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A single operation may be performed to eradicate the infection (single-stage revision), but often surgeons prefer to do a two-stage revision involving two separate operations. If a deep infection develops in a THR, revision surgery will frequently be required to eradicate the infection and to implant new non-infected components.Patients may fall and sustain a fracture of the bone around the THR, called a peri-prosthetic fracture.THRs can dislocate on repeated occasions and revision surgery is needed to stop this distressing complication from happening.This type of loosening usually causes some bone loss and damage, and this bone loss needs to be dealt with at the time of revision surgery. The THR may become painful because it has been in place for many years and the components have begun to wear and loosen, moving a little in the bone.What are the reasons for needing a revision THR?Ī revision THR may be required for a number of different reasons: This is complex surgery but is required in certain situations where the existing THR is not functioning satisfactorily or has become painful or infected. Sometimes only the socket or stem requires replacement, but at other times the whole THR is removed and replaced. Primary Total Hip Replacements are very successful procedures, but they eventually wear out and sometimes complications may develop, requiring a further operation – revision hip replacement.Ī revision or ‘re-do’ total hip replacement procedure involves the removal of the existing THR and its replacement with new components.