Revision Total Hip Replacement: Comprehensive Guide | Dr. Manuj Wadhwa

Welcome to Dr. Manuj Wadhwa's channel, where we provide in-depth insights into advanced joint replacement procedures. In this video, Dr. Wadhwa discusses Revision Total Hip Replacement (Revision THR), a critical procedure for those who need their initial hip replacement surgery redone. While primary hip replacements boast a success rate of 99.5%, certain life circumstances or complications can necessitate a revision.

Why is Revision THR Needed?

1. Infection:

• Early Stage Management: Infections can stem from various infections like urinary or dental origins and, if detected early, can be managed effectively with antibiotics.

• Delayed Stage Management: If the infection is identified later, surgical intervention may be required:
o Head and Cup Replacement: Initial intervention involves replacing the infected components.
o Lifelong Antibiotics: For persistent infections, long-term antibiotic therapy may be necessary.
o One-Stage Revision: All implant components are removed, cultures are taken, and antibiotics are meticulously administered. This approach has a 50% success rate, often necessitating a more extensive two-stage revision if unsuccessful.
o Two-Stage Revision:
 First Stage: Removal of all implant parts, followed by the application of cement loaded with high-dose antibiotics to eradicate the infection.
 Second Stage: Once the infection is cleared, new implants are placed. This method significantly enhances the chances of a successful outcome.


2. Wear and Tear of the Implant:
• Over time, implants can wear down due to constant use, necessitating the use of extended implants during revision surgery to restore functionality and longevity.

3. Fracture:
• Periprosthetic fractures, or fractures around the hip implant, require prompt surgical intervention to stabilize the joint and replace or reinforce the implant.

4. Dislocation:
• A single dislocation may be managed with non-surgical adjustments. However, recurrent dislocations often require revision surgery, using advanced systems like constraint liners or dual mobility hips to ensure stability.

5. Metal Allergy:
• Allergic reactions to the metal components of the implant can cause significant discomfort and complications, making revision surgery necessary to replace the implant with hypoallergenic materials.

6. Broken Implants:
• Implants can break or become damaged over time, necessitating their replacement to maintain the functionality of the hip joint and alleviate pain.


Challenges and Success Rate :

Revision THR surgeries are highly technical and challenging, requiring the expertise of seasoned surgeons. Dr. Manuj Wadhwa emphasizes the importance of choosing an experienced surgeon and leveraging cutting-edge technology to enhance the success rates of these complex procedures. With expert handling and advanced techniques, success rates can reach up to 90%.

About Dr. Manuj Wadhwa: Dr. Manuj Wadhwa is a globally renowned joint replacement surgeon known for his exceptional expertise and innovative approaches in joint replacement surgeries. His dedication to patient care and surgical excellence ensures that every procedure is performed with the highest standards of medical practice.

For more information or to schedule a consultation with Dr. Wadhwa, visit our website www.eliteorthoindia or contact us at +91 86996 86996.


Stay Informed and Connected: Don't forget to like, comment, and subscribe to our channel for more comprehensive videos on joint replacement, orthopedic health, and medical advice. Stay updated with the latest in healthcare and wellness.

✨ Dr. Manuj Wadhwa - guiding patients towards a renewed quality of life.

🔗 Connect with us:

https://www.eliteorthoindia.com/elite...

#RevisionHipReplacement #HipReplacementSurgery #Eliteorthopaedics #DrManujWadhwa #JointReplacement #HipSurgery #Healthcare #MedicalExpertise #Orthopedics #PatientCare #AdvancedSurgery #PatientEducation