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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

Reasons for revision

Aseptic loosening Wear and tear of the joint surface, partial loosening of a joint replacement, resorption (gradual breakdown) of the bone around the replacement causing the bone to become thin or cracking of the cement that holds the implants in place. Revision surgery for this type of loosening usually requires one operation. The loose implant is removed and a new one is put in.

Septic loosening The hip is loose due to infection. It is difficult to treat infections in the hip as the blood supply is reduced and the implants can make it difficult for antibiotics to get to the specific area. Therefore, the implant is removed with an antibiotic spacer inserted temporarily. The patient is treated with a minimum of six weeks antibiotics and when the infection is clear, another operation is needed to put a new implant back in the hip.

More Information

  • We make sure you are as fit and healthy as possible before your surgery.
  • Surgery takes place within a clean air environment and sterile equipment is used.
  • Antibiotics are given before, during and after the operation.
  • Specialist equipment is used to remove the hip implants and any cement, if it was previously used. If the bone left appears too thin, extra donated bone will be used to support the joint. (The NHS Blood and Transplant Tissue Services provide donor bone for these situations).
  • Exercises and information about reducing the risk of hip dislocation will be given to you.
  • Elastic stockings and blood thinning medication will be used to reduce the risk of a blood clot and you will be encouraged to get out of bed soon after surgery.
  • It may take six months for the body to compensate for a leg length difference, but it often does. If there continues to be a length issue, this may be helped by physiotherapy and/or a shoe raise. This will be reviewed at your post-operative clinic appointments.
  • Normal walking may not be possible and you may always have a limp.
  • Pain relief
  • Increased function
  • Revision surgery can be more complex and the risks are higher than for first time surgery. The outcome is generally reported as being 80% as good as the previous joint, and can deteriorate further if the hip has been revised before.
  • The surgery can be more complex and take longer. This can increase the blood loss and risk of infection.
  • The tissues and muscles that have been re-opened may be weaker, increasing the risk of dislocation.
  • Recovery can be slower and crutches or a frame may be needed for longer.
  • The risk of getting a blood clot in the leg or the thigh may be increased.
  • Due to the scar tissue from the previous surgery, the nerves may be ‘stuck’ down and, therefore, more likely to be damaged during surgery. This may cause numbness and reduced movement to the foot and thigh. This can take a few months to recover and, in a few cases, may be permanent.
  • Bone thinning and removal of the hip implants can lead to more of the bone being removed, thereby shortening your leg. The stability of your joint and making sure it is unlikely to dislocate is a high priority. Although leg length equality is important, the length of the leg may need to be altered to maximise stability.
  • Bone thinning may also lead to fractures or cracks, which may require fixation with cables, plates or bone graft. Occasionally, this requires an additional operation to fix. You may need to use crutches for up to three months.
  • The life expectancy of a hip replacement is on average 10 – 15 years, so, depending on your age, further revision work may be required in the future.

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