. Martin is present at all times during the surgery and is working in conjunction with the robot. The CT scan allows Dr. Martin to create a digital 3D model of your joint to template your surgery and ensure accurate bone prep and implant position.
Returning to work after surgery?
Time off varies depending on how physically demanding your work is
- For physically demanding jobs 6 weeks
- For desk or seated jobs 2 weeks
Why are there fees for work forms?
Work forms require a significant amount of staff resources and are not reimbursed by insurance.
How many procedures has Dr. Martin performed?
Dr. Martin has successfully performed over 5000 robotic joint replacements since 2009.
Why can’t I have a handicapped placard after surgery?
Dr. Martin encourages walking as part of your recovery. You should take every opportunity to use your new joint.
What are the implants made of?
Ceramic, titanium, and polyethylene plastic. Some hip replacements have additional cobalt chrome or bone cement which is methyl methacrylate. Dr. Martin does not use metal on metal implants. If you have a nickel allergy and were provided a specialized implant it is typically made with ceramic or oxinium, titanium, and polyethylene plastic.
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20401 N. 73rd St., Suite 160
Scottsdale, AZ 85255
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8:00 am – 4:00 pm
