Phone: (561) 840-1090
Fax: (561) 840-0791

Providing the Highest Quality of Orthopaedic Care
Dedicated to Restoring Active Lifestyles
Minimally Invasive Joint Replacement Procedures
Caring and Comprehensive Hand, Elbow and Shoulder Treatment
Experience, Compassion, State-of-the-art Technology
Back to Life with Expert Spine Care
Multidisciplinary Orthopaedic Care

Joint Revision Surgery

Joint replacement surgery is undoubtedly one of the greatest medical advances of our time. Hip and knee replacements have been performed in millions of Americans over the last four decades. These procedures have improved patients’ quality of life by easing pain, improving range of motion, and increasing activity levels.

Currently, over 400,000 hip and knee replacements are performed in the United States annually. Although joint replacement surgery has been amazingly successful, approximately ten percent of implants will fail and require a second procedure, called revision, to remove the old implants and replace them with new components.

A revision joint replacement means that surgery must be done to replace a worn out joint replacement. Also called revision arthroplasty, revision joint replacement is often more complicated with less predictable results.

Joint revision surgery is a complex procedure that requires a highly skilled surgeon, extensive preoperative planning, specialized implants and tools, and mastery of difficult surgical techniques to achieve a good result.

Reasons a revision joint replacement may need to be performed include:

  • worn-out implants
  • infection of a replaced joint,
  • instability or malpositioning of an implanted joint
  • obesity
  • younger active patients

Why does a joint fail?

While joint replacement surgery is almost a modern miracle and the results often can last a lifetime, some replacement joints fail. Implants (the metal and plastic joint replacing the natural bone joint) can become loose due to wear and tear, a fall or accident can damage an implant, an infection can occur at the site of the implant. With patients living longer and younger, more active patients needing joint replacement, patients are outliving the normal life expectancy of an implant. In rare occasions, the actual prosthesis might just fail.

Whatever the reason, if joint revision is necessary, the second surgery is usually much more complex, requiring significant planning and expertise. The original prosthesis must be removed and replaced and the use of bone grafts may also be required due to bone loss. Not all revision joint replacements require the replacement of all parts of the implanted joint. In some cases, parts of the original implant may still be in perfect condition while others may need to be replaced.

Having been through joint replacement surgery once, it’s critical that you have confidence in your surgeon’s skill and his ability to guide your recovery from this more difficult procedure. Your choice of surgeon is an important component of the success of this second surgery.

Because of the many different reasons a revision joint replacement may need to be done, every aspect of the surgery must be treated on an individual basis. Therefore, you must discuss these procedures at length with your surgeon. Only you and your orthopedic surgeon can decide when the time is right for revision hip or knee replacement. If you have had a hip or knee replacement and think you may need revision arthroplasty, you must discuss your options with our joint revision specialist,
Dr. Richard Weiner.   Please give our office a call to schedule a consultation (561) 840-1090.

Revision Hip Surgery

Revision Knee Surgery