is REVISION Hip Replacement Surgery is SAME as PRIMARY THR?

Hip Replacement Revision Surgery: Addressing Worn or Damaged Implants This video explores Revision Total Hip Replacement (THR), a surgical procedure for replacing a previously implanted hip joint. While the goal of both primary and revision THR is to alleviate pain and restore mobility, there are key differences in the procedures. Cases for Revision THR: -Aseptic Loosening: Over time, wear and tear can cause the implant to loosen from the bone without infection (aseptic loosening). -Septic Loosening/Infection: In some cases, bacteria can enter the joint space, causing infection (septic loosening) and necessitating revision surgery. Revision THR: Complex and Meticulous Revision THR is a longer and more complex operation compared to primary THR. This is because: -Extensive Planning: Surgeons meticulously plan revision surgery to minimize bone loss and damage during the procedure. -High-Quality Implants: Using US FDA-approved, high-quality implants is crucial for long-term success. -Addressing Bone Loss: Revision THR often utilizes long stems to engage with healthy bone and provide additional stability. Implants may also be bigger and require extra screws for a secure fit. -Specialized Augments: Specialised augments (wedges) can be used to fill bone defects and improve implant stability. Detailed pre-operative discussions help manage patient expectations and ensure a smooth recovery process. Two-Stage Surgery for Infection: If infection is present, a two-stage revision surgery might be necessary. During the first stage, the surgeon removes the infected implant and surrounding tissue. In the second stage, after successful infection treatment, specialised implants are placed to reconstruct the joint. Considering Revision THR? If you're experiencing ongoing pain or limited mobility after a previous hip replacement, consult your doctor to discuss if Revision THR might be the right option for you. 00:00 Introduction 00:38 What is revision total hip replacement? 01:00 Revision THR incase of implant loosening 01:22 Revision THR incase of infection 01:52 Why is Revision THR more complex than primary surgery? 03:43 Showcasing special implants meant for revision THR 08:20 How should I pick a surgeon? 08:40 Detailed counselling for patients 09:12 Prepare for all scenarios, ask in case of doubts DISCLAIMER: The views expressed in the video are the doctor’s personal views based on his own experience. Kindly do not use this information for your treatment decisions without your doctor’s advice. Please follow the advice of your surgeon/doctor for best results. This video is intended solely for educational purposes and should not be used for medicolegal purposes. CONTACT DR WALECHA’S OFFICE Dr Pankaj Walecha, MS(Orthopaedics) Fellow Hip & Knee Surgery, UK Joint replacement fellowships (South Korea, Germany) Email- [email protected] CALL 011-40503072, 9873824600, 9643757716 COMMUNICATIONS/DIGITAL MEDIA OUTREACH - [email protected]