Primary and revision total hip replacement in patients who are jehovahs witnesses nelson carl l stewart jason g section editors barrack robert l md author information from the university of arkansas for medical sciences little rock arkansas reprint requests to carl l nelson md university of arkansas for medical sciences 4301 west markham slot 531 little rock ar 72205 . Revision total hip replacement is a more complex procedure and takes longer to perform than primary total hip replacement in most cases the surgery takes several hours to begin your doctor will follow the line of the incision made during your primary total hip replacement the incision may be extended however to allow the old components to be removed once the incision is made your doctor will expose the hip joint. Primary and revision total hip replacement in patients who are jehovahs witnesses nelson cl1 stewart jg author information 1university of arkansas for medical sciences little rock 72205 usa. Primary care physicians and surgeons should be aware that both primary and revision total hip replacement can be done safely and effectively in patients aged 90 years and older and can result in years of relief of pain and functional improvement previous article in issue next article in issue total hip replacement is a successful operation for alleviating pain and improving function in