Specialist management of failed, worn, loose, and infected hip and knee replacements. From single-component exchange to complex reconstruction using mega-prostheses, Mr Shakir Hussain offers the full spectrum of revision arthroplasty at the Royal Orthopaedic Hospital Birmingham.
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Medically reviewed by Mr Shakir Hussain, MBBS MRCS FRCSEd (Tr & Orth), Consultant Orthopaedic Surgeon · Last reviewed: June 2026 · Next review due: June 2029
Revision joint replacement is a significantly more demanding operation than a first-time hip or knee replacement. It requires a surgeon with broad experience in complex reconstruction, access to specialist implant systems, and a structured multidisciplinary team approach.
Mr Hussain performs the full range of revision procedures, from straightforward single-component exchanges to highly complex reconstructions involving severe bone loss, prosthetic joint infection, and periprosthetic fractures. He operates at the Royal Orthopaedic Hospital Birmingham, one of the UK's foremost specialist orthopaedic centres, with full access to high-dependency care.
His training included a British Hip Society Travelling Fellowship at the ENDO-Klinik Hamburg, widely regarded as the world's leading centre for periprosthetic joint infection, where he trained under Professor Thorsten Gehrke and Professor Mustafa Citak.
UK specialist tertiary referral centre. Mr Hussain is on the complex revision MDT.
British Hip Society Travelling Fellowship in periprosthetic joint infection management.
Every complex case discussed with orthopaedic surgeons, microbiologists, radiologists, and specialist nurses.
Full access to revision implant systems, mega-prostheses, cages, augments, and custom-made components.
Revision hip and knee replacement removes a failed, worn, loose, or infected joint replacement and rebuilds the joint with new, usually more specialised implants. The operation typically takes 2 to 4 hours, most patients stay 3 to 5 nights in hospital, and recovery to most function takes 3 to 6 months. Mr Shakir Hussain performs the full range of revision procedures at the Royal Orthopaedic Hospital Birmingham, with self-pay packages individually quoted after consultation, and cover from all major insurers.
A well-functioning joint replacement should be comfortable and stable. If a replaced hip or knee changes, it deserves assessment, even many years after the original operation. The most common warning signs are:
Diagnosis starts with weight-bearing X-rays and blood tests, with CT, MRI, bone scans, or a joint aspiration where needed. Many of these problems progress silently, so a suspected failed knee replacement or hip replacement should be imaged even when symptoms are mild.
Hip and knee revision procedures for implants that have failed due to loosening, bearing wear, instability, fracture, or severe bone loss. Each page covers indications, surgical technique, and what to expect.
Replacement of one or more failed hip replacement components, ranging from single-component exchange to full revision with bone grafting. The most common indications are aseptic loosening, wear, instability, and periprosthetic fracture.
Hip revision surgery: indications, procedure, and recoveryTargeted revision of the failed socket (cup) component of a hip replacement. Bone defects in the acetabulum are reconstructed using augments, cages, bone grafting, dual mobility cups, or custom triflange implants depending on the extent of loss.
Acetabular revision: cup reconstruction and socket augmentationRemoval and replacement of failed knee replacement components. CT-guided pre-operative planning guides implant selection, and bone defects are addressed using augments, cones, or sleeves before the new implant is secured. In June 2026, Mr Hussain performed the Midlands' first CORI robotic revision knee replacement at the Royal Orthopaedic Hospital, one of the first in the UK.
Knee revision surgery: indications, procedure, and recoveryA modular megaprosthesis that reconstructs the upper femur and hip joint when bone loss from fracture, infection, or multiple previous surgeries is too severe for standard revision implants. Used for orthopaedic indications, not oncology.
Proximal femoral replacement: megaprosthesis for severe bone lossA selection of revision cases performed by Mr Hussain. Each case shows the pre-operative x-ray and the final reconstruction. Some staged cases include three x-rays, taking you through the stages from the original problem to the final result.
Chronically infected hip replacement, treated with a two-stage revision. The infected implant was removed and the joint thoroughly cleaned (debridement), with a temporary articulating antibiotic spacer placed to maintain limb length and allow partial weight-bearing during a course of antibiotics (Stage 1). Once the infection had cleared, the spacer was removed and the hip rebuilt with a complex acetabular reconstruction using multiple augments (Stage 2).
Patient referred to Mr Hussain after a failed hip revision elsewhere, with massive bone loss of both the thigh bone (femur) and the hip socket (acetabulum). Reconstructed in stages: a custom-made acetabular implant on the left, followed by a total hip replacement on the right.
Patient presented with severe bone loss of the upper thigh bone (femur) from a chronic infection. Treated by Mr Hussain by clearing the infection and reconstructing the hip with a proximal femoral replacement, a specialised implant that replaces the upper portion of the thigh bone.
Aseptic loosening of a 12-year-old knee replacement, with severe deformity and medial bone loss in the shin bone (tibia). Treated by Mr Hussain with a complex revision: the loose components were removed, the bone defect reconstructed using a large trabecular metal augment, and the alignment corrected.
Patient who had a hemiarthroplasty for a neck of femur fracture, with bone weakened by a brown's tumour from underlying hyperparathyroidism. The implant subsequently became infected with severe associated bone loss. Treated by Mr Hussain with a staged revision: removal of the infected implant and treatment of the infection, followed by implantation of a new hip.
Prosthetic joint infection (PJI) is among the most serious complications of hip and knee replacement. Mr Hussain's ENDO-Klinik Hamburg fellowship gives him specialist expertise in both DAIR and two-stage revision, the two main surgical strategies for PJI.
For carefully selected patients with early or acute prosthetic joint infection, DAIR preserves the existing implant through thorough debridement, exchange of all modular components, and a prolonged course of targeted antibiotic therapy. Success depends on early diagnosis and careful patient selection.
DAIR surgery: treating early joint infection with implant retentionThe gold standard treatment for established PJI of the hip or knee. Stage 1 removes the infected implant, debrides the joint, and inserts an antibiotic-loaded cement spacer. After a structured course of systemic antibiotics confirming infection eradication, Stage 2 implants the new joint replacement.
Two-stage revision: gold standard treatment for joint infectionRevision surgery treats hip and knee replacements that have failed, worn out, become unstable, or developed infection. The conditions below are the most common reasons a joint replacement needs revising. Each page explains the symptoms, how the problem is diagnosed, and the treatment options.
Every self-pay revision package covers the surgeon's fee, the anaesthetist, the implants, and your hospital stay. Because revision operations vary enormously, from a single-component exchange to staged reconstruction for infection, every package is quoted individually after your consultation and imaging, so you receive a fixed, written, all-inclusive quotation before deciding to proceed. As the private care arm of the Royal Orthopaedic Hospital, one of Europe's leading specialist orthopaedic centres, ROH Private Care offers some of the most competitive revision surgery prices in the UK.
Revision hip and knee surgery is covered by all major private medical insurers: Bupa, AXA, Vitality, WPA, and Aviva. Full details are on the fees and pricing page.
Medically reviewed by Mr Shakir Hussain, Consultant Orthopaedic Surgeon. Last reviewed: June 2026. Next review due: June 2029.
Mr Hussain accepts both self-referrals and referrals from other surgeons. If you have a failed, painful, or infected hip or knee replacement, contact the team to arrange a consultation at the Royal Orthopaedic Hospital, Priory Hospital Edgbaston, or Harborne Hospital. For self-pay and insured patients, see our guide to revision surgery cost in Birmingham.