Revision joint replacement, also known as revision arthroplasty, is a surgical procedure performed to replace a previously implanted artificial joint that has become damaged, worn out, or failed for various reasons. It's typically more complex than primary joint replacement surgery and requires specialized techniques, equipment, and expertise.
The need for revision joint replacement may arise due to a variety of factors, including loosening or dislocation of the implants, infection, excessive wear of the artificial components, instability, fracture around the implant, or soft tissue damage. Additionally, changes in a patient's anatomy or bone quality over time may necessitate revision surgery.
The procedure begins with thorough preoperative planning, which may involve imaging studies such as X-rays, CT scans, or MRIs to assess the extent of implant failure and plan the surgical approach. During surgery, the orthopedic surgeon carefully removes the failed components of the artificial joint, addresses any bone loss or structural abnormalities, and then implants new components to restore stability and function to the joint.
Revision joint replacement surgery is often more challenging than primary joint replacement due to factors such as scar tissue, bone loss, and altered anatomy. It may require specialized implants, bone grafts, or other reconstructive techniques to achieve optimal results.
Rehabilitation following revision joint replacement is typically more intensive and prolonged compared to primary surgery. Physical therapy plays a crucial role in helping patients regain strength, mobility, and function in the replaced joint.