Complex hip replacement as a repeat of hip surgery procedure performed in certain patients to correct the problems or complications of previous hip surgery and overcome its limitations.
The total hip replacement (THR) technique replaces all or part of the hip joint to restore joint movement with a plastic liner in between the prosthesis.
The procedure may be recommended when prior hip operations such as debridement, hip labrum repair, hip labrum reconstruction, femoral osteoplasty, and periacetabular osteotomy have not been able to alleviate the painful and incapacitating hip symptoms caused by the hip problems.
Prior to the surgery, the surgeon will administer spinal, general, or epidural anesthesia. The surgeon will then make an incision along the hip exposing the hip joint. He/she separates the femur (hipbone) from the acetabulum (pelvic socket). The acetabulum’s original plastic liner and metal socket are removed.
The doctor may prepare the acetabulum with an extra bone to make up for the socket space. A wire mesh may be necessary to hold the socket in shape. The new metal shell can be screwed in or pressed into place. Depending on the surgeon’s inclination, cement may occasionally be used. A plastic liner is then fitted to the metal socket.
In order to remove the femoral component, the area around the component may be cut then pressed or cemented into place. Next, a ball made of ceramic or metal is fixed in place on the femoral component to act as the hip joint original ball.
The new hip joint is formed by fixing the ball and socket in place. Then, approximations of the muscles and tendons are made. The doctor will finally insert drains to get rid of excessive blood/fluids.