Revision Total Hip Replacement Surgery in North Wales by Dr Amir Azam, Consultant Orthopaedic Surgeon
Hip replacements can last decades, but occasionally problems arise. Loosening, infection or wear may require a second operation called a revision hip replacement. As a Consultant Orthopaedic Surgeon specialising in complex and revision hip surgery (MBBS, MS Orth, MRCS, FRCS Orth), I provide comprehensive assessment and state-of-the-art revision hip replacement in North Wales.
What Is Revision Hip Replacement?
Revision total hip replacement involves removing a previously implanted artificial hip joint and replacing it with new components. This is more complex than first-time hip replacement and requires careful planning, specialist implants and sometimes bone grafting to restore stability.
Why Revision Surgery May Be Needed
You might require revision hip replacement if you experience:
- Implant loosening or wear causing pain or instability
- Infection around the artificial hip joint
- Recurrent dislocations
- Fractures of the bone around the implant (periprosthetic fractures)
- Allergic reaction or metal-on-metal implant issues
Why Choose a Consultant Orthopaedic Surgeon in North Wales?
Revision hip surgery demands advanced skills and access to specialist equipment. As a surgeon trained in complex and revision procedures, I offer:
- Detailed pre-operative evaluation, including X-rays, CT scans and infection screening
- Use of specialist revision implants and bone grafting techniques
- Collaboration with anaesthetists and physiotherapists for comprehensive care
- A track record of safe, effective revision surgeries
The Procedure
Revision surgery usually takes longer than a primary hip replacement. Old implants are carefully removed, damaged bone reconstructed and new implants fitted to restore alignment and stability. In cases of infection, staged surgery (removing the implant, treating infection, then re-implanting) may be necessary.
Recovery and Rehabilitation
Recovery depends on the complexity of the revision, but with modern techniques many patients walk the next day with support. Typical timelines:
- Hospital stay: 4–7 days
- Walking aids: 6–8 weeks
- Full recovery: 6–12 months or longer depending on bone healing
Close follow-up and a tailored physiotherapy programme are essential to maximise success.
Benefits and Risks
Benefits:
- Relief from pain caused by a failed implant
- Restoration of hip stability and function
- Prevention of further bone loss or deformity
Risks (higher than primary surgery):
- Infection
- Blood loss
- Dislocation
- Fracture during implant removal
- Need for additional surgery
Meticulous planning and experienced surgical technique help reduce these risks.
FAQs: Revision Total Hip Replacement
Q1: How do I know if my hip replacement is failing?
Persistent pain, instability, clicking or difficulty walking are common warning signs. An X-ray or scan can confirm implant problems.
Q2: Is revision hip surgery more painful than first-time replacement?
It can be more complex but with modern pain management most patients recover well.
Q3: How long will a revision hip replacement last?
With the latest implants and good bone stock, many last 10-15 years or longer.
Hi, I am a Consultant Orthopaedic Surgeon in North Wales, United Kingdom.
I help people regain their mobility and live pain-free lives through advanced hip and knee surgery. As a Consultant Orthopaedic Surgeon, I specialize in hip replacement, knee replacement, and revision surgery (re-do surgery for failed hip and knee replacements), offering both NHS (National Health Service) and private practice expertise.
I am also registered with leading private medical insurers, including AXA Health, BUPA, Vitality Health, WPA, Aviva, Cigna, Allianz Partners, and Healix Health Services Ltd, enabling seamless access to private orthopaedic care for insured patients.
For appointments or any other enquiries, please email secretary@dramirazam.com.
Dr Amir Azam
Consultant Orthopaedic Surgeon
MBBS, MS (Orth), MRCS, FRCS (Orth)
