Problematic Hip Replacement Top 10 priorities
The most important questions
- How can the cause of a problematic hip replacement be diagnosed more quickly and accurately?
- What causes pain in hip replacements? How is this best treated and managed, including using non-surgical approaches?
- What can be done before revision hip surgery (including physiotherapy, lifestyle change and exercise) to optimise the result?
- What are the best ways (including non-surgical treatments) of managing fractures around hip replacements?
- Are there ways to identify which people with a problematic hip replacement will benefit from revision surgery?
- What can be done after revision hip surgery (including physiotherapy and exercise) to optimise the result?
- What are the best ways to treat and manage infected hip replacements?
- What treatment benefits people with a problematic hip replacement when no cause is found?
- Is revision hip surgery best carried out by a specialist or non-specialist surgeon? Which is more successful and cost-effective?
- What are the early signs of a problematic hip replacement which indicate patients need to be assessed?
The following questions were also discussed and put in order of priority at the workshop:
- Do allergic reactions to the materials in an implant cause problematic hip replacements?
- When is the optimum time for revision hip surgery (for example when the replacement is causing pain or following dislocation)?
- How long do hip replacements last after revision hip surgery?
- What is the cause of muscle loss or damage following revision hip surgery, and how is this best treated?
- What are the long-term risks of further problems following revision hip surgery?
- How often should hip replacements be reviewed to check for problems?
- How long after the initial surgery should assessment and treatment of a problematic hip replacement begin?
- What is the best choice of implant to use for revision hip surgery?
- What causes soft tissue around the hip joint to harden following hip replacements?