Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Hip Revision
Hip revision surgery involves replacing the original artificial hip joint with new implants or bone grafts when the existing joint has become damaged, loosened, infected, or dislocated. A hip revision is often more complex and time-consuming than the initial hip replacement procedure.
Types of hip revision include:
- Femoral component revision – replacing the stem or head of the femoral implant.
- Acetabular component revision – replacing the cup or socket part of the implant.
- Full hip revision – replacing both the femoral and acetabular components.
- Bone grafting revision – using bone grafts to rebuild areas with bone loss.
- Complex or custom revision – for severe bone loss, infection, or multiple previous surgeries.
Revision hip surgery is performed through an open incision and usually takes several hours to remove the old prosthesis and replace it with a new one.
The recovery period after hip revision surgery is usually longer, but physiotherapy will help enhance your recovery and assist you in achieving your maximum potential.
Recovery following a bone graft is longer, as time is required for the graft to integrate and form new bone. However, the benefit of a bone graft, particularly in younger patients, is that it restores bone stock, making any future surgeries easier if needed. After this type of hip revision, patients may require a period of bed rest lasting 2–6 weeks, and crutches may be needed for approximately 3 months.
Pre operative management
Your surgeon will determine the most appropriate surgical method based on your individual circumstances. A physiotherapist will visit you before your operation to explain the procedure and discuss what to expect during recovery.
Symptoms after a hip revision
After your operation, it is normal to experience pain, swelling, and limited movement. Major surgery, such as a hip revision, requires a period of adjustment. The post-operative procedures will be similar to those following an initial hip replacement. A pillow may be placed between your legs to keep your hip joint stable and help prevent dislocation.
A physiotherapist will help you begin walking, initially using a frame to support the healing process. Gentle exercises will be provided to increase circulation and reduce swelling. Your physiotherapist will also teach you the correct way to get in and out of the bath safely and provide guidance on dressing, toileting, and other daily activities. Once you are able to mobilise safely with your crutches or frame, you will be discharged, usually between five and seven days after surgery.
Physiotherapy following a hip revision
Physiotherapy following a hip revision will enhance your recovery and help you regain independence in everyday activities. At acephysiosports.com, our physiotherapists are experienced in managing patients who have difficulties following major hip surgery. Our specialised team understands the challenges you may face, and your treatment will be tailored to meet your individual needs and requirements.
Physiotherapy treatment will depend on the type of hip revision you have undergone. At acephysiosports.com, treatment will focus on improving muscle strength around your hip, increasing range of movement, enhancing balance, and helping you reach your full potential in functional activities.
1-2 weeks
At this stage of your recovery, the main focus is to reduce pain and swelling and begin improving the range of movement in your hip. After hip revision surgery, you will initially use a walker or crutches for the first week or two. Everyday activities, such as getting into a car or walking up steps, may be difficult during this period.
Physiotherapy treatment will also be focused on improving your mobility around your home. Physiotherapy treatment at this stage will include:
- Gait training with a walker or crutches to improve safe mobility.
- Bed mobility and transfer practice (getting in/out of bed, chairs, and toilets).
- Gentle hip range of motion exercises to maintain and improve flexibility.
- Muscle activation exercises for quadriceps, glutes, and hamstrings.
- Balance and stability exercises to improve confidence while moving.
- Education on hip precautions to prevent dislocation or injury.
A structured exercise programme with short- and long-term treatment goals will be developed and should be continued daily to support and optimise your recovery.
2-6 weeks
Around one month after surgery, your surgeon will take X-rays of your leg to monitor the healing process.
Your physiotherapy treatment at this stage of rehabilitation will progress previous exercises to further increase range of movement and incorporate resistance exercises to improve muscle strength. Exercises will also be functional, based around daily tasks to enhance your independence. Treatment will include gait re-education and balance training.
- Resistance exercises for hip, thigh, and gluteal muscles to improve strength.
- Functional exercises based around daily tasks (e.g., sitting, standing, reaching).
- Gait re-education to improve walking pattern and reduce reliance on walking aids.
- Balance and proprioception exercises to increase stability and confidence.
- Range of motion exercises to maintain or further improve hip flexibility.
- Education on safe movement strategies to prevent injury or dislocation.
6-12 weeks
At this stage of your rehabilitation, you should be mobilising independently. Your physiotherapist at acephysiosports.com will focus on maintaining your range of movement, continuing to increase muscle strength and balance, and helping you return to the social or sporting activities you previously enjoyed.
Your physiotherapist will guide and support you throughout your programme to ensure you are safe performing your activities. Short- and long-term goals will be monitored and adjusted to achieve the best possible recovery. Activities at this stage aim to increase your fitness levels and may include walking, gentle cycling, and swimming.
12+ weeks
The time it takes to return to your previous level of function will largely depend on your commitment and dedication. The structured treatment programme developed with your physiotherapist serves as a guiding tool to help you progress to your maximum potential. Recovery may take up to 6 months, but physiotherapy will help you make long-term improvements and enhance your quality of life by continuing exercises you enjoy and incorporating them into your daily activities and hobbies.
Summary
For more information, call acephysiosports.com now on +65 8153 5374, or to book an appointment, please contact us.
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