Revision Hip Replacement
Removal of a failed or worn hip replacement and reimplantation with new specialised components — addressing loosening, wear, infection, instability, or fracture in a previously replaced hip.
What is Revision Hip Replacement?
Revision hip replacement surgery involves removing a failed primary hip replacement — acetabular cup, femoral stem, or both — and replacing them with new, often more complex components designed to provide stable fixation in bone that has been compromised by prior surgery, wear, or infection. Indications include aseptic loosening (the most common cause), polyethylene or ceramic wear, periprosthetic joint infection (requiring two-stage revision), recurrent instability and dislocation, periprosthetic fracture, and adverse reactions to metal debris. Careful pre-operative evaluation to identify the exact failure mechanism is essential before planning revision surgery.
Suitable for patients with a previously implanted hip replacement who experience return of pain, instability, hip clicking or clunking, limp, or declining function attributable to implant failure confirmed on clinical and radiological assessment.
How the Procedure Works
Pre-op Investigation
X-rays, CT scan, blood markers (CRP, ESR), and joint aspiration where infection is suspected — full failure analysis before planning.
Component Removal
Failed acetabular cup and/or femoral stem are carefully extracted, preserving remaining bone stock.
Bone Defect Reconstruction
Bone defects are classified and addressed with augments, structural allograft, reinforcement rings, or metaphyseal sleeves.
Revision Implant Fixation
Larger, fully porous-coated or cemented stems and cups provide stable primary fixation in compromised bone.
Two-Stage Protocol (Infection)
Stage 1: remove infected implant, place antibiotic cement spacer. Stage 2 (6–12 weeks later): reimplant when infection is eradicated.
Outcomes
Who Needs This Treatment?
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Expert identification of the failure mode before surgery — the most critical step
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Specialised revision implant systems for all levels of bone deficiency
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Two-stage revision for infection — highest eradication rates in the literature
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Comprehensive post-operative rehabilitation programme
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Full referral and investigation network for complex cases in Hyderabad
"Revision hip replacement is demanding surgery that requires careful planning. The key question is always: why did the first replacement fail? Once we know that, we can plan a solution that addresses the root cause — not just the symptoms."
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Revision Hip Replacement Cost in Hyderabad
The cost of Revision Hip Replacement in Hyderabad generally ranges from ₹4,00,000 to ₹8,50,000, with an indicative average cost of around ₹6,25,000. Revision hip replacement may be required when a previous hip replacement develops problems such as implant loosening, wear, instability, infection or significant bone loss. Revision surgery is generally more complex than primary hip replacement, and the final cost depends on the reason for revision, bone condition, implant selection, surgical complexity and whether staged treatment is required.
| Procedure | Approximate Cost Range |
|---|---|
| Revision Hip Replacement | ₹4,00,000 – ₹8,50,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. Revision hip replacement may involve removal of existing implants, management of bone loss, specialised revision components or treatment of infection. In selected patients with infection, staged revision surgery may be considered and can affect the overall treatment cost.
Factors Affecting the Cost of Revision Hip Replacement
The overall cost of Revision Hip Replacement can vary depending on the reason for revision, extent of bone loss, condition of the existing implant, infection status, revision implant selection, surgical complexity and postoperative rehabilitation.
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Reason for revision: Implant loosening, instability, wear, recurrent dislocation, periprosthetic fracture or infection can require different surgical approaches and levels of complexity.
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Bone loss: Significant bone loss around the hip may require specialised implants, bone grafting or reconstruction techniques, which can increase the overall treatment cost.
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Revision implant selection: Revision hip surgery may require specialised femoral or acetabular components, modular systems or other reconstruction implants depending on the patient's anatomy and bone condition.
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Infection management: When infection is suspected or confirmed, additional investigations, specialised treatment and, in selected cases, staged revision surgery may be required.
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Existing implant removal: Removal of well-fixed or difficult-to-extract components can increase operative time and may require additional instruments or surgical techniques.
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Associated complications: Fractures, soft-tissue damage, instability or other complications around the previous hip replacement may require additional procedures during revision surgery.
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Preoperative investigations: X-rays, blood tests, infection-related investigations and other imaging may be required to determine the cause of implant failure and plan revision surgery. These may be billed separately when not included in the package.
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Hospitalisation and rehabilitation: Revision surgery may require a longer hospital stay and structured postoperative physiotherapy compared with primary hip replacement. These costs may vary according to the treatment plan.
Insurance Coverage for Revision Hip Replacement
Revision Hip Replacement may be covered by health insurance when medically necessary, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm pre-authorisation requirements, implant coverage, package inclusions and applicable out-of-pocket expenses with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with a painful or failed previous hip replacement and help determine the cause of the problem and whether revision hip replacement or another treatment approach is appropriate based on clinical examination and imaging findings. During the consultation, the doctor may assess: Hip symptoms: The doctor may review pain, reduced mobility, difficulty walking, instability, recurrent dislocation and changes in hip function following the previous replacement. Previous hip replacement: Details of the original surgery, implant type, date of implantation, previous complications and any earlier revision procedures may be reviewed. Implant condition: Imaging may be assessed for signs of loosening, wear, migration, component position or other changes affecting the existing hip replacement. Bone condition: X-rays and, when indicated, CT scans may be reviewed to evaluate bone loss, fractures, implant fixation and the anatomy available for revision reconstruction. Infection assessment: When infection is suspected, the doctor may recommend appropriate blood tests, imaging or other investigations to help determine whether infection is contributing to implant failure. Soft-tissue and stability issues: The surrounding muscles, tendons and soft tissues may be assessed, particularly when instability or recurrent dislocation is a concern. Treatment planning: Based on the overall findings, the doctor may discuss revision hip replacement, staged treatment for selected infections or other appropriate management options.
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