Whether your previous hip replacement has worn out, become unstable, or causes persistent pain, we provide careful assessment, expert surgical planning, and precision re-implantation to restore function and quality of life.
Patients are seen at our leading London locations — Lanserhof at The Arts Club in Mayfair and The West London Knee and Hip Clinic in Chiswick — with fast access to diagnostics, surgery, and rehabilitation.
Revision hip surgery is a specialist procedure performed to remove and replace some or all components of a previous hip replacement. It is typically required when the original implant:
Wears out over time
Loosens from the bone
Becomes unstable or dislocates
Is affected by infection
Causes persistent pain or reduced mobility.
Revision procedures are often more complex than primary hip replacements and demand a high level of surgical expertise to achieve the best results.
The most common reasons patients require total hip replacement revision surgery include:
Implant wear and tear after many years of use
Aseptic loosening, where the implant loses its bond with the bone
Recurrent dislocations due to muscle weakness or component malposition
Periprosthetic fractures (fractures around the implant)
Infection inside the joint (prosthetic joint infection)
Persistent pain without obvious mechanical cause.
Dr Imbuldeniya and his team perform a detailed clinical evaluation, imaging review (X-ray, MRI, CT), and laboratory tests where needed to diagnose the problem accurately and plan a tailored revision strategy.
Revision surgery requires advanced skills, meticulous planning, and an individualised approach. Dr Imbuldeniya and his team offer:
Extensive experience in complex hip revision procedures
Training at world-renowned centres in London, Sydney, and Barcelona
Personalised implant selection tailored to your bone quality and activity goals
Minimally invasive revision techniques where appropriate
Access to modern, muscle-sparing surgical methods.
The team’s goal is to restore strength, stability, and pain-free function while minimising disruption to surrounding tissues.
"Every revision surgery is unique. We aim to create a strong, stable, hip joint with a long lasting result that gets patients back to the activities they value most." - Dr Arjuna Imbuldeniya
Depending on the issue, revision hip surgery may involve:
Replacing one or more implant components
Rebuilding bone loss using bone grafts or special augments
Treating infection with removal, debridement and targeted antibiotics
Stabilising fractures with specialised fixation systems.
The procedure is typically carried out under spinal or general anaesthetic. In many cases, we use modern implants and enhanced recovery techniques to allow faster rehabilitation and better long-term outcomes.
Recovery after revision hip surgery varies depending on the complexity of the case, but our structured approach typically includes:
Immediate post-op physiotherapy to encourage early mobilisation
Short hospital stay (usually 2–5 days)
Walking with crutches or a frame initially, progressing to independence over several weeks
Gradual return to daily activities by 8–12 weeks
Ongoing follow-up and imaging to ensure a strong, stable outcome.
Patients benefit from close, consultant-led monitoring throughout the recovery period, with rapid access to any additional care or support needed.
While revision hip surgery is highly successful in experienced hands, it is a more complex procedure than primary hip replacement. Potential risks include:
Infection recurrence
Blood clots
Dislocation
Leg length differences
Residual stiffness or pain
Choosing a surgeon with specialist revision expertise is key to minimising these risks and maximising your chances of a successful outcome.
Direct access to Dr Arjuna Imbuldeniya at every stage
A personalised surgical plan based on your symptoms and imaging
Advanced techniques and premium implant systems
Fast access to diagnostics, surgery and follow-up
Transparent pricing and self-pay options.
We are committed to helping patients move better, live better, and recover with confidence — even after complex revision surgery.
Book a Consultation
If you're struggling with a painful or failing hip replacement, book a consultation with Dr Arjuna Imbuldeniya today to discuss revision hip surgery in London. Appointments available at: Lanserhof at The Arts Club, Mayfair | The West London Knee and Hip Clinic, Chiswick
Take the first step towards renewed mobility and quality of life with expert, personalised care.