You’ve already had a joint replacement. Now your surgeon has recommended another surgery on the same joint because it has become stiff and painful again. It may even feel unstable, making it hard for you to participate in daily activities.1
You may be wondering why this has happened, especially since primary joint replacement surgery is a very successful medical procedure. In most cases, it relieves pain and allows you to live a more active life. Sometimes, though, there are complications with joint replacement surgery that require re-operation. There are a number of possible reasons for this, including implant loosening, infection, damaged ligaments, or just normal wear and tear.1 If you’re experiencing any of these problems, your surgeon may recommend a second surgery, known as a revision.
Implants can wear out over time, even in the absence of additional injury. As time passes, the possibility of needing a revision becomes greater. Patients who have had joint replacement at a younger age may outlive their original joint and need another.
Since you’ve already had primary joint replacement, you have a good idea of what to expect from a revision procedure. Still, facing surgery can be scary. Knowledge might help calm your fears, so never hesitate to ask questions. Here are some general questions to ask your doctor:3
There are certain steps you will need to take to get ready for your revision procedure. They may seem familiar to you, because many are the same for both primary and revision joint replacement surgeries.1
During a revision procedure, your surgeon will remove some, or all, of your original components and likely replace them with new ones. Damage to the bone may require your doctor to use specialised implants for extra bone support and specialised tools to achieve a good result.1
The recovery and rehabilitation process after revision surgery is generally the same as for primary joint surgery. You will most likely require rehabilitation following surgery, which may include home health care, an outpatient recovery facility, physical therapy, and/or other forms of rehabilitation.4
Because revision surgery may take longer and is more complex than primary joint replacement, there is a greater risk of complications. Discuss these and any possible risks with your surgeon and ask about taking any specific measures to help avoid them.1
Both primary and revision joint replacement have the same goal – to relieve pain and restore function. The good news is that most revision surgeries are successful and can lead to years of activity and good joint function.2 However, replacement joints are still artificial and you need to be prepared for potential complication, including infection, anaesthetic complications, loosening, fracture, wear, blood clots and other issues, all of which you should discuss with your surgeon.