Hip Revision

Revision hip surgery is carried out for a variety of reasons. These can include the original hip wearing out, the presence of deep infection, recurrent dislocations and fracture around the hip replacement. Because of the variety of indications, both the investigations and the surgery must be tailored to each patient.

Patients tend to present with a history of pain around the hip, it may be constant or sometimes it is only there when they walk or weight-bear on the hip. They may have noticed that the leg is shorter or there may be episodes where the hip feels like it is coming out.

All patients are examined thoroughly to look for abnormalities. They will then undergo standard x-rays to look for loosening. They will have specific blood tests to look for infection or other abnormalities. They may then go on to have special scans such as Bone scans (to confirm loosening) or White cell scans (to check for infection). Before carrying out a revision, Professor Fehily will usually carry out an aspiration of the hip to obtain some joint fluid to check for infection. This is usually done under general anaesthetic.

Revision hip surgery does carry significant risks. They are roughly double that of first time hip replacements. They include deep infection, sciatic nerve injury (causing foot drop), femoral nerve injury (causing weak quads), bleeding, leg lengthening, dislocation, fracture and general systemic risks such as stroke, myocardial infarction and thrombosis (blood clots).


Manchester Hip Clinic News



As patients who have had a hip replacement age, there is a decrease in the strength of their bones and an increase in the risk of fracture a...



As hip replacements age, the components will wear and the hip will lose its' initial soft-tissue tension. This combined with a general incre...


Hip Arthroscopy

This is an innovative procedure that allows access to the hip joint using minimally invasive surgical techniques. It has been carried out ep...


Hip Replacements

When a patient has severe arthritis and painkillers no longer effectively control the symptoms, hip joint replacement is advised. This has t...


Implant loosening

Implant loosening is the most common cause/indication for revision hip surgery. Hip replacements have been carried out in the UK regularly s...


Hip revision surgery

Revision hip surgery is carried out for a variety of reasons. These can include the original hip wearing out, the presence of deep infection...

Contact Details

Fracture Image 1a

Spire Manchester Hospital,
Russell Road, Whalley Range,
Manchester. M16 8AJ
Tel: 0773 979 1305