Hip Revision

What is Hip Revision Surgery?

Hip revision surgery involves removing and replacing part or all of a previous hip replacement implant. Over time, artificial hip joints can wear out, loosen, or develop complications that require corrective surgery.

The procedure is usually performed through an open surgical incision and can take several hours depending on the complexity of the case.

Common types of hip revision surgery include:

Femoral Component Revision

Replacement of the femoral stem or head of the hip implant.

Acetabular Component Revision

Replacement of the socket (acetabular cup) of the artificial hip joint.

Full Hip Revision

Both the femoral and acetabular components of the implant are replaced.

Bone Grafting Revision

Bone grafts are used to rebuild areas where bone loss has occurred.

Complex or Custom Revision

Performed when there is severe bone loss, infection, or multiple previous surgeries.

Recovery after revision surgery may take longer than the initial hip replacement, especially if bone grafting is required.

Causes

Hip revision surgery may be necessary when complications develop after a previous hip replacement.

Common reasons include:

• Loosening of the artificial hip implant
• Wear and tear of implant components
• Infection in the hip joint
• Hip joint dislocation
• Bone loss around the implant
• Fracture around the prosthesis

Your surgeon will determine the most appropriate revision procedure based on the condition of your hip joint.

Symptoms

Patients who require hip revision surgery may experience symptoms such as:

• Persistent hip pain
• Difficulty walking
• Instability in the hip joint
• Swelling around the hip
• Reduced hip mobility
• Clicking or grinding sensations in the hip

If these symptoms occur after a hip replacement, medical assessment is important.

What Should I Do?

If you experience symptoms after a previous hip replacement, consult your doctor or orthopaedic surgeon.

You may undergo:

• Physical examination
• X-rays or imaging scans
• Assessment of implant stability and bone condition

Before surgery, a physiotherapist may also meet with you to explain the procedure and discuss the rehabilitation process and precautions.

Physiotherapy Treatment

Physiotherapy Before Hip Revision Surgery

Pre-operative physiotherapy helps prepare the body for surgery and recovery.

At ACE Physio Sports, pre-surgical physiotherapy may include:

• Education about the surgical procedure
• Exercises to strengthen surrounding muscles
• Advice on mobility aids and safe movement strategies
• Preparation for post-surgical rehabilitation

Being physically prepared can improve recovery outcomes.

Physiotherapy After Hip Revision Surgery

Physiotherapy is essential for restoring mobility and independence following surgery.

Early Phase (Weeks 1–2)

The initial focus is on pain control, swelling reduction, and safe mobility.

Treatment may include:

• Walking with a frame or crutches
• Bed mobility and transfer training
• Gentle hip range-of-motion exercises
• Muscle activation exercises for glutes and quadriceps
• Circulation exercises to reduce swelling
• Education on hip precautions

Patients are usually discharged from hospital 5–7 days after surgery once they can move safely.

Intermediate Phase (Weeks 3–6)

Rehabilitation progresses to improving strength and movement.

Physiotherapy may include:

• Progressive strengthening exercises for hip and thigh muscles
• Functional exercises such as sit-to-stand and step training
• Gait re-education to improve walking pattern
• Balance and proprioception training
• Continued range-of-motion exercises

Your surgeon may also perform follow-up X-rays around one month after surgery to monitor healing.

Advanced Phase (After 6 Weeks)

At this stage, physiotherapy focuses on improving overall function and independence.

Treatment may include:

• Advanced strengthening of hip and leg muscles
• Balance and coordination exercises
• Functional training for daily activities
• Cardiovascular activities such as walking or cycling
• Hydrotherapy or swimming for low-impact exercise

Full recovery and return to normal activities may take up to six months.

What Shouldn’t I Do?

During the early stages of recovery, certain movements should be avoided to protect the hip joint.

Avoid:

• Crossing your legs
• Twisting the hip excessively
• Sudden heavy lifting
• High-impact activities
• Ignoring pain or instability in the hip

Following physiotherapy advice helps reduce the risk of complications or dislocation.

Long-Term Effects or Recovery

Recovery after hip revision surgery can take longer than a primary hip replacement, but physiotherapy greatly improves outcomes.

With proper rehabilitation, patients can expect:

• Reduced pain and improved mobility
• Stronger hip and leg muscles
• Improved balance and walking ability
• Greater independence in daily activities
• Return to recreational activities and exercise

Consistent physiotherapy and exercise play a major role in achieving the best possible recovery.

Why Choose ACE Physio Sports

At ACE Physio Sports, we provide specialised physiotherapy programs for hip revision and post-surgical rehabilitation.

Our physiotherapy approach includes:

• Detailed post-surgery assessments
• Personalised rehabilitation programmes
• Strengthening and mobility training
• Balance and gait retraining
• Long-term exercise guidance

Our goal is to help patients recover safely, regain mobility, and return to an active lifestyle.

Book Appointment

If you are recovering from hip revision surgery, our physiotherapists at ACE Physio Sports can support your rehabilitation.

Website https://acephysiosport.com

Phone / WhatsApp +65 81535374

Email admin@acephysiosport.com

Book your physiotherapy appointment today and start your hip revision rehabilitation program.