Complications of Total Hip Replacement are as follows:
Please read Total Hip Replacement before reading the complications of THR
1. Blood clots in the leg’s or lungs (called as DVT or P.E). These happen due to prolonged immobilization, stress of surgery and dehydration. These conditions tend to produce reduced blood flow causing it to clot where it gets pooled within the vein.
2. Infection: Each time there is a cut made to the surface of the skin there is a chance of infection. The surgery is usually done in clean sterile environments, but infection can still happen. In case of infection treatment lies in intravenous antibiotics for a few days to a few weeks and in extreme cases by removal of the prosthesis (Girdle-stone Procedure).
3. Anesthetic problems. The stress of surgery can give patients problems like heart attacks, chest pains, irregular heartbeat, stroke or mini stroke.
4. Excessive blood loss: Some patients tend to lose more blood doing hip surgery than normally tolerated by the body. They may need blood transfusions to make up for the loss.
5. Dislocation of the prosthesis from the hip joint: Once the prosthesis has been implanted after surgery, any further fall onto the affected side can result in the prosthesis getting dislocated out of the hip joint. This dislocation might get reduced by simple traction under sedation in emergency departments or might need open surgery again.
6. Fracture of the femur can occur at any stage of the procedure.
7. Perforation of the pelvis or blood vessels in the pelvis may occur in case the screws fixing the acetabular components are too long.
8. Loosening of the implant and plastic wear and tear of the polyethylene component may happen leading to need for further revision surgery.
9. Localized bone resorption (osteolysis) may happen around the prosthesis site. This may make the implant loose leading to failure.
10. Nerve damage may happen temporarily or long term.
11. Limb length discrepancies: The leg may get shortened or longer occasionally. This might be corrected by a heel raise.