Revision Joint Replacement

Joint replacements are usually very reliable procedures. Our surgeons perform over one thousand complex and revision knee, hip, shoulder, and elbow joint replacements annually with a very low (<2%) complication rate. GDO surgeons also manage the largest volume of infected joint replacement in the DFW region.  

Greater Dallas Orthopaedics is the most experienced regional referral practice for complex primary, revision, and infected joint replacements.

Definitions

Primary joint replacement- surgical replacement of a joint, usually for simple arthritis, or degenerative joint disease. Joints commonly replaced are hip, knee, elbow, and shoulder.

Complex primary joint replacement- complications exist that may make a replacement more technically difficult. Examples include current or previous fractures, severe deformity, bone loss, previous infection, and metabolic bone diseases.

Revision joint replacement- revision of a previous joint replacement that has failed. Revision surgery involves replacing all or part of a previous implant.

Prosthesis- the device that is implanted to replace the joint. Usually they are made of various metals, ceramic, and plastic.  

Prosthetic Joint Infection- bacterial infection of a prosthetic joint can occur early in the postoperative period or years later. Infection may be caused by direct contamination or by spreading through the bloodstream.

Revision Joint Replacement

GDO surgeons perform the largest number (750/yr) of revision joint replacements in the DFW area and beyond. Our surgeons perform a large volume of hip, knee, shoulder, and elbow replacement revision surgeries. Many patients with complications of joint replacement are referred to our practice for our expertise.

Joint replacement-related complications treated at GDO include fractures around the prosthetic joint, loosening of the prosthesis, dislocation, instability, painful prosthetic joints, swelling around implants, hematomas, seromas, and wound complications related to joint replacement. If these occur, the joint may need to be revised. This involves exploring the joint and possibly replacing all, or part of, the joint prosthesis. These procedures can be very difficult. Expertise in revision surgery optimizes patient outcome.

Prosthetic Joint Infection

Prosthetic joint infection is an uncommon complication of joint replacement procedures. Artificial joints can become infected at the time of the initial joint replacement, or they can become infected later by bacteria in the bloodstream. Treatment can be complicated and may involve a one or two stage surgical approach. GDO surgeons treat the most periprosthetic infections (>400/yr) in the region by a large margin. Patient outcome is optimized with an experienced team.

Recovery

Rehabilitation of the affected joint is an important aspect of recovery from replacement. The proper usage of the new joint following surgery strengthens these muscles and facilitates healing. This is achieved with a specific physical therapy program designed for each patient.

PROSTHETIC JOINT INFECTION

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