The hip joint is the largest weight-bearing
joint in the human body. It is also referred to
as a ball and socket joint and is surrounded
by muscles, ligaments, and tendons. The
thigh bone or femur and the pelvis join to
form the hip joint.
Hip replacement has become necessary
for your arthritic hip: this is one of the
most effective operations known and
should give you many years of
freedom from pain.
This means that part or all of your previous hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full.
The knee is a complex joint which consists of bone, cartilage, ligaments and tendons that make joint movements easy and at the same time more susceptible to various kinds of injuries.
A Total Knee Replacement (TKR) or
Total Knee Arthroplasty is a surgery
that replaces an arthritic knee joint with
artificial metal or plastic replacement
parts called the ‘prostheses’.
Revision Knee Replacement means that part or all of your previous knee replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone.
Unicondylar Knee Replacement simply means that only a part of the knee joint is replaced through a smaller incision than would normally be used for a total knee replacement.

Revision Total Joint Replacement

Revision joint replacement is a surgical procedure performed in individuals who already had joint replacement surgery but had certain complications that led to failure of the previous surgery. Revision joint replacement is a more complicated surgery when compared to the initial joint replacement surgery. Joint revision surgery requires extensive pre-operative planning, specialized implants and tools, and mastery of difficult surgical techniques to accomplish good results.

Total joint replacement surgery is an option to relieve severe arthritis pain that limits your daily activities. Some replacement will last longer, while other replacement implants can fail due to various reasons and may need to be replaced. When implant failure occurs another surgery may be needed to replace the failed implant, known as revision joint replacement surgery.

Revision joint replacement means that part of or your entire previous knee or hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone.

Indications

Revision surgery is performed for various reasons such as

  • Persisting pain after the surgery
  • Wearing of implants or plastic lining
  • Instability
  • Loosening of the prosthesis
  • Surgical site infections
  • Weakening of bone around the replacement (osteolysis)
  • Stiffness

Risks and complications

As with any major surgery, there are potential risks involved. Some of the complications associated with revision joint replacement include infection, dislocation, injury to blood vessels, blood clots, limb length inequality, and failure to relieve pain.

Rehabilitation

Post-surgery rehabilitation is essential to avoid further complications such as reduction in the range of motion, muscle weakness and recurrence. Physical therapy may be initiated immediately after surgery and may be continued for up to three months. Physical therapy includes uses of crutches or walker along with strengthening and mobilization exercises to regain the strength and mobility of the joint.

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