Bryant Bonner, MD

Board Certified

Hip and Knee Replacement Specialist

Revision Knee Replacement

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Welcome to our patient-centered guide dedicated to Revision Total Joint Replacement!

If you or a loved one have undergone a previous Joint Replacement that is no longer providing the relief you need, Revision Joint Replacement may be the solution to restore your mobility and alleviate discomfort.

Revision Total Joint Replacement, also known as Revision Arthroplasty, is a specialized surgical procedure designed to address complications of an existing Joint Replacement including wear and tear, loosening, infection, instability, or any other complications over time. This may involve replacing or revising part or all of your previous Joint Replacement.

As you explore this guide, we encourage you to reach out to our team with any questions or concerns you may have. Dr. Bonner and our team are dedicated to ensuring your well-being and helping you regain an active and pain-free lifestyle.

Dr. Bonner understands that facing the prospect of another surgery can be daunting, and we are here to provide you with the information and support you need to make informed decisions about your joint health.

Essential aspects of Revision Total Joint Replacement

In this comprehensive guide, we will walk you through essential aspects of Revision Total Joint Replacement, including:

  • Understanding when Revision Joint Replacement is necessary and who is a candidate for the procedure.
  • Exploring the benefits and goals of Revision Joint Replacement.
  • The evaluation process, diagnostic tests, and consultations with our experienced orthopedic team.
  • The surgical procedure itself, including what to expect before, during, and after surgery.
  • Postoperative care and rehabilitation to ensure a successful and swift recovery.
Expertise and Experience

Dr. Bonner has extensive experience in Revision Total Joint Replacement and is committed to delivering exceptional patient care. His experience and background using advanced surgical techniques and technology ensure that you receive the best possible treatment and outcomes.

A diagram showing the different parts of a dental implant.
What is Revision Knee Replacement Surgery?

Revision Knee Replacement surgery is a procedure performed to replace parts of or all of a previously implanted artificial knee joint that may have worn out, become damaged, or developed complications over time. In this procedure, one or more parts of the original implant are removed and replaced with new components.

  1. Infection: In some cases, an infection may develop in or around the knee implant resulting in increased pain, swelling and discomfort. This requires an urgent surgery to clean and debride away any infectious tissue and removal of the infected components.
  2. Mechanical Wear: Over time, the artificial knee joint may experience wear and tear, leading to loosening or instability.
  3. Fracture: Rarely, you may have a fracture or injury around your implant if you sustain a fall or other traumatic injury. This may make the components unstable or loose which would require a revision surgery.
  4. Instability: Rarely, you may sustain an injury or trauma to the ligaments surrounding your knee which can result in persistent and progressive instability of the knee. If this is unable to be improved or resolved with PT, this may require a revision surgery.

The decision for Revision Knee Replacement will depend on your individual circumstances, including the condition of your current knee implant and the extent of the problem. If your Knee Replacement is causing you pain or limiting movement, talk with Dr. Bonner who will carefully evaluate your case to determine if revision surgery is the best option for you.

  1. Improved Function: Addressing issues with the previous knee implant can lead to better knee function and reduced pain.
  2. Enhanced Stability: The new components can provide improved stability, allowing for more comfortable movement.
  3. Increased Longevity: Modern Revision Knee Replacements are designed to be durable, potentially providing long-term relief.

Revision Knee Replacement is a more complex procedure than the initial Knee Replacement. During surgery, Dr. Bonner will examine the implant, the bones and soft tissues. He will carefully remove the old knee components, clean out any infected or damaged tissues, and prepare the knee joint for new implants. In some cases, specialized implants may be used to provide stability and support.

For an infected Knee Replacement, Dr. Bonner may need to remove all of your total knee replacement components and insert a temporary antibiotic spacer to treat and protect the knee from any further infection. This is in addition to a course of IV antibiotic treatment as well. Once your infection is treated, a second surgery is performed to place a new Revision Knee Replacement.

Most patients are now going home the same day or the next day after surgery. Patients often use a walker for the first 1-2 weeks to help provide some added stability and balance and progressively graduate to a cane and then off any assistive devices as you are able.

Physical therapy will play a crucial role in your rehabilitation process. After your stay in the hospital we will set up physical therapy to go to your home for the first two weeks. After two weeks, you will graduate to outpatient physical therapy to continue to work on your range of motion and strengthening. This can be done at a facility close to your home.

The first six weeks are especially important in maximizing how straight your knee can go (extension) and bend back (flexion). As you progress you can also begin to get back to your activities such as walking, hiking, golf and more!

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