Problem-based evaluation
Failed Hip Replacement — Educational Evaluation Guide
For patients experiencing pain, instability, dislocation, infection concern, or possible loosening after a previous hip replacement.
Educational content only. Not medical advice. Individual evaluation by a qualified orthopedic specialist is required.
What "failed" can mean
A hip replacement may be described as failed when persistent or new symptoms limit daily activities, when imaging suggests a mechanical problem, when infection is suspected, or when revision has been recommended. The term covers many distinct scenarios.
Common Symptoms
Symptoms can have multiple causes. The following are examples that patients commonly describe and that may warrant orthopedic evaluation.
- Groin, thigh, or buttock pain
- Pain with weight bearing
- Instability or sense of the hip "giving way"
- Recurrent dislocation
- Limb length difference
- Swelling or warmth
Possible Causes
A qualified orthopedic specialist may consider multiple possible causes during evaluation. The list below is educational and not a diagnosis.
- Implant loosening
- Polyethylene or bearing wear
- Infection
- Instability or recurrent dislocation
- Periprosthetic fracture
- Iliopsoas tendon irritation
- Adverse local tissue reaction
What Evaluation May Include
Evaluation is individualized. Depending on the situation, an orthopedic specialist may consider some of the following:
- Clinical history and exam
- Updated radiographs and advanced imaging when appropriate
- Lab work for infection screening
- Joint aspiration when indicated
- Review of prior records and implant identification
Treatment Pathways
Treatment depends on diagnosis. Not every patient needs surgery. Options may include:
- Activity modification and observation
- Physical therapy
- Bracing or assistive devices in selected cases
- Antibiotic management for confirmed infection
- Revision hip replacement when indicated
Treatment options depend on diagnosis, and consultation with a qualified orthopedic specialist is required.
Risks & Limitations
All orthopedic procedures carry risks. Educational examples include:
- Infection
- Dislocation
- Bleeding or clots
- Nerve or vascular injury
- Anesthesia-related risks
Frequently Asked Questions
Does every patient with a failed hip replacement need surgery?
No. Treatment depends on diagnosis. Individual evaluation is required, and not every patient will need a surgical procedure.
When should I seek urgent care?
Seek urgent medical care for fever, drainage, severe swelling, chest pain, shortness of breath, sudden inability to walk, dislocation concern, or severe worsening pain.
Can I request a second opinion?
Yes. Patients are encouraged to seek additional opinions when there is uncertainty, persistent symptoms, or a recommendation for revision surgery.
References
References
- AAOS OrthoInfo — Total Knee Replacement
- AAOS OrthoInfo — Total Hip Replacement
- AAOS OrthoInfo — Revision Total Knee Replacement
- AAOS OrthoInfo — Revision Total Hip Replacement
- AAOS OrthoInfo — Knee Arthroscopy
- AAOS OrthoInfo — Hip Arthroscopy
- AAOS OrthoInfo — Joint Replacement Infection
- AAHKS Patient Education
- PubMed
- National Institutes of Health
Medical Review
Medical Review
This educational content has been medically reviewed for accuracy and completeness.
Reviewed by
Dr. Aureliano Mateus García, MD
Board Certified Orthopedic Surgeon · Joint Reconstruction · Hip & Knee Replacement · Arthroscopy · Sports Medicine
Dr. Aureliano Mateus García is an orthopedic surgeon specializing in joint reconstruction, arthroscopy, sports medicine, and hip and knee replacement surgery. His clinical practice focuses on patients with degenerative joint disease, sports-related injuries, meniscal pathology, ligament injuries, hip disorders, and advanced arthritis requiring joint replacement. Dr. Mateus combines minimally invasive orthopedic techniques with evidence-based treatment pathways designed to improve mobility, reduce pain, and accelerate recovery whenever possible.
Areas of Interest
- Knee Replacement Surgery
- Hip Replacement Surgery
- Revision Joint Surgery
- Knee Arthroscopy
- Hip Arthroscopy
- ACL Reconstruction
The purpose of this review is to ensure educational accuracy and consistency with current orthopedic literature and professional society recommendations. Medical review does not create a physician-patient relationship.
Last Reviewed: June 2026
Facility Information
Hospital CYNTAR
Orthopedic procedures discussed on this website may be performed at Hospital CYNTAR in Tijuana, Mexico. Hospital CYNTAR is a multidisciplinary specialty hospital serving domestic and international patients.
Advanced orthopedic surgery suites
Digital imaging services
Arthroscopy equipment
Joint replacement technology
Physical therapy and rehabilitation resources
International patient coordination
Perioperative care teams
Availability of specific technologies, services, and physicians may vary.
Hospital Standards & Accreditation
Hospital Standards & Accreditation
When evaluating orthopedic treatment programs, patients often review facility accreditation, safety protocols, infection prevention programs, quality reporting, and rehabilitation support. Hospital CYNTAR is Joint Commission International (JCI) accredited, the gold standard for international hospital quality and patient safety.
Hospital CYNTAR's JCI accreditation can be independently verified using the link above. ObesityControlCenter.com is referenced as an additional internationally recognized program operating in the same facility.
Speak With An Educational Coordinator
Educational coordinators can help explain pathways and answer general questions. This is not medical advice.
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