Revision is another word for “redo.” Sometimes problems can occur with your initial joint replacement that require further surgery. Sometimes simple adjustments need to be made. Sometimes you require removal and replacement of all the parts. With revision surgery, this is always a case by case basis.
I know what you are thinking. If you are having problems with your joint replacement, the last thing you want to do is consider another surgery. Especially if it feels that you never did well or had a very difficult time after surgery. I want to reassure you that, although you may be frustrated, there are things that can be done to get you relief.
I have vast experience in addressing these problems. With each revision case I take essentially the same approach. If you are seeing me in clinic because you are having problems with your joint replacement, I will ask you very specific questions and carry out special physical exam maneuvers. I will likely order initial lab testing, which leads me to the next steps. You may require an aspiration (drawing fluid from the joint). You may require more specific laboratory testing. You may require specialized imaging (bone scan, MRI, CT scan, etc). Whatever the case, I will continue to work towards the diagnosis until I am certain of the cause of your pain. At that point we will formulate a surgical plan.