​3D Revision Arthroplasty


Revision arthroplasty, also known as revision joint replacement surgery, is a procedure in which artificial joints (such as those in the knee, hip, shoulder, or another joint) are replaced with new ones when the existing implants are not functioning as expected. The main reasons that patients undergo revision surgery are pain, limb shortening, restricted movement, dislocation, and drainage due to infectious complications. These symptoms may occur due to a variety of medical causes, and it is important to understand the underlying medical condition in order to successfully perform revision surgery.

Frequent reasons for revision surgery may include improper positioning of the primary implant, fractures or dislocations around the joint, infection of the implant, and loosening of the implant due to normal wear and tear. It is essential to understand that even in the best-case scenario, where the implant is properly placed and used by the patient, the implant may still wear out over time and require revision surgery. Fortunately, modern hip and knee implants can provide patients with comfortable, pain-free lives for over 20 years if they are well-placed and used responsibly by the patient.


When a joint replacement implant begins to cause problems and revision surgery is necessary, this can be difficult for both the patient and the doctor. In rare cases, the need for revision surgery may arise only a few days after the initial joint replacement surgery. This may occur due to mechanical problems that were not detected during the surgery, or due to early-stage implant infection. If examination, laboratory, and radiographic imaging findings do not indicate that the current implant has a decent chance of functioning, it is advisable not to delay the revision surgery. Delaying revision surgery for no valid reason may exacerbate mechanical problems and cause marked bone loss and deformity thus rendering the revision surgery more difficult and prone to complications. On the other hand, if an infection is a reason for considering revision surgery, delaying the surgery may allow the infection-causing microorganisms to spread deeper into the bone, which could cause the infection to recur when the new implants are placed. In conclusion, avoiding revision surgery when it is necessary to replace a previously implanted joint often makes the problem bigger and sometimes unsolvable.


Revision joint replacement surgery usually produces predictable results when the underlying fundamental problem has been thoroughly examined and identified, and addressed by experienced hands. Excluding scenarios of very significant bone loss and correlated deformity, and prosthesis infection caused by multiple antibiotic-resistant microorganisms, it can be expected that a revision joint replacement surgery can last similarly to a successful primary joint replacement surgery.


If you have a failed joint replacement, please contact us for more information on the cause of the failure and the applicable principles for performing revision joint replacement surgery.


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