Joint Revision Surgery
What is Joint Revision Surgery?
Joint revision is the procedure to replace or repair the previously implanted hip, knee, or any other joint prosthesis that has worn out, failed or caused complications. It is conducted when the initial joint replacement has malfunctioned badly due to implant wear, loosening, infection, fractures, or instability.
When is Revision Surgery Needed ?
1
Infection or other diseases that affect joints.
2
Weak bones that cause Proximity fractures.
3
Fractures in the vicinity of the implant site.
4
Instability or dislocation of the joint, causing pain and limited movement.
5
Loss of bone or damage to the tissue needing joint movement.
PROCEDURE OF REVISION SURGERY
It involves obtaining images using X-ray, CT, or MRI, a blood work panel, and occasionally, performing a joint aspiration to diagnose the cause of implant failure, whether it's due to infection, loosening, or wear and tear.
Preoperative Assessment
STEP-1
The patient receives spinal or general anesthesia.
Anesthesia
STEP-2
Joint access is done through the old surgical incision.
Surgical Cut
STEP-3
The prosthesis is removed. This might have some bone cement or bone deficit, which will need to be worked on.
Removal of Old Implant
STEP-4
Infected tissue is cleaned out, and the bone is cut and shaped. If there are gaps, they can be filled with bone grafts.
Debridement & Bone Preparation
STEP-5
A new prosthesis, which is frequently more detailed, is placed with better stabilizing and functioning abilities.
Insertion of New Implant
STEP-6
A stitch or clip will close the incision, and a drain will be fitted to discard superfluous fluid.
Closure
STEP-7
Use of antibiotic drugs, managing pain medication, and physiotherapy to restore mobility and strength are crucial at this stage.
Recovery
STEP-8