It is a repeat surgical procedure to replace a previously implanted hip prosthesis.
Revision joint replacement as a distinct type of surgical treatment
Revision hip replacement is a distinct and more complex type of surgical treatment that fundamentally differs from primary joint replacement. During this procedure, the surgeon works not with “untouched” anatomy, but with altered structures — previously implanted components, scar tissue, and compromised bone quality. This requires a different level of preparation, planning, and technical execution.
The main objective of revision surgery is not simply to replace the implant, but to restore joint stability and the weight-bearing function of the limb in conditions of limited anatomical resources. Surgeons often need to address bone defects, the consequences of previous interventions, and the fixation characteristics of existing components. Every decision is made with careful consideration of how it will affect the long-term durability of the reconstruction and overall joint function.
We approach revision joint replacement as an individualized surgical process, where no universal solutions exist. Before surgery, a thorough analysis of prior treatment, bone condition, and the causes leading to the need for revision is conducted. This strategy allows us to develop a well-balanced surgical plan and improve predictability of outcomes, even in complex clinical cases.
Why is revision surgery necessary?
The need for revision hip replacement may arise for various reasons and is not always associated with errors during the primary surgery. Over time, prosthetic components are subject to wear, and fixation may weaken under mechanical load. This can lead to reduced joint stability, pain, and functional limitation that cannot be resolved through conservative treatment.
One of the most common reasons for revision surgery is aseptic loosening of the implant components, in which the connection between the prosthesis and bone is compromised without signs of infection. Other indications may include recurrent dislocations, improper sizing or positioning of components, and the consequences of previous surgical procedures. In some cases, progressive changes in the bone tissue surrounding the implant may also necessitate revision.
We place particular emphasis on identifying the underlying cause of the problem, as this directly determines the strategy of repeat intervention. A thorough analysis of the clinical presentation, imaging data, and the history of prior treatment allows us to select the most appropriate solution and reduce the risk of recurrent complications after revision joint replacement.
Objectives of revision joint replacement and realistic prognosis
The goal of revision hip replacement is not only to replace worn or unstable components, but also to restore weight-bearing function and joint stability under more complex anatomical conditions. Unlike primary surgery, the surgeon often has to work with bone loss and the consequences of previous interventions, which directly affect the scope of the procedure and the recovery timeline.
Expectations for revision joint replacement are always individualized. In most cases, it is possible to significantly reduce pain, improve joint stability, and enhance the patient’s quality of life. At the same time, it is important to understand that recovery after revision surgery generally requires more time and a more cautious approach to loading compared to primary joint replacement. We discuss these aspects in advance so that the patient has a realistic understanding of the recovery process.
We support the patient at every stage of treatment, focusing on monitoring joint stability and gradual adaptation to daily activity. Careful planning, thoughtful implant selection, and structured rehabilitation allow us to achieve the best possible functional outcome even in complex clinical situations.
Stages of treatment
01
Online consultation
An online consultation allows you to discuss your condition, complaints, and symptoms in advance. You can submit imaging studies and medical documents, ask questions, and receive a preliminary treatment plan before visiting the clinic.
02
Examination and 3D surgical planning
All necessary examinations are performed within one day. A CT scan of the joint is conducted, followed by computer-based 3D surgical planning and implant selection to ensure maximum precision.
03
Surgery
On the second day of the clinic stay, the surgical procedure is performed. Original implants by Stryker Corporation (USA) and the MAKO robotic-assisted system are used, ensuring a high level of precision in implant positioning.
04
Rehabilitation and follow-up
Recovery begins immediately after surgery. In most cases, you will be able to start walking on the day of the procedure. After discharge, we continue to provide online follow-up care, including recovery guidance, rehabilitation monitoring, and answers to any questions that may arise.
The surgery is performed personally by Zaur Sulumov
The doctor is personally involved in every stage of treatment — from the initial consultation and surgical planning to recovery monitoring and outcome evaluation.
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FAQ
It is performed in cases of complications or wear of the primary implant and requires more complex surgical planning.
Main reasons include:
Aseptic loosening of implant components
Prosthetic joint infection
Wear of the polyethylene bearing surface
Dislocations and instability
Periprosthetic fractures
Significant bone loss
Before surgery, comprehensive diagnostics are performed, including X-rays, CT scans, and laboratory inflammatory markers.
Revision surgery is significantly more complex than primary replacement, as it requires:
Careful removal of previously implanted components
Reconstruction of bone defects
Use of specialized revision systems (long stems, augments, screw-fixed cups, etc.)
The duration of the procedure typically ranges from 90 to 180 minutes or longer, depending on the extent of reconstruction required.
Rehabilitation depends on the extent of the procedure.
Verticalization — within the first 24 hours
Weight-bearing — according to individual indications
Full functional recovery — typically within 6–12 weeks
In cases of infection requiring a two-stage revision, recovery timelines are longer.
Revision joint replacement is associated with a higher risk of:
Recurrent infection
Dislocation
Fractures
Thromboembolic complications
Limited range of motion
However, with careful preoperative planning and strict adherence to clinical protocols, most patients achieve significant pain reduction and improved joint function.
The longevity depends on:
The degree of bone loss
The patient’s age
Level of physical activity
Type of implanted revision system
Modern revision systems are designed to last on average 10–20 years.
Surgery costs from $11,000