Hip Revision
Complex Hip Revision Surgery in Dubai

Hip Revision & Complex Hip Revision Surgery in Dubai at CMC Hospital

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.

Why Complex Hip Revision is Done

• Pain is usually the main reason for revision, in most cases, hips without an obvious cause for pain, do not do well after surgery.
• Dislocation: This is when your hip is popping out of place.
• Infection: It may manifest as pain or as an acute fever.
• Loosening of either the femoral or acetabular component: It may present itself as pain but may be asymptomatic.
• Osteolysis (bone loss): This could happen as a result of particles being discharged into the hip joint, which would erode the bone.

Indications for Complex Hip Revision

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.

Preparation for the Procedure

• The doctor performs a thorough examination to check for any medical issues that should be addressed prior to surgery.
• You may be required to go through a series of tests such as blood and image testing to detect any anomalies that could endanger the safety of the treatment, depending on your medical history, social history, and age.
• The doctor shall inquire if you have allergies to medications, anesthesia, or latex.
• Inform your doctor of any medications, vitamins, or supplements that you are taking.
• The doctor might advise you to refrain from supplement medications such as blood thinners or anti-inflammatories a week or two prior to surgery.
• Refrain from alcohol or tobacco during the last week before surgery as this will interfere with the healing process.
• Eight hours prior to your surgery, it is advisable not to consume any solids or liquids.
• Arrange for someone to accompany you to the hospital and take you back home after surgery.

The Procedure

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.