Functional Recovery Following Revision Total Hip Arthroplasty in Older Adults: A Retrospective Cohort Study

Introduction 

Revision total hip arthroplasty (rTHA) is increasingly performed in an ageing population, but functional recovery and the need for subsequent revision remain important concerns. This study aimed to evaluate the functional outcomes, re-revision rates and mortality following rTHA in a geriatric population. 

Methods 

We retrospectively reviewed 145 revision total hip arthroplasty procedures performed in 138 patients between 2021 and 2025. Patient demographics, indications for revision, re-revision, mortality and postoperative mobility were reviewed. 

Results 

A total of 145 revision procedures were analysed. The most common indication for revision was aseptic loosening (69.0%), followed by instability (11.0%) and infection (8.3%). The mean age at revision was 70.3 years (SD 10.9). Overall, 24 of 145 procedures (16.6%) underwent re-revision. Age, sex and septic revision were not independently associated with re-revision. The overall mortality rate was 6.2%, with no deaths directly attributable to the revision procedure. Postoperative mobility was documented, with 82.4% returning to their baseline mobility and 16.9% remaining below baseline.

Conclusion

We conclude that revision total hip arthroplasty was associated with favourable functional outcomes in most patients, with 82.4% returning to baseline mobility.