A hip replacement that becomes painful, dislocates repeatedly, or leaves one leg feeling longer than the other needs proper assessment. As with the knee, the priority is establishing why it is failing before deciding what to do.
Dr. Vaibhav Bagaria assesses failed hip replacements and performs revision hip surgery at Sir H. N. Reliance Foundation Hospital, Mumbai, including complex cases with significant bone loss.
A hip replacement is failing when it no longer provides the pain relief, stability or function expected. It may present as groin or thigh pain, repeated dislocation, a limp, a leg length difference, or a hip that simply feels different from before.
As with the knee, the cause determines the treatment — and infection must be excluded in every painful hip replacement regardless of how it presents.
Early or late, sometimes reaching the implant through the bloodstream. Infection must be excluded in every case.
The stem or socket loses fixation to bone, a common cause of late failure.
Wear particles from the bearing surface can trigger bone loss around the implant.
Recurrent dislocation may relate to component position, soft tissue tension or muscle weakness.
Where the reconstruction did not restore leg length accurately.
Fracture of the bone around the implant, usually after a fall.
Cup angle and offset outside the intended range affect stability and wear.
Lumbar spine problems commonly refer pain to the buttock and thigh and can be mistaken for hip failure.
Seek urgent care for a dislocated hip — sudden severe pain with the leg appearing shortened or rotated and inability to move it. Also seek urgent care for a hot, red, swollen hip with fever, which may indicate infection, and for severe pain and inability to bear weight after a fall, which may indicate fracture around the implant.
Date and details of the original surgery, implant type if known, whether the hip was ever comfortable, how symptoms began, dislocation history, recent infections, and any falls.
Gait, leg length, range of movement, stability, abductor muscle strength, scars, and examination of the lumbar spine and knee to exclude referred pain.
Where there is confirmed loosening, significant wear with bone loss, recurrent dislocation, infection, fracture around the implant, or a clearly identified mechanical cause of pain.
Revision hip surgery is technically demanding, particularly where bone loss is extensive. Detailed planning before surgery is essential.
Failed knee replacement
Hip arthritis
Avascular necrosis of the hip
Pelvic and acetabular fracture
Over two decades of orthopaedic surgical
experience
Internationally fellowship-trained in the USA,
Germany and Australia
Surgery recommended only when it is
genuinely the better option
Among India's earliest robotic joint
replacement surgeons
150+ peer-reviewed publications and multiple
device patents
Structured rehabilitation planned before the
operation, not after
Dr. Vaibhav Bagaria is Director and Head of the Department of Orthopaedics at Sir H. N. Reliance Foundation Hospital, Mumbai, and one of the earliest surgeons in India to adopt robotic joint replacement. Over twenty-two years of practice he has treated patients across the full range of bone and joint conditions, with a particular focus on robotic knee and hip replacement, partial knee replacement, sports injury and arthroscopy, and complex pelvic and acetabular reconstruction.
Name
Dr. Vaibhav Bagaria
Experience
20+ Years
Qualifications
MS (Ortho) FASSI, FNUS, FNAMS..
Speciality
Practice
Schedule your consultation with Dr. Vaibhav Bagaria today
Dr Vaibhav Bagaria
Prarthana Samaj, Khetwadi, Girgaon,
Mumbai, Maharashtra 400004
02261305757
