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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

A total hip replacement, allowing people to live active lives without pain, is one of the most successful medical procedures. However, over time, a hip replacement can fail, and your doctor may recommend a second procedure called revision total hip replacement.

The goal is the same, but revision hip replacement is a more extended, more complicated procedure requiring extensive planning and specialised tools and implants.

More Information

The most apparent symptom of primary hip replacement failure is the pain. Other symptoms may include stiffness and reduced mobility.

The most obvious will be the pain, but your GP may also conduct the following: -

  • X-rays: to see loosening or a change in the position of the components
  • MRI scan to help determine why your hip has failed and the condition of the bone
  • Blood tests to see if you have an infection or a reaction to the metal components in your hip

The cause of loosening is not always apparent, but could be: -

  • Repetitive high-impact activities
  • Obesity
  • Wear of the plastic liner between the ball and the metal cup
  • Younger patients "outlive" the life expectancy of their artificial hip

Revision hip surgery

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