{"id":795,"date":"2018-01-06T15:12:47","date_gmt":"2018-01-06T15:12:47","guid":{"rendered":"https:\/\/drbasavaraj.com\/?page_id=795"},"modified":"2018-01-06T15:12:47","modified_gmt":"2018-01-06T15:12:47","slug":"revision-thr","status":"publish","type":"page","link":"https:\/\/drbasavaraj.com\/?page_id=795","title":{"rendered":"REVISION THR"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<h1><span style=\"text-decoration: underline;\"><strong>Revision THR (Case examples)<\/strong><\/span><\/h1>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner]<div class=\"td_block_wrap td_block_22 td_uid_1_69f459923025f_rand td-pb-border-top td_block_template_1 tdc-no-posts tdb-no-posts td-column-1\"  data-td-block-uid=\"td_uid_1_69f459923025f\" ><script>var block_td_uid_1_69f459923025f = new tdBlock();\nblock_td_uid_1_69f459923025f.id = \"td_uid_1_69f459923025f\";\nblock_td_uid_1_69f459923025f.atts = 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\"0\";\ntdBlocksArray.push(block_td_uid_1_69f459923025f);\n<\/script><div class=\"td-block-title-wrap\"><\/div><div id=td_uid_1_69f459923025f class=\"td_block_inner td-column-1 td-opacity-read\"><\/div><\/div> <!-- .\/block -->[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_accordion style=&#8221;modern&#8221; color=&#8221;sandy-brown&#8221; active_section=&#8221;1&#8243;][vc_tta_section title=&#8221;What is Revision hip arthroplasty? &#8221; tab_id=&#8221;1501092776232-81ec2b68-d7f7&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">Revision arthroplasty is a reconstructive surgery of the hip joint and is done when primary surgery (total hip arthroplasty) fails.<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What are the indications for Revision hip arthroplasty?&#8221; tab_id=&#8221;1501092776294-6f831d2d-beac&#8221;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">The \u00a0indications for revision hip arthroplasty are<\/p>\n<p>Infection<\/p>\n<p>Dislocation as a consequence of mal-position of the components<\/p>\n<p>Loosening of the components<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;How does one evaluate if Infection is the cause for Revision surgery?&#8221; tab_id=&#8221;1501093062186-eafae75c-8870&#8243;][vc_column_text]Infection is evaluated by blood tests and tests such as MRI scan, Technetium bone scan are performed.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;How does one manage if Infection is the cause for Revision surgery?&#8221; tab_id=&#8221;1501093288622-144523a9-38e6&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">If the infection is detected early then a simple washout would be successful in most of the cases.<br \/>\nHowever if the infection is severe then either a single stage or two staged revision would be indicated.<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What is single stage revision for infection?&#8221; tab_id=&#8221;1501093357737-a38a8bce-ff16&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">In a single stage revision \u00a0for infection all the artificial components are removed, all the unhealthy tissue excised and a set of new components are inserted in the same sitting. The success rate of a single state revision for infection is around 70%.<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What is two staged revision hip arthroplasty for infection?&#8221; tab_id=&#8221;1501093415537-81a1096e-8729&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">In a two-stage revision for infection the implants are removed and temporary antibiotic loaded cement spacer is placed; the final components are inserted later on after a gap of at least 6 weeks. The patients would be on appropriate antibiotics during this period. The success rate for two-staged revision is around 90%.<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;When would revision surgery be indicated in dislocation?&#8221; tab_id=&#8221;1501093622486-ad1a574a-8215&#8243;][vc_column_text]If the components are not in optimal position and it is repeatedly dislocating, then a revision surgery should be performed to stabilize the hip joint.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What is aseptic loosening of the primary joint replacement?&#8221; tab_id=&#8221;1501093677488-29df441d-3edf&#8221;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">Aseptic loosening of the primary total hip arthroplasty means the loosening of the components, which occurs without any infection. This may take between 15 to 25 years depending on various factors. This is how ultimately the primary surgery fails.<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Why does aseptic loosening occur?&#8221; tab_id=&#8221;1501093677161-c2c508e8-564a&#8221;][vc_column_text]The loosening occurs because of the wear particles generated by the artificial bearing surfaces.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;How would a surgeon deal with the bone defects during the revision?&#8221; tab_id=&#8221;1501093725977-bb6afd7f-3484&#8243;][vc_column_text]The surgeon could use bone harvested from patient, or from bone bank. One could also use special material such as trabecular metal made out of tantalum.<\/p>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] Revision THR (Case examples) [\/vc_column_text][vc_row_inner][vc_column_inner][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_accordion style=&#8221;modern&#8221; color=&#8221;sandy-brown&#8221; active_section=&#8221;1&#8243;][vc_tta_section title=&#8221;What is Revision hip arthroplasty? &#8221; tab_id=&#8221;1501092776232-81ec2b68-d7f7&#8243;][vc_column_text] Revision arthroplasty is a reconstructive surgery of the hip joint and is done when primary surgery (total hip arthroplasty) fails. [\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What are the indications for Revision hip arthroplasty?&#8221; tab_id=&#8221;1501092776294-6f831d2d-beac&#8221;][vc_column_text] The \u00a0indications for revision hip arthroplasty are Infection Dislocation [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-795","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drbasavaraj.com\/index.php?rest_route=\/wp\/v2\/pages\/795","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drbasavaraj.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drbasavaraj.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drbasavaraj.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drbasavaraj.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=795"}],"version-history":[{"count":0,"href":"https:\/\/drbasavaraj.com\/index.php?rest_route=\/wp\/v2\/pages\/795\/revisions"}],"wp:attachment":[{"href":"https:\/\/drbasavaraj.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}