hip conditions

Problematic Hip Replacement

Problematic Hip Replacement

Revision Hip Conditions

hip conditions

Total hip replacement is highly successful, but some patients can develop problems months or years later.

If you experience new or worsening pain, stiffness, instability or reduced confidence, it is important to identify the underlying cause.

What?
Assessment
Treatment
FAQs

Problematic Hip Replacement

Common causes of problematic hip replacements

  • Implant loosening

  • Wear of the bearing surfaces

  • Instability or dislocation

  • Infection around the implant

  • Soft-tissue irritation

  • Leg length or alignment issues

  • Component malposition

Problematic Hip Replacement

How revision hip problems are assessed

During your assessment, we will examine hip movement, strength, and patterns of pain. X-rays help determine the degree and location of cartilage wear.
When symptoms are complex or the diagnosis is unclear, MRI may be arranged.

Routine arthritis care is supported by the wider multidisciplinary team, especially physiotherapy and imaging colleagues.

Problematic Hip Replacement

Treatment options

Non-surgical
  • Physiotherapy and gait optimisation

  • Targeted injections

  • Antibiotics (in defined cases)

  • Close monitoring for slowly evolving issues

Surgical
  • Bearing or liner exchange

  • Adjustment of components

  • Full revision hip replacement

  • Reconstruction in cases of bone loss or instability

Problematic Hip Replacement

FAQs

Does pain mean my hip replacement has failed?

Not necessarily. Many causes of pain are treatable without major surgery.

How is infection diagnosed?

Through a combination of blood tests, imaging and sometimes joint aspiration.

Does pain mean my hip replacement has failed?

Not necessarily. Many causes of pain are treatable without major surgery.

How is infection diagnosed?

Through a combination of blood tests, imaging and sometimes joint aspiration.

Does pain mean my hip replacement has failed?

Not necessarily. Many causes of pain are treatable without major surgery.

How is infection diagnosed?

Through a combination of blood tests, imaging and sometimes joint aspiration.

If your hip replacement is not performing as expected, I can assess the cause, explain the findings and guide the most appropriate treatment plan.