Revision Joint Replacement

What is revision joint replacement?

• It is a second surgery done to replace or repair a previously implanted artificial joint that has worn out, loosened, or developed complications like infection.

Why is it needed?

Reasons include:

• Worn out implants
• Loosening of implant
• Infection around the joint
• Broken implant
• Bone loss

Is it more complex than the first surgery?

• Yes, because bone quality may be poor and scar tissue is present. It requires advanced surgical planning, surgeon’s skills and special implants.

What are the risks?

• Risks are slightly higher compared to the first replacement—like infection, blood loss, and longer recovery.

How successful is it?

• Most patients achieve good pain relief and mobility again. Success depends on reason for revision and bone quality.

How long do revised implants last?

• Usually 10–15 years, though it depends on the patient's age, activity, and bone condition.

Is bone graft sometimes used?

• Yes, if bone around the implant is damaged, grafts or special metal augments may be needed.

How long is hospital stay?

• 5–7 days on average, longer than primary replacement.

Is physiotherapy important after revision?

• Yes, even more so, since recovery is slower and muscles are weaker.

Can elderly patients undergo it?

• Yes, but detailed medical assessment is needed. With proper care, even elderly patients benefit greatly.