{"id":22897,"date":"2025-10-04T09:03:54","date_gmt":"2025-10-04T09:03:54","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=22897"},"modified":"2026-07-08T08:42:31","modified_gmt":"2026-07-08T08:42:31","slug":"revision-de-prothese-de-hanche","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/revision-de-prothese-de-hanche\/","title":{"rendered":"Hip prosthesis revision : when and why is it necessary to operate again?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">A specific and controlled intervention<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Hip replacement surgery generally provides very long-lasting results and allows patients to regain an excellent quality of life. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, in some cases, a new procedure called revision surgery is required. <a href=\"https:\/\/coulinmedical.com\/en\/prothese-totale-de-hanche\/\" data-type=\"post\" data-id=\"20358\">hip prosthesis<\/a>\u00a0may be necessary several years after the first operation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin handles this type of complex surgery with a rigorous approach, appropriate technology, and tailored planning. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Its goal: to restore stability, relieve pain and give the patient a functional and lasting hip.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"max-width: 350px;\"><blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/DUN1gkmjKWE\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/DUN1gkmjKWE\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/DUN1gkmjKWE\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Coulin Center of Movement (@coulinmedical)<\/a><\/p><\/div><\/blockquote>\n<script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When should you consider prosthesis revision?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hip replacement revision is indicated when one or more components of the original implant no longer function correctly. Several situations may justify a revision surgery:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Natural wear of implants, generally after 15 to 25 years.<\/li>\n\n\n\n<li><strong>Unsealing<\/strong> of the stem or cup, caused by a loss of bone adhesion.<\/li>\n\n\n\n<li>Repeated dislocations of the prosthesis, leading to chronic instability.<\/li>\n\n\n\n<li>Infection around the prosthesis, sometimes requiring emergency revision.<\/li>\n\n\n\n<li>Unexplained persistent pain, after a prosthesis that was initially well tolerated.<\/li>\n\n\n\n<li><strong>Periprosthetic fracture<\/strong>, that is, a fracture occurring around the implanted rod.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An accurate diagnosis is essential to guide the selection of the best strategy, whether surgical or conservative. Dr. Coulin precisely assesses the need for hip replacement revision, based on a comprehensive clinical evaluation, imaging studies, and, if necessary, biological samples.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to make a good diagnosis before a revision?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The first step is to understand why the prosthesis is no longer working properly. This assessment is based on several elements:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/sosgenougeneve.ch\/consultation-specialisee-genou\/\" data-type=\"link\" data-id=\"https:\/\/sosgenougeneve.ch\/consultation-specialisee-genou\/\" target=\"_blank\" rel=\"noopener\">Clinical examination<\/a> detailed, to assess pain, mobility and stability.<\/li>\n\n\n\n<li>X-rays, in order to visualize the condition of the implants and detect any possible loosening.<\/li>\n\n\n\n<li>A scanner is useful for analyzing the quality of the bone around the prosthesis and planning the correction.<\/li>\n\n\n\n<li>Biological tests or joint aspirations, in case of suspected infection.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A precise diagnosis makes it possible to determine the exact type of intervention necessary and to anticipate any technical difficulties linked to the&nbsp;<strong>hip prosthesis revision<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How is revision surgery performed?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hip replacement revision is more technical than initial implantation. It often requires additional procedures: removal of old implants, bone grafts or augmentation, and adaptation of specific prostheses.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin adapts each procedure to the patient&#039;s morphology and the actual condition of the bone observed during surgery. The goal remains the same: to restore a stable, functional, and durable joint, with minimal postoperative stress.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The use of modern techniques, specialized equipment and digital planning helps to make this type of intervention, considered one of the most complex surgeries in orthopedics, safer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the consequences and results?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The postoperative course of a revision hip prosthesis is generally similar to that of a first placement, but recovery may be slightly longer depending on the complexity of the procedure.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Walking with support is usually resumed quickly, sometimes with crutches.<\/li>\n\n\n\n<li>Rehabilitation begins in the first few days, in order to gradually restore mobility, muscle strength and independent walking.<\/li>\n\n\n\n<li>Regular imaging checks allow us to verify the proper integration of the new prosthesis.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In most cases, revision surgery provides significant pain relief, improved joint stability, and a satisfactory return to daily activities.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Expert and personalized support<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hip replacement revision is a highly specialized procedure requiring particular expertise. Dr. Coulin pays meticulous attention to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Preoperative planning.<\/li>\n\n\n\n<li>Choosing the type of implant.<\/li>\n\n\n\n<li>Management of bone reconstruction if necessary.<\/li>\n\n\n\n<li>Post-operative monitoring adapted to each patient.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Its approach aims to ensure a reliable, lasting result that meets the patient&#039;s functional expectations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do you already have a prosthesis and are experiencing pain or instability?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin will see you for a consultation in Geneva to assess your situation. Through a comprehensive and personalized diagnosis, he will determine if a hip replacement revision is necessary and will guide you through each step of the treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Even a well-fitted prosthesis is not eternal.<br \/>\nPain, wear and tear, instability\u2026 In some cases, a new procedure is necessary: this is called revision surgery. When should it be scheduled? What signs should raise concern? Let&#039;s take a closer look.<\/p>","protected":false},"author":1,"featured_media":24730,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100,97],"tags":[],"class_list":["post-22897","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie","category-hanche"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=22897"}],"version-history":[{"count":15,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22897\/revisions"}],"predecessor-version":[{"id":25195,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22897\/revisions\/25195"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/24730"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=22897"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=22897"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=22897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}