Complex hip and knee reconstruction

Revision Joint Replacement

A painful or failing replacement requires a structured investigation. Infection, loosening, instability, fracture, stiffness and pain arising outside the joint require different plans.

Revision joint replacement planning
Reasons for assessment

Understand why the replacement is painful.

  • Increasing or persistent pain.
  • Recurrent swelling, warmth, wound drainage or unexplained fever.
  • Instability, repeated giving way or hip dislocation.
  • A change in alignment, shortening or new walking difficulty.
  • Fracture around the implant.
  • Abnormal imaging, implant wear or suspected loosening.
Investigation

A diagnosis-led revision pathway.

  • Detailed history and review of the original operation.
  • Examination of the joint, spine, gait, soft tissues and circulation.
  • Current and previous X-rays for comparison.
  • Blood markers and joint aspiration when infection is possible.
  • Selected advanced imaging when it will change the plan.
  • Review of implant details, cultures and previous antibiotic treatment.
Reconstruction

Revision surgery may involve more than changing an implant.

Revision may replace one component or reconstruct the entire joint. Bone loss, soft-tissue damage and infection can require specialised implants, stems, augments, cones, graft, fixation devices or staged treatment.

Important

Seek urgent assessment for fever with a hot swollen replacement, wound drainage, sudden inability to bear weight, a fall with deformity, recurrent dislocation, chest pain or breathlessness.

Discuss your concern with Dr. Tarun.

Appointments are available at KIMS Hospitals, Gachibowli and Hale Clinics, Kondapur.

Dr. Tarun has extensive experience in performing revision joint replacement surgeries, addressing complex cases with advanced surgical techniques and meticulous planning.

FAQ'S

Revision joint replacement surgery is performed to replace or repair a failed or worn-out joint prosthesis. This surgery is more complex than the initial replacement
Reasons for revision include implant loosening, infection, wear, or dislocation. Early identification and management of these issues are crucial for maintaining joint function.

Recovery may be longer and more challenging compared to the initial replacement. It often requires a more extended rehabilitation period and close monitoring.