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Priority Setting Partnership

Home / Committees / Research / Priority Setting Partnership

Problematic Hip Replacement PSP

The BHS funded and supported the development of this priority setting partnership in conjunction with the James Lind Alliance. The project was also supported by the BOA, John Charnley Trust, Bristol Orthopaedic Trust and Devon Orthopaedic Trust.

Revision hip replacement surgeries are further operations carried out when the primary artificial joint components wear out, loosen or break. The Problematic Hip Replacement PSP identified unanswered questions about the assessment, management or rehabilitation of patients with problematic hip replacements from patient and clinical perspectives.

The Problematic Hip Replacement PSP Top 10 was published in October 2023.

The questions will allow researchers and research funders to direct their future efforts to help answers these issues.

The most important questions

  1. How can the cause of a problematic hip replacement be diagnosed more quickly and accurately?
  2. What causes pain in hip replacements? How is this best treated and managed, including using non-surgical approaches?
  3. What can be done before revision hip surgery (including physiotherapy, lifestyle change and exercise) to optimise the result?
  4. What are the best ways (including non-surgical treatments) of managing fractures around hip replacements?
  5. Are there ways to identify which people with a problematic hip replacement will benefit from revision surgery?
  6. What can be done after revision hip surgery (including physiotherapy and exercise) to optimise the result?
  7. What are the best ways to treat and manage infected hip replacements?
  8. What treatment benefits people with a problematic hip replacement when no cause is found?
  9. Is revision hip surgery best carried out by a specialist or non-specialist surgeon? Which is more successful and cost-effective?
  10. What are the early signs of a problematic hip replacement which indicate patients need to be assessed?