Redo and complex hip surgery
I provide complex hip surgery, including redo (revision) hip replacement. Sometimes a hip replacement — even a good one — needs attention later, and a redo can be a more involved operation than the first. This is work I do regularly, and it is planned carefully for your individual hip.
Worn bearings that may need exchanging
Hip bearings — the surfaces that move against each other inside the implant — have changed a great deal over the years. Some of the older bearings used in the late 1990s and 2000s were made of materials that tend to wear over time.
Many of those hips are still going today, but a number will need revision surgery to exchange the worn parts. Replacing the bearing can be a complex operation, and it is one I am very familiar with.
Fractures and surgery around an existing implant
Other complex situations arise when there has been surgery around an existing hip replacement, or a fracture around the implant. In these cases the hip may need to be redone or reconstructed.
These are exactly the problems I am set up to sort out, with the planning and the full range of implants that complex hip surgery requires.
A painful hip may not need a full redo
This is the point I would most want you to take away, because it is where I think I can help. When a hip replacement is painful, the answer is not always a complete redo.
Often there is a simpler solution — a minimally invasive or keyhole procedure rather than a full revision — that can settle the problem and get you moving again. My answer to a painful hip replacement is to find the least-invasive option that genuinely solves it, and to consider a complete redo only when it is truly needed.
If your hip still does not feel right
If your hip still does not feel right — whether your replacement was done by me or somewhere else — it is worth having it properly assessed. I will review your history, examine you and look at your imaging, then explain what I think is happening and the options, from the simplest upwards. This pairs naturally with a second opinion.
Complex hips and a higher body weight
Patients who carry more weight are sometimes told that complex or redo hip surgery is not an option for them. I do not start from that position. With careful planning — three-dimensional planning, specific wound-management techniques, nutritional optimisation before surgery and, where it is suitable, the muscle-sparing direct anterior approach — I am able to help many of these patients safely.
I have written more about this for anyone who has been turned away because of their weight.
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Joint-preserving partial replacement where suitable, personalised total replacement with kinematic alignment and robotic precision, and direct anterior hip surgery — matched to your joint, not a standard mould.
Had a replacement that still doesn’t feel right?
When a replacement hasn’t worked out there is often a specific reason — and a specific solution. An independent review: examination, imaging reviewed, and a written summary of your options.
Been told you’re too young, too heavy, or to just wait?
Dr Yas reviews each patient case by case and recommends the operation that fits the joint — not the other way around. Higher-BMI patients considered on their individual merits, not declined on weight alone.
Been told nothing more can be done?
Specialist revision hip & knee surgery, partial-to-total conversion with modern bone-preserving technique, and complex reconstruction after trauma — including limb-preserving surgery — considered case-by-case.
Latest insights from Dr Yas
Plain-language articles on modern hip & knee surgery — written to help you make an informed decision.
