Revision for a total hip replacement is an operation used to relieve pain and disability due to a failure of the existing prosthesis. You will probably have undergone it due to simple loosening of the prosthesis over time. However, some individuals need to undergo a revision hip replacement due to dislocation or infection of their prosthesis.

Phase one

Although you have been through a similar process with your previous hip replacement, recovery from a revision hip replacement may be a little slower and our physiotherapists will recognize this as they help you through your recovery.

The first phase of recovery will be focused on managing your pain and early mobilization to prevent excessive hip stiffness developing and reduce any chances of DVT and infection. Circle’s expert physiotherapists will help you to safely transfer out of bed on the day of your surgery or the morning after surgery. You will be provided with a walking frame or elbow crutches to initially start to weight bear and walk. With help from your physiotherapist, you will be taught how to safely ascend and descend stairs before your discharge from hospital, and supervised while you practice. For a period of time after your hip replacement, there will be certain activities and movements that your surgeon will not want you to perform due to a small risk of dislocating your hip. Your physiotherapists will educate you on how best to avoid these movements and activities and provide some alternatives so you can return to independence as quickly as possible.

Phase two - The second phase of your recovery will focus on enabling you to walk with a more normal gait pattern and weaning you off the walking frame or elbow crutches to using sticks. Our physiotherapists will design a specific rehabilitation regime to help you regain strength and balance in your operated leg. At this stage, many of the exercises will be non-weight bearing and will target the hip extensor muscles (which help to propel you forwards and upwards when walking or climbing stairs/getting out of a seat) and the hip abductor muscles (which help to stabilize your hip and pelvis when walking and standing on one leg).

Phase three - The third phase of your recovery will begin when you have recovered from any acute pain associated with the surgery and when you have recovered enough strength and balance in your operated leg to commence more vigorous, weight-bearing exercises. The exercises our physiotherapists prescribe during this phase will typically take in to consideration your normal activity levels and sports or hobbies and will aim to increase functional strength. Examples of exercises that may be prescribed are step-ups to increase your strength and balance when climbing stairs, and shallow squats to enhance your ability to go from sitting to standing.

The Game Ready Ice Machine, electric muscle stimulator, AlterG anti-gravity treadmill, Hydro Physio aqua-jogger, 3D Gait Analysis, sports exercise equipment such as the Concept2 rower, plus Circle’s Return to Sport Assessment Service may help rehabilitation following a revision for a total hip replacement

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Circle Health, 32 Welbeck St, Marylebone, London W1G 8EU