Revision Surgery after a Failed Previous Joint Replacement

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  • čas přidán 16. 03. 2023
  • Many factors including, worn or loose implants, damaged prostheses and even infection can lead to patients needing revision surgery after a hip or knee replacement. Join Johns Hopkins orthopaedic surgeon Savyasachi “Savya” Thakkar in this interactive webinar as he discusses the different causes and approaches to revision surgery after a failed joint replacement and what you need to know if you have had a hip or knee replacement. Presentation followed by a Q&A session. #RevsionSurgery #JohnsHopkins www.hopkinsmedicine.org/ortho...
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Komentáře • 16

  • @FlexibleFlyer50
    @FlexibleFlyer50 Před 10 měsíci +4

    Went through knee replacement surgery in Feb. Now the ortho surgeon says the implant has "slippage." I would never get another surgery to have the implant ripped out and another installed. Hell no! Pain, swelling and stiffness have made me rethink the whole idea of knee replacement surgery. I'm not getting the left knee done----"Don't touch me!" I'm getting a mobility scooter.

    • @itsraining6449
      @itsraining6449 Před 9 měsíci +1

      I have been going through absolute hell with my ill fitting left total knee. My surgeon was not helpful and said I am having pain because my quadricep is not engaging yada yada yada. I went for a second opinion and two doctors found that the knee is unstable. There is 30 degrees of movement from side to side and one centimeter of movement front to back. After 16 months I am now getting some hope that I won't be crippled for the rest of my life. So, I am getting the femoral implant replaced.

    • @FlexibleFlyer50
      @FlexibleFlyer50 Před 9 měsíci

      @@itsraining6449 I wish you the very best of luck. I hope that the surgery helps you and gets you out of pain.

  • @danutaalinasmith5102
    @danutaalinasmith5102 Před 3 měsíci

    A excellent and informative video, thank you. I had a total hip revision done 10 weeks ago due to a very large and nasty abscess which developed over my joint replacement scar. I am doing very well but had one or two questions which were answered in this presentation. Sending greetings from Scotland

  • @PatCheek-fe3zh
    @PatCheek-fe3zh Před 3 měsíci

    Excellent video bug I was unable to ask question.. probably my fault !

  • @AleaseMDavis
    @AleaseMDavis Před 11 měsíci +2

    Could not find questions box. Surgeon sewed patella seven cm down and very little range of motion. Constant pain, can't handle PT pain terrible.

    • @FlexibleFlyer50
      @FlexibleFlyer50 Před 10 měsíci +1

      I think a lot of orthopedic surgeons screw up on these surgeries----they have a timeline---so many surgeries in one day. I can understand your pain, anxiety and frustration. My knee replacement has "slippage" according to the surgeon, yet he didn't write that down in my file. I think he and his PA screwed up. I refuse to let another doctor touch my left knee. I don't trust any of them. I'm a walking advertisement for both the hospital where the surgery occurred (ask me about all the UTIs I've had because of the stupid nurse who couldn't get a catheter
      into me) and the doctor himself and the practice he belongs to. I wish you the best with everything here. I understand what you're going through all too well.

  • @ediewoods5144
    @ediewoods5144 Před 7 měsíci +1

    First left hip surgery was June 2021. At the beginning of 2022, I having trouble walking and ended up in a wheelchair. In February of 2023, I entered a hospital in San Diego for the first revision. (the femur did not adhere to the implant). The incision dehis and there was an infection. Second surgery 2 weeks post op and this second surgery went really bad. Infection was terrible. The surgeon removed the metal parts from the first surgery, did an D and I and inserted another set of metal parts. Infection continued and third surgery was necessary. In the third surgery temporary parts and spacers were inserted.
    I am now six months out and started to have some pain in thigh.
    Is the normal procedure to replace with temporary spacers on the second revision or the third? And I have had scans and show no sign of infection or inflammation in my body.
    I'm terrified of having another surgery!!

  • @sissy8563
    @sissy8563 Před 2 měsíci

    I came across this video, trying to search out information.. I'm 50 yrs old, had a left TKR in 2015. I had issues with my knee freezing up in the beginning due to me keeping it on a pillow ( totally my fault) was able to get full range with PT. But right under my knee by my tibial I always had bad burning pain, also I was always swelling up in that area sometimes like a balloon. Asked my orthopedic about it, he said it was just a fat deposit.. But I never understood why If I walked on uneven ground, gravel stairs it would blow up even more.. just figured we'll this is my new normal. Fast forward to Feb 13 2024, woke up with severe pain in my left knee/leg so bad it felt like I was newly post op.. went to the ER due to the pain, tested for blood clots and next day at my orthopedics office had an aspersion done. Both test normal, but my inflammatory markers were very high. Within 2-3 days all my joints in my body was hurting. I was sent to a RA specialist, plus sent to a joint -orthopedic specialist for 2nd opinion. My bone scan showed I have losing and also a 10/11 % malformation in my replacement. So I was told I was going to need a revision. My confusion and worry is why & what caused the other joints in my body to hurt so bad? I was placed on high doses of sterioids, that helped my joints but not my left knee.. that's still very swollen, still very painful and burning in my tibial bone area. Ive asked if I could be allergic to something in my component is there a allergy test but I get looked at like I'm crazy. Also I want to add my skin on areas on my body, arms and back and left leg I feel like someone's rubbed bengay or something it's a very cold/burn feeling and that's on different areas on my body. I know this is alot I hope someone can help maybe give me insight.

    • @caseycarson5330
      @caseycarson5330 Před měsícem

      The Dr did say that there could be titanium upper, but nickel cadmium lower pin placement. Perhaps being tested for nickel would answer that question. Hope you find relief...

  • @johnvet8356
    @johnvet8356 Před 2 měsíci

    I had a unicompartmental implant in May of 2023 and one night I had a violent kicking episode of RLS and I was awakened by a very intense knee pain and now X-rays reveal a misplaced implant and a TKR is to be scheduled.
    Obviously when the partial knee implant was done, part of the tibial plateau was cut to accommodate the implant and now I wonder what the outcome will be with a TKR? What can I expect? Potential problems?

  • @shawnshannon1626
    @shawnshannon1626 Před 3 měsíci

    . i’ve had a broken femur , a missed labrum tear, fluid removal twice 50CC first time and more than 50CC Second time two hip revisions working on my third as of April 8 this year I’ve had multiple fractures due to improper placement of hardware. I’ve had 13 screws and a plate, put on the hip in order to pull it back together after the first surgeon fractured my hip socket so now that it’s trauma surgery and not just hip revision my next surgeon is a trauma surgeon and in the theater this time we will have a vascular surgeon, a prosthetic surgeon, and then Dr.Thackrel the trauma surgeon hip socket has shifted forward, causing me excruciating pain and I feel that I’ve got fluid on my hip again. This is been going on for nine years going on 10 years. I’m not sure how this discussing my problem with you guys will help but maybe it will help me with more understanding of why this is happened multiple times and how all the mishaps such as the labrum tear fractured hip socket and products not working properly

    • @JohnsHopkinsMedicine
      @JohnsHopkinsMedicine  Před 3 měsíci

      Thank you for reaching out to us. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.
      If you would like to request an appointment at one of our hospitals, please call the appropriate phone numbers listed on the page below. Our medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins Medicine International also provides language interpretation, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.
      ow.ly/IJKqR

  • @user-lt6nd7dl2o
    @user-lt6nd7dl2o Před 3 měsíci

    Will this help me after five fails knee surgery.

  • @user-wl8ws6nf3m
    @user-wl8ws6nf3m Před 2 měsíci

    Fractured femur and had THR Sept 5. Then dislocated that was told blew out back Oct 10. Along with revision Dr said the THR was at wrong degree. Now revision posterior. Popped out late Oct so I wore a brace to keep hip heal properly. Last Sunday popped out again 8 days ago. Now Dr states I need another Revision with a longer, which will need bone depth.
    I am very concerned. Can something be done added so ball doesn’t pop out again ?

  • @JLRicketts33
    @JLRicketts33 Před 6 měsíci

    Have you seen an implant fall in your hand when doing a revision? Surgeon during revision said, no growth had adhered to my previous replacement. Do you have a suggestion what would be the cause of that?