Revision Joint Replacement

Living with a joint replacement should mean freedom from pain and improved mobility. But for some patients, the journey doesn’t end there. When a joint replacement fails or wears out, it can lead to discomfort, reduced function, or even serious complications. If you’re facing this situation, you’re not alone. Many people require revision joint replacement surgery to address these issues and restore their quality of life.

With Ayaz A. Biviji, patients receive care directly from a highly experienced, Board-certified orthopedic surgeon with over 20 years of joint replacement and reconstruction experience. Ayaz A. Biviji, MD has extensive experience in revision joint replacement, offering tailored solutions for patients in California dealing with failed knee or hip implants. His advanced training, fellowship experience, and early adoption of robotic technology make him uniquely qualified to help you take the next step toward recovery.

What Is Revision Joint Replacement?

Revision joint replacement surgery is a procedure to repair or replace a failed or problematic joint implant. Unlike the initial surgery, revision surgery can be more complex, as it often involves addressing issues like damaged bone, scar tissue, or infection. Revision surgeries are most commonly performed on hips and knees but can also be needed for other joint replacements.

Why Do Joint Replacements Fail?

Joint replacements can fail for various reasons, including:

• Wear and tear over time. Implants are durable, but they don’t last forever. Over time, components can wear down or loosen.
• Infection. Even with careful precautions, infections around the implant can occur, causing pain and instability.
• Dislocation. In some cases, the joint replacement can become unstable, leading to repeated dislocations.
• Fractures. An injury or fall can damage the surrounding bone or implant, requiring revision surgery.
• Allergic reactions or rejection. Rarely, patients may experience adverse reactions to the implant materials.

If you’re experiencing pain, swelling, instability, or reduced function after your joint replacement, it’s essential to seek an evaluation to determine the underlying cause.

Revision surgery is tailored to each patient’s needs, but it typically includes the following steps:

1. Removal of the old implant. The surgeon carefully removes the existing components, which may involve addressing surrounding bone loss or damage.
2. Addressing underlying issues. This could involve treating infections, reinforcing weakened bone, or replacing damaged soft tissues.
3. Placing the new implant. A new joint implant is selected to provide better stability and functionality.

Because revision surgery is more intricate than the initial replacement, it requires advanced planning and a skilled orthopedic surgeon with extensive experience.

What to Expect During Recovery

Recovering from revision joint replacement surgery requires patience and commitment, as the process is often more complex than recovering from a first-time joint replacement. However, with a well-designed plan and personalized care, most patients regain their mobility and quality of life. Here’s an overview of what to expect.

1. Hospital Stay

After revision surgery, you may stay in the hospital for a few days to monitor your progress. This time usually focuses on:

• Pain management. Your medical team works to make sure you are comfortable, using medication and other methods to manage pain.
• Initial physical therapy. Therapists guide you through gentle exercises to begin restoring movement and strength while protecting your new joint.

Dr. Ayaz Biviji prioritizes clear communication, helping you understand what to expect and addressing any concerns promptly during this crucial early phase.

2. Rehabilitation

Rehabilitation is essential to a successful recovery, and it typically begins immediately after your hospital stay. Your post-operative plan may include further physical therapy sessions as well as general wound care. 

3. Follow-Up Care

Regular follow-up appointments are critical to monitoring your recovery. These visits allow Dr. Biviji to:

• Evaluate the success of the revision surgery;
• Address any concerns, such as pain or mobility issues; and
• Adjust your recovery plan as needed.

During these appointments, Dr. Biviji helps patients feel confident and supported, offering practical advice to maintain your results and avoid further complications.

How Long Does It Take to Recover from Revision Joint Replacement?

The full recovery timeline can vary depending on the complexity of your surgery and overall health. Most patients see significant improvement within a few months, with continued progress over a year or more.

Signs That You May Need Revision Surgery

You may be a candidate for revision joint replacement if you’re experiencing:

• Persistent pain after your original joint replacement;
• Instability or difficulty walking, even with assistive devices;
• Recurring dislocations of the joint;
• Swelling or signs of infection around the implant; or
• Reduced range of motion that affects your daily activities.

An experienced orthopedic surgeon can evaluate your symptoms to determine whether revision surgery is necessary. In cases involving severe infection or other life-threatening conditions, it’s best to get medical attention immediately.

Common Types of Joint Revision Surgery

Joint revision surgery is often necessary when a replacement joint fails to perform as intended. However, not all revision surgeries are the same. Dr. Ayaz Biviji helps patients with the following types of revision surgeries:

• Revision knee replacement. A failed or problematic knee implant may cause pain, stiffness, or instability. Revision surgery addresses these issues by replacing worn or loose components, treating infections, and restoring function to the joint.
• Revision hip replacement. Complications such as dislocations, bone loss, or implant wear may require hip revision surgery. This procedure involves removing the problematic implant, repairing any damage, and placing a new implant for improved stability and mobility.
• Orthopedic revision surgery. In addition to treating hips and knees, revision surgery may be necessary for other joints, such as shoulders or elbows. These procedures often address complex issues like infections, scar tissue, or fractures that compromise implant function.

Dr. Biviji’s extensive experience in joint revision surgery helps provide every patient with the highest level of care. With advanced surgical techniques and a commitment to compassionate treatment, he’s focused solely on resolving your joint issues and helping you regain comfort and mobility.

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