Revision Hip and Knee Reconstruction
When a hip or knee replacement causes new problems, the first question is what is failing and why. Start here, then follow the hip or knee path.
- 2 care pathways
- Clinically reviewed
The short answer
A replacement that has started causing problems raises a different first question: what is actually failing, and why. The evaluation starts with records and diagnosis, and it does not assume another operation is needed.
Joint Replacement pathways
Where each option fits.
A painful hip replacement and a painful knee replacement are worked up differently. Start with the joint, and both paths begin with diagnosis rather than a surgery date.
One question, two paths
A painful hip replacement and a painful knee replacement are worked up differently, and each has its own page below. Both start the same way: define the problem before discussing surgery.
Dr. Patel’s fellowship at JIS Orthopedics included revision reconstruction, and revision surgery remains part of his hip and knee practice.
Start with records and diagnosis
Operative reports, your implant card (the wallet card from your first surgery), prior images, laboratory results, and the sequence of symptoms can reduce uncertainty. The office can help you request records you do not have.
The visit may lead to observation, further testing, non-surgical care, or a revision discussion.
Use the consultation to make the decision clearer.
- What would you need to see before recommending another operation?
- What records should I gather first?
- Has infection been considered?
- What outcome is realistic?
Sources and further reading
- Revision Total Hip ArthroplastyAmerican Association of Hip and Knee Surgeons
- Revision Total Knee ReplacementAmerican Academy of Orthopaedic Surgeons