Revision Hip Replacement in Colorado Springs, CO
Revision hip replacement in Colorado Springs, CO is a specialized procedure used to repair or replace a previously implanted hip replacement when the artificial joint has developed a problem. Revision surgery may be considered when an implant becomes loose or worn, the hip repeatedly dislocates, an infection develops around the prosthesis, or bone surrounding the implant has deteriorated.
Tyler Bron, M.D.
Board-certified Orthopaedic SurgeonDr. Bron completed his fellowship in Adult Reconstruction, specializing in the treatment of arthritic hip & knee conditions at the University of Colorado in Aurora. He received specialized training in dealing with complex injuries of the hip and knee & has a particular interest in the treatment of hip arthritis through a muscle-sparing Anterior Approach. Dr. Bron works diligently with each & every patient to customize treatment plans & optimize outcomes to meet the patient’s individual goals.
Tyler Bron, MD, is a board-certified orthopaedic surgeon with fellowship training in adult reconstruction, specializing in hip and knee conditions and joint replacement surgery. His practice includes hip revision surgery, providing patients with specialized care when a previous hip replacement requires further evaluation or treatment.
Revision hip replacement can be more complex than a primary hip replacement because the surgeon may need to address damaged bone, remove existing components, replace only part of the implant, or reconstruct portions of the hip joint. Dr. Bron evaluates each patient individually to understand the cause of the failed or painful hip replacement and develop an appropriate treatment plan.
If you are experiencing increasing pain, instability, dislocation, or other problems following a previous hip replacement, schedule an evaluation with Dr. Tyler Bron in Colorado Springs to discuss your condition and treatment options.
What is Revision Hip Replacement?
During total hip replacement, the damaged cartilage and bone are removed from the hip joint and replaced with artificial components. At times, hip replacement implants can wear out for various reasons and may need to be replaced with the help of a surgical procedure known as revision hip replacement surgery.
Revision hip replacement is a complex surgical procedure in which all or part of a previously implanted hip joint is replaced with a new artificial hip joint. Total hip replacement surgery is an option to relieve severe arthritis pain that limits your daily activities.
What are the Indications for Revision Hip Replacement?
Revision hip replacement is advised for the following conditions:
- Increasing pain in the affected hip
- Worn out plastic or polyethylene prosthesis
- Dislocation of previous implants
- Loosening of the femoral or acetabular component of the artificial hip joint
- Infection around the hip prosthesis, causing pain and fever
- Weakening of bone around the hip replacement (osteolysis)
What is the Procedure of Revision Hip Replacement?
Revision hip replacement surgery is performed under general anesthesia. During the procedure, your surgeon will make an incision over the hip to expose the joint. Then, the femur is dislocated from the acetabulum so that the old plastic liner and metal socket can be removed from the acetabulum.
After removal, the acetabulum is prepared using extra bone and wire mesh to make up for the socket space and shape. Then, the new metal shell is inserted into the socket using screws or special cement. A liner made of plastic, ceramic or metal is placed inside the metal socket.
To prepare the femoral component, the top of the femur bone is cut into several pieces to remove the implant. The segments of bone are cleaned, and the new femoral implant is inserted into the femur either by a press fit or using bone cement. The segments of the femur and the femoral component are held together with surgical wires. Then the femoral head component made of metal or ceramic is placed on the femoral stem. All the new components are secured in place to form the new hip joint. The muscles and tendons around the new joint are repaired and the incision is closed.
What Does Postoperative Care for Revision Hip Replacement Involve?
After undergoing revision hip replacement, you must take special care to prevent the new joint from dislocating and to ensure proper healing. Some of the common precautions to be taken include:
- Avoid combined movement of bending your hip and turning your foot inwards because it can cause dislocation.
- Place a pillow between your legs while sleeping for 6 weeks.
- Never cross your legs or bend your hips past a right angle (90 degrees).
- Avoid sitting on a low chair.
- Avoid bending down to pick up things; instead, a grabber can be used to do so.
- Use an elevated toilet seat.
What are the Risks of Revision Hip Replacement?
As with any major surgical procedure, there are certain potential risks and complications involved with revision hip replacement surgery. The possible complications after revision hip replacement include:
- Infection
- Dislocation
- Fracture of the femur or pelvis
- Injury to nerves or blood vessels
- Formation of blood clots in the leg veins
- Leg length inequality
- Wearing of the hip prosthesis
- Failure to relieve pain
Why Choose Dr. Tyler Bron for Revision Hip Replacement in Colorado Springs?
Revision hip replacement requires specialized knowledge of hip reconstruction and the management of complications involving previous joint replacements. Tyler Bron, MD, is a board-certified orthopaedic surgeon with fellowship training in adult reconstruction, with a practice focused on hip and knee conditions and joint replacement.
Dr. Bron's practice includes hip revision surgery as well as total hip replacement and anterior hip replacement. His patient-centered approach emphasizes understanding the cause of a patient's symptoms, discussing available treatment options, and considering nonsurgical care when appropriate.
Revision surgery is different for every patient. The procedure may involve replacing one or more components of an existing implant, addressing bone loss, treating instability, or managing other complications. Dr. Bron can evaluate your individual circumstances and discuss the appropriate surgical and nonsurgical options.
For patients seeking revision hip replacement in Colorado Springs, Colorado, Dr. Bron provides specialized adult reconstruction care through Colorado Springs Orthopaedic Group.
Revision Hip Replacement FAQs
Revision hip replacement is a surgical procedure performed to repair or replace some or all of the components of a previously implanted artificial hip. It may be necessary when a hip replacement becomes painful, unstable, infected, worn, or loose, or when the bone surrounding the implant has deteriorated.
Several problems can result in the need for revision surgery. These may include implant loosening, wear of the implant components, recurrent dislocation, infection, fracture around the implant, or loss of bone surrounding the prosthesis. Persistent or increasing pain after hip replacement should be evaluated by an orthopaedic specialist.
Possible warning signs include increasing or persistent hip pain, instability, recurrent dislocation, difficulty walking, changes in hip function, or symptoms associated with infection. Some implant problems may develop gradually, so new or worsening symptoms after hip replacement should be discussed with your doctor.
Not always. Depending on the cause of the problem, your surgeon may replace one or more components of the existing hip replacement rather than the entire implant. The extent of revision surgery depends on factors such as implant condition, bone quality, stability, infection, and the location of the problem.
Revision hip replacement can be more complex because the surgeon must work around an existing implant and may need to address scar tissue, bone loss, damaged bone, or other complications. The complexity varies from patient to patient and depends on why revision surgery is necessary.
The specific procedure depends on the reason for revision. The surgeon may remove some or all of the existing components, prepare the surrounding bone, address bone loss or other problems, and place new hip replacement components. In some cases, additional reconstruction may be necessary.
Your orthopaedic surgeon will review your symptoms and medical history and perform a physical examination. X-rays are commonly used to evaluate the position and condition of the implant. Depending on the suspected problem, additional imaging or laboratory tests may be necessary, particularly when infection or significant bone loss is a concern.
Yes. An infection involving a hip prosthesis can cause pain, inflammation, implant loosening, and other complications. Treatment depends on factors such as the type and timing of the infection and the condition of the implant. Specialized evaluation is important when infection around a joint replacement is suspected.
Recovery after revision hip replacement varies and may be longer or more involved than recovery after a primary hip replacement. Your recovery plan depends on the complexity of the revision, bone quality, the components replaced, your overall health, and your rehabilitation needs. Your surgeon will provide individualized instructions regarding weight-bearing, physical therapy, mobility, and activity.
Physical therapy may be an important part of recovery after revision hip replacement. Your rehabilitation program will be tailored to your procedure and recovery progress. Your surgical team will explain when to begin exercises and how to safely increase activity.
Postoperative precautions depend on the surgical approach, the reason for revision, the stability of the new implant, and your surgeon's protocol. You may receive instructions regarding hip positioning, sleeping, sitting, weight-bearing, and activities that should temporarily be avoided.
As with any major surgery, revision hip replacement has potential risks. These may include infection, dislocation, fracture, nerve or blood-vessel injury, blood clots, leg-length differences, implant wear or loosening, bone loss, and persistent pain. Because revision surgery can be complex, your surgeon will discuss the potential risks and benefits specific to your case.
The goal of revision surgery is to address the underlying problem with the previous hip replacement and improve pain and function when possible. However, results vary depending on the cause of implant failure, the condition of the surrounding bone and soft tissues, and other individual factors.
You should consider an orthopaedic evaluation if you develop new or increasing pain, instability, recurrent dislocation, difficulty walking, or other changes in the function of a previously replaced hip. Prompt evaluation can help identify the cause and determine whether observation, nonsurgical treatment, or revision surgery may be appropriate.
Dr. Tyler Bron, MD, specializes in adult reconstruction and provides hip revision surgery through Colorado Springs Orthopaedic Group. Patients in Colorado Springs and surrounding communities can seek evaluation for problems involving a previous hip replacement.
Schedule a Revision Hip Replacement Consultation in Colorado Springs, CO
Problems with a previous hip replacement can affect your mobility, comfort, and confidence in everyday activities. If you are experiencing persistent or worsening hip pain, instability, recurrent dislocation, or another concern following hip replacement, a specialized orthopaedic evaluation can help identify the cause.
Tyler Bron, MD, provides adult reconstruction and joint replacement care in Colorado Springs, Colorado, including evaluation and treatment of problems involving previous hip replacements.
Contact Colorado Springs Orthopaedic Group to schedule a consultation with Dr. Tyler Bron and discuss your revision hip replacement options.
Get Specialized Hip Revision Care in Colorado Springs
If your previous hip replacement is causing new or ongoing problems, don't ignore changes in pain or function. Schedule an evaluation with Dr. Tyler Bron in Colorado Springs, CO to learn more about your condition and whether revision hip replacement or another treatment option may be appropriate.
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