Revision Joint Replacement
The replaced joints may fail after 10 to 15 years or occasionally earlier. The parts may wear out or become loose or they may break. The porous surfaces of cementless implants may not properly bond to the bones leading to loosening. In these cases, an operation will be required to replace the damaged part or even the entire implant. Another common reason for revision surgery especially in India is infected joint replacement where the infected artificial joint needs to be removed followed by a waiting period for elimination of infection and later re-implantation
Revision Joint Replacement is a much more complex and technically difficult operation that requires a long operating time. These technically demanding operations should be performed by a surgeon skilled in both first-time joint replacement as well as revision surgery.
The magnitude of revision surgery depends on the difficulty of implant removal and the quantity and quality of bone remaining after removal of implants. The revision operations may require special kinds of prostheses and bone grafts form your pelvis or bone banks to take care of the residual bone defects.
In cases of revision hip replacements, the bone may need to be cut to remove the implants which may then require wires to hold the bones together till healing. There is a chance that you may have a shorter or longer leg than it was before the operation. There is a high risk of hip dislocation for about 3 months after revision surgery and you must follow the restrictions strictly to prevent any dislocation. The range of movement may be significantly less compared to a first-time joint replacement.
The cost of revision surgery may be significantly higher than a first-time joint replacement as you may require special implants along with increased operative time, increased length of hospital stay and the need for longer duration of antibiotics