What are Hip & Knee Revisions?

What is hip and knee revision surgery? I think to go through that I would start out with saying that total hip and knee replacement are two of the most common, and most successful surgeries that we perform in orthopedics. But, despite a success, just like anything, there are instances where a hip or a knee replacement can undergo a failure, and this could result in a previously well functioning surgery resulting in a new pain or dysfunction that wasn’t there after the surgery was completed. Trying to determine what the cause of that is and the solution can be a very simple, but can also be a very complex type of endeavor. The first thing is to determine at what point the joint started to not feel well, and this could be fairly soon after the surgery, or it could even be a decade or more after surgery. There are also various mechanisms in which a total joint replacement can fail. These include things like infection, which could occur right after the surgery or also can occur fairly late, there other types of failure such as instability, or even the implant bond between the bone and the metal can actually become loose overtime. The key is to try to find the actual cause of the arthroplasty failure. The reason being is that if revision surgery or redo surgery is considered to be a possible solution you really wanna try to zero in on the reason because a revision surgery could be anywhere from changing out a single part to having to change out the entire knee or hip replacement and redo it in its entirety. Hip and knee replacement revisions can be very big surgeries and are generally not meant to be taken lightly. The key is to be systematic and try to identify the reason that the arthroplasty had failed and this maximizes the chance that a revision surgery will be successful.

Disclaimer

The information published in these vignettes is proprietary to Crovetti Orthopaedics and Sports Medicine. While we have taken all reasonable steps to ensure that the information contained in the Vignettes is error free, we cannot and do not guarantee that the information or images are current, complete and/or accurate and we accept no responsibility for the same. Access to these Vignettes is granted to you for general information and education purposes only and does not constitute, in whole or part, professional medical advice of any nature, and is in no way a replacement or substitute for, or should be relied on in the absence of, professional advice from a certified and competent medical professional who practices in the relevant field of medicine. The information contained in this Vignettes is only intended for use, viewing and general reference by you and does not relate directly to your current medical condition or patient history. It is important to consult your medical practitioner or health care professional in relation to your own medical condition and needs.