Joint Revision Surgery
Modern hip and knee implants are better than ever. For most patients, they function well for at least 20 to 30 years.
However, about 10 percent of all implants will fail, requiring a second procedure. In this procedure, called a revision, the old joint is removed and replaced with a new one.
Because people are living longer than ever, revision surgery may become more and more common. Watch the video below to see an example of hip revision surgery:
The video below is an example of knee revision surgery:
When revision is necessary
Revision surgery is complex. It requires planning, special implants and a high level of surgical skill.
Deciding when a joint revision may be needed depends on several factors:
- The joint no longer functions well, leaving wearers with a limp, stiffness or instability
- The joint is painful or swollen as a result of wear, infection or loosening
- X-rays show that the joint has changed position or is no longer in optimal condition
The decision to perform a revision joint replacement surgery will be based on several factors. The joint may become painful or swollen, due to loosening, wear, or infection. The function of the implant may decline, resulting in a limp, stiffness, or instability. Finally, serial examinations or X-rays may demonstrate a change in the position or condition of the components. All of these factors will determine when joint revision surgery is needed.
Because revision surgery is a major procedure that has some risks. The complication rate tends to be higher than that of primary surgery, and some patients are not medically able to handle a long surgical procedure.
For these reasons, nonsurgical treatments are often used before revision is considered. Some of the nonsurgical treatments may include:
- Pain medications
- Using a cane, crutches or a walker
- Lifestyle and activity modification
- Antibiotics, if the joint is infected
Although revision surgery is complex, there are several elements each procedure has in common:
- The quality of the bone surrounding the implant is assessed
- The old joint is removed
- The remaining bone and soft tissue is reconstructed
- The new implant is affixed to the bone
After surgery, patients are closely monitored.
- Drains will be put in place around the surgical wound to collect blood and fluids
- The joint may be placed in a splint for protection
- Blood count and medical condition will be monitored
- Antibiotics will be given to prevent infection
- The patient will be monitored for blood clots
To learn more, call 714-456-7012 or schedule an appointment online ›