No implant lasts forever. Revision is the operation in which a failed joint replacement is removed and replaced with a new one, after the bone defect that has developed is reconstructed.
Why a joint replacement fails
Aseptic loosening remains the commonest cause: microscopic wear particles provoke a biological reaction that resorbs the bone around the implant. Next come periprosthetic infection, which is the most serious and demands an entirely different strategy, instability with recurrent dislocation, periprosthetic fracture after a fall and, less often, implant breakage.
Signs that must not be ignored
Pain that returns after a period during which the joint worked well. Pain on the first few steps. A sense that the leg is giving way. A change in leg length. Swelling, redness, a discharging wound or fever. Any of these needs prompt assessment with radiographs, inflammatory markers and, where infection is suspected, aspiration of the joint.
Why early diagnosis matters
The longer revision is delayed, the more bone is lost and the more complex the reconstruction becomes. Loosening identified early is managed with simpler implants and a better functional result. That is why every joint replacement, even a symptom-free one, deserves regular radiographic follow-up.
Revision surgery
- Revision hip replacement
- Revision knee replacement
- Total hip replacement loosening
- Total knee replacement loosening
Revision surgery is technically demanding and outcomes depend heavily on the experience of the team and on thorough preoperative planning.
READ RECENTLY
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- Επέμβαση στο Ισχίο: Πότε Χρειάζεται και Τι Περιλαμβάνει
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