Revision Joint Replacements
Revision joint replacements (commonly hip and knee) are performed for a failed previously joint replacements this involves exchange of part or all of your previous joint replacements. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and prosthesis. Revision joint replacements are complex orthopaedic operations requiring meticulous planning, considerable surgical skill, advanced equipments and most importantly a suitable patient. For the patient it may involve longer surgery, hospital stay, rehabilitation period.
Painful joint replacements are the commonest reasons for revision joint replacements. This may be for a previously well functioning joint replacement or a joint replacement failed to relieve pain form the beginning. Before undertaking this major revision surgery, one has to confirm the diagnosis and ascertain the necessity of a revision. Results of the revision joint replacements for a failed previous joint replacement with no obvious structural problem in an X ray are not favourable. Revisions are commonly performed for following reasons.
- Infection – early or late infections.
- Recurrent dislocations
- Fractures around the joint replacement
Please refer to the section on the primary joint replacements. Risks are usually similar but do occur more frequently and more difficult to treat. Risks and the benefits of the surgery also depend on your specific situation and this will be discussed with you in detail before your operation.
Preoperative and post operative recovery after revision varies depending on the complexity of the case. This will be discussed with you, prior to the surgery and also as the situation arises.