​Revision Arthroplasty

Revision arthroplasty is the surgery in which an existing artificial joint implant is replaced with a new one. The need for replacement may be related to pain due to mechanical loosening, limb shortness, limitation of movement, dislocation, and infection. These different conditions which provoke the need for revision arthroplasty have to be clearly determined in order to define proper surgical strategy. This is a crucial step and is extremely important for successful revision surgery.

Patient examination and radiological tests are very important to assess a strategy to perform the revision surgery and choose the correct implant pair suitable to the patient. In cases representing severe bone loss and in some prosthetic infection cases utilization of 3D technology may further enhance the surgeon’s strategy to perform the revision surgery. In the rarest scenario in which a patient represents segmental bone loss 3D printed patient-specific implants or bone augments may be produced and used for the hardest cases. 

Revision surgeries are major surgeries and they may cause complications just like all other surgical interventions. Although the success ratio of the first revision arthroplasty surgery is somewhat close to primary arthroplasty this ratio decreases for the consecutive revision cases. As a result, it can be said that every next revision surgery will probably be harder to perform and more prone to complications. Meticulous examination, a detailed radiological analysis, and 3D technology assistance are all important to obtain the best possible outcome and decrease complication possibility. 

Revision arthroplasty surgery often yields predictable results in experienced hands when the underlying problem is well investigated and determined. A successful revision joint replacement surgery can be expected to offer a similar-term recovery to initial prosthesis surgery, except in scenarios where the bone is severely eroded, bone loss is extensive, and prosthesis infection is caused by resistant microbes.

If your artificial joint is not working out as expected, please contact us to learn how we can help.

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