Revision Total Knee or Hip Arthroplasty
Revision surgery, also called revision total knee or hip arthroplasty, is a procedure to remove an artificial joint and replace it with a new one.
Reasons to have a revision total knee or hip surgery include:
Revision surgery is usually done to relieve pain from an artificial joint. Generally, your doctor will consider revision total arthroplasty only when more conservative measures such as medication and lifestyle changes have not helped. In most cases, increasing pain in the affected knee or hip is one of the first signs that revision surgery is necessary.
Less common reasons for revision total arthroplasty include a fracture (broken bone), an infection or a dislocated artificial joint.
Regardless of the reason, revision surgery is a complex and demanding surgery, with a wide variation in complexity depending on the diagnosis and underlying problem, scar tissue, potential damage to nerves or blood vessels (again, often because of scar tissue or calcified tissue called heterotopic bone), and longer surgical time and increased blood loss because of the need to remove the old components.
Revision joint replacements are among the most complex procedures in modern orthopedics, and in contrast to routine primary (first time) joint replacement surgeries, relatively few surgeons and centers perform revision surgeries. For that reason, many of our patients undergoing revision surgery have been referred from other centers or surgeons.