Has anyone had a successful hip revision surgery?

I’m interested to know if you guys did the revision? My husband is in the same boat, THR a year ago and pretty significant glute, groin and thigh pain but all scans are normal. Hes 40 and otherwise healthy so it’s been devastating to have this outcome (needed THR from work injury). Got a second opinion and said a revision may or may not help.

@kuhrin86 Has he tried a rehabilitation physical therapist? That is a specialist (usually with a PhD in PT or Rehabilitation) who can study and analyze his gait, posture, movement, the relationship of the new hip to back, other hip and knees. This often uncovers inequality in muscle strength or balance which can then be addressed. You find this type of PT through a rehab center or orthopedic or trauma hospital. This should be covered due to the work injury.

The therapist designs a very specific program to address the area of concern, no "cookie cutter" set of exercises. Techniques they use include gait and strength training, stretching, massage, acupuncture, aqua therapy, myofascial release, and maybe heat, electro-stim or infrared therapy. After my 5th hip replacement/revision (long story) I required this type of PT to relieve back and knee pain and regain full strength. I used it again to treat chronic pain caused by progressive arthritis and rotator cuff injury/rehab.

@tallbackhip

I believe both of your points come down to having a superbly skilled revision surgeon. Revisions tend to be more complex than original replacements. Not all hip/knee surgeons do revisions and of those who do, I would trust very few to do a revision for me. Most revision surgeons also do original replacements so I consider their experience in both areas in forming my judgment.

My incredible surgeon (replaced my left hip and my right knee with no post surgical pain each time) devotes about 20% of his time to revisions.

In my view what I would call centers of excellence (such as Mayo Clinic, Cleveland Clinic, Scripps Clinic, Hospital for Special Surgery, etc. have a very high standard of excellence for all of their staff. The absolutely best surgeons are usually outside of these centers but locating them is more difficult. I looked at research papers, orthopedic conference meetings, etc. to try to narrow down the selection.

@dica Titanium/ceramic - ZERO breakdown/contamination; excellent bio-compatibility.

@steveinarizona
Steve, For me the issues are my age and health issues and reaction to anesthesia. At 86 years old, the hips have been in place since September 2009 and January 2010 and I only learning in December 2024 that I have a problem with Cobalt in my blood stream. The amount of time I would be under anesthesia to have revisions of both hips would be vey long. Although I have a high cobalt level I do not have problems with my hips per se but have a number of other issues that could be from the cobalt , including double vision with no other identifiable cause. I will be consulting with my doctor and a toxicologist about NAC treatments a possibility. My daughter who lived in Asia for about 20 years tells me that in Thailand they seem to use that a lot with successful results. We shall see. Thanks for your input. Happy Thanksgiving

My orthopedic surgeon who has performed two successful hip replacements and one successful revision admitted to me he was in over his head for my second revision. He went above and beyond to have my surgery performed by an outside provider - I am a Kaiser Permanente patient, and I was sent to Cedars-Sinai in Los Angeles for the revision. It was a nine-week hospital stay during which I got quite deconditioned, but nearly three years on now the procedure was successful. I don't have the same flexibility I used to - but who does at 63. I'm fortunate to have a surgeon who is so dedicated to my well being and advocated for an outside provider that was fully covered by my insurance. This just underscores the importance of getting second, third, or even more opinions.

My 1st THA left me with Meralgia Paresthetica (nerve damage) unable to lift leg and groin pain so that surgeon referred me to Mayo FL which did a tenonomy and hip revision that was of no help and a very difficult recovery. Continuing to seek help 28 months later.