Hip and Knee Revision
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Background and Patient Presentation
Patients requiring a hip revision surgery often present with progressively worsening discomfort or pain in their previously replaced hip joint. Some may report a reduced range of motion, instability, or the feeling of the joint "giving way".
Symptoms
The primary symptom is persistent pain that's not alleviated by non-surgical interventions. Other symptoms may include stiffness, swelling, limping, and in more severe cases, the inability to bear weight on the affected side. Some patients may also feel a grinding sensation within the joint.
Causes for Revision
Revision hip surgery is typically needed due to wear and tear of the original implant, loosening or dislocation of the implant, infection, or even in response to a fracture in the bone around the implant. Other less common causes include adverse reactions to the implanted materials or failure of the bone to grow around the implant, leading to instability.
Procedure
- The surgeon begins by removing the old prosthesis.
- Any damaged bone is carefully cleaned and removed.
- A new, often custom-fit prosthesis is then implanted.
- If necessary, bone grafts are utilized to strengthen the surrounding bone.
- Finally, the surgeon ensures the correct alignment and movement of the new joint before closing the incision.
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