Patients that have had a primary hip or knee replacement surgery, may either experience complications from the surgery or prosthesis, or they had the surgery approximately 15 to 20 years prior, and require revision surgery.

Complications are not typical but a small percentage of people may require this to be done for several reasons.

If you have been experiencing any issues with your initial hip or knee replacement, you may consider booking a consultation with Mr Andrew Gong, a partial & total knee replacement surgery and hip replacement surgery specialist based in Melbourne.

What is Revision Knee & Hip Replacement?

Revision knee and hip replacement is the process of replacing a previously implanted joint replacement device with a new device. This may be necessary if the original device has worn out, become infected, or sustained other damage.

Revision replacements can be more complex than the original surgery and may require a longer recovery period.

What is revision knee & hip replacement?
The femoral component refers to the prosthetic implant that replaces the end of your femur, or thigh bone.

Symptoms Revision Hip & Knee Replacement may be Necessary

Patients suffering from one or more of the following symptoms may a revision surgery.

  • Persistent pain in the hip or knee joint
  • Loss of range of motion or decreased function of the joint
  • Swelling in the joint
  • Feeling of instability or popping in the joint
  • Instability in the joint when walking or bearing weight
  • Loosening of the implant
  • Alignment or positioning of the implant is not as it should be
  • Infection in the joint area
  • Limping or difficulty with walking

Revision Knee & Hip Replacement Surgery Benefits

There are several benefits to having revision surgery, which include:

  • Improved range of motion: A revision hip or knee replacement can improve the range of motion of the joint, allowing for greater flexibility and improved mobility.
  • Decreased pain: Revision hip or knee replacement surgery can help reduce pain and improve quality of life. Patients can typically enjoy a pain-free knee and hip.
  • Improved function: Revision surgery can help restore normal joint function, allowing patients to return to activities they once enjoyed.
  • Increased durability: Advanced revision techniques can help improve the longevity of the implant and reduce the need for future surgeries.
  • Improved aesthetics: Revision hip or knee replacement surgery can improve the appearance of the joint, allowing patients to feel more confident in their bodies.
Revision knee & hip replacement surgery benefits
A knee prosthesis is used to create a new knee joint for a patient with knee issues.

Risks to Having a Knee & Hip Replacement

Although risks are unlikely they may occur with knee or hip replacement surgery, these risks include:

  • Bleeding and infection
  • Blood clots in the legs or lungs
  • Nerve or blood vessel damage
  • Dislocation of the implant
  • Implant loosening or wear
  • Pain and stiffness
  • Fractures of the thigh bone
  • Reaction to anesthesia
  • Heart attack or stroke during surgery
  • Damage to surrounding tissue

How is Revision Hip & Knee Replacement Surgery Performed?

Revision hip and knee replacement surgery is performed under general or spinal anaesthesia. Extensive pre-operative planning is performed to ensure that additional equipment required for the procedure is available. This includes instruments to remove the existing implants, bone grafts to fill defects and special revision implants. During the procedure, the surgeon will make an incision to access the joint and remove the existing artificial joint, or prosthesis. The surgeon will then inspect the bone to determine the best course of action for the new replacement.

Depending on the condition of the bone, a new prosthesis may be placed or the existing prosthesis may be modified. The surgeon will then fill any gaps between the prosthesis and the bone with bone cement or other materials.

The surgeon will then close the incision and may use a splint or brace to help protect the joint during the healing process.

Healing after revision hip and knee replacement surgery can take several months. During this time, patients will need to follow their doctor’s instructions for physical rehabilitation and therapy

It is important to strengthen thigh and calf muscles prior to and post-surgery, in order to help support the joint and promote mobility.

How Can Mr Andrew Gong Help With Your MAKO Robotic Knee Replacement?

Mr Andrew Gong is a highly experienced orthopaedic surgeon who has achieved notable success in the use of state-of-the-art technology and techniques for robotic knee replacement and reconstruction surgeries. He holds fellowships in a variety of knee-related procedures.

Cost of revision hip and knee replacement

The exact cost of revision hip or knee replacement surgery at any of our Melbourne clinics will depend on numerous factors. Mr Andrew Gong and our team will provide an accurate evaluation and quote for each individual case, which will include the pricing for the surgery, hospital stay, and anaesthetist.

To determine the cost of the procedure, a comprehensive assessment will be conducted, which may involve blood tests, X-rays or CT scans. Once the evaluation is completed, a detailed quote will be provided.

We will also inform you if any rebates are available from Medicare or any other health insurance.

How can Mr Andrew Gong help with your MAKO robotic knee replacement?

Mr Andrew Gong is a highly experienced orthopaedic surgeon who has achieved notable success in the use of state-of-the-art technology and techniques for robotic knee replacement and reconstruction surgeries. He holds fellowships in a variety of knee-related procedures.

mr andrew gong

About Mr Andrew Gong

Mr Andrew Gong

MBBS, FRACS (Orth), F.A.Orth.A

Mr Andrew Gong is a highly skilled orthopaedic surgeon in Melbourne, with extensive experience. He is a fellow of the Australian Orthopaedic Association (AOA), a fellow of the Royal Australasian College of Surgeons (RACS) and an overseas affiliate member of the American Academy of Orthopaedic Surgeons.

How to Schedule a Consultation

If you would like to schedule an appointment to see Mr Andrew Gong, please do so via the following methods:

Our Locations

Epworth Richmond Melbourne

Level 7, Suite 7.5,
32 Erin Street
Richmond 3121

Box Hill Hospital Melbourne

Epworth Eastern Level 2, Suite 5a
1 Arnold Street
Box Hill 3128

Healesville

Get Well Clinic
408 Maroondah Highway
Healesville
VIC 3777

Frequently Asked Questions

If you require more information on revision knee and hip replacement within the Melbourne area, please review our most frequently asked questions section.

Revision knee replacement surgery is generally successful, with the majority of patients reporting significant improvement in pain and function after the procedure.

According to a study published in the Clinical Orthopaedics and Related Research journal, 93% of patients who underwent revision knee replacement surgery reported good to excellent outcomes.

The study also found that revision knee replacement surgery was associated with a 90% reduction in pain and a 79% increase in function.

The length of the hospital stay for revision hip replacement surgery will vary depending on the individual patient and their specific circumstances. Generally, the hospital stay is typically 3-5 days but can be longer or shorter depending on the patient’s recovery.

Knee replacement revision surgery can be painful. The level of discomfort depends on the complexity of the procedure and the patient’s individual tolerance to pain. Pain relief medications are typically administered during and after surgery to help with the discomfort.

Hip and knee revision surgery are major procedures. It involves removing any remaining pieces of the artificial joint, cleaning and preparing the bone, and then placing new components into the joint. Recovery from this type of surgery can take several months.
Yes, hip replacements can be revised. Revision surgeries may be needed if the joint has become loose, worn down, or damaged due to infection or injury.

Hip revision surgery is generally successful in relieving pain and improving function. The success rate of hip revision surgery depends on the procedure being performed and the patient’s individual situation. 

In general, the success rate of hip revision surgery is 90-95%, with patients experiencing a dramatic improvement in their pain and mobility. The main concern is dislocation where the rate is higher than a primary total hip replacement.

The longevity of a hip replacement revision depends on many factors, such as the type of implant used, the patient’s activity level, and the patient’s overall health. Generally, hip replacement revisions can last 10 to 20 years or longer.

A bone graft is used to replace missing bone or to fill in gaps in existing bone, either due to injury or disease. In a revision knee or hip replacement, a bone graft is used to fill a gap between the existing implant and the surrounding bone, providing additional support to the implant and helping to reduce the risk of future problems.

The bone graft can also be used to provide a better fit for the implant, making it more secure and stable.

The tibial and femoral components are components of a total knee replacement system. The tibial component is the part that is surgically implanted onto the tibia bone, while the femoral component is attached to the femur bone.

The two components work together to provide a smooth, functional knee joint.

This information is not intended to be used for diagnosis or treatment. It is aimed at presenting a perspective only and is not a substitute for a prescription. Anyone experiencing a medical condition should consult their doctor.
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