Revision Joint Replacement (Joint Revisions)

Joint replacement is one of the most successful procedures in medicine. When a joint becomes worn out or injured a primary (or first time) joint replacement occurs. These procedures allow most patients to regain an active lifestyle free from chronic joint pain. Over time the artificial joint may fail for a variety of reasons. When this occurs patients typically experience pain, swelling, stiffness, warmth at the joint, and an inability to continue everyday activities.

After reviewing your images, a physical exam, and a discussion of history and symptoms Dr. Buch may recommend a second surgery on the joint as a  treatment option. A revision joint replacement involves removing and replacing all or parts of the implants to resolve symptoms and restore function. Both primary and revision surgeries are performed for these reasons however a revision surgery is much more complex then a primary joint replacement. Revision surgeries are typically longer, require specialized implants and instruments, and requires extensive preoperative planning.

The most common reasons joint replacement patients need a revision:
  • Implant loosening
  • Wear
  • Infection
  • Fractures
  • Instability
  • Stiffness

For over 25 years Dr. Richard Buch has perfomed complex joint revision surgeries of knee, hip, and shoulder replacements. He is a national recognized expert in joint revisions, infections, and complex reconstructions. He consistently gives lectures around the world as a featured expert on these topics while working with orthopedic companies to design the best implants for these complex cases. Dr. Buch is the surgeon other orthopedic surgeons send their patients to when they experience issues with a prior replacement or require a revision.