Complex challenges requiring specialized joint revision surgery expertise
Correcting a previous joint repair or replacement is more complex than an initial joint procedure, because previous damage and structural issues can complicate these cases and require specialized expertise.
Baylor Scott & White Medical Center – Irving features experienced joint revision surgeons on the medical staff to handle these complex cases.
If you have previously undergone a joint repair or replacement procedure that may need a second look, please call today for a referral.
Advanced joint repair or joint replacement surgery
Joint revision surgery helps relieve pain and restore function in joints that have undergone a previous procedure. It's not unusual for artificial hip, shoulder, elbow and knee joints to require revision.
Despite the original replacement procedure having an initially positive outcome, the need for revision can arise for multiple reasons, including:
- Normal wear of an artificial joint can cause it to start to fit less securely and lose effectiveness or break. Most prostheses have a life of 10 to 20 years.
- Pain or any persistent discomfort following a joint procedure could indicate one or more problems, and revision may need to be a consideration.
- Infection of surrounding tissue can cause joint weakness or damage.
- Structural defects are problems caused by debris left from artificial joint components.
- Musculoskeletal tumors occur in the joint and/or surrounding soft tissue and are a serious function condition that can lead to functional impairment.
Treating a hip fracture
A fall or direct blow to the hip is what causes a hip fracture most of the time.
Decisions on how to treat your hip fracture can only start when you are first medically stable.
Most of the time, hip fractures are treated with surgery to repair the broken bones, but sometimes it's not recommended because of other health concerns—in which case there are other treatment options available.
Hip fractures are most often treated in one of the following ways:
- Metal pins: Two or three metal pins are used to hold the broken bones together while they heal.
- Metal plates and screws: A plate on the outside of the bone and a large screw are used to hold the broken pieces of bone in place while they heal.
- Intramedullary nail (IM nail): A rod on the inside of the bone and a large screw are used to hold the pieces in place.
- Artificial replacement: With a hemiarthroplasty (partial replacement), the ball of the femur is replaced with an artificial ball. A stem goes down into the thigh bone to hold the ball in position. The hip socket is left in place. With a total hip arthroplasty (total hip replacement), both the ball and the socket are replaced with an artificial hip. The artificial hip joint is made of metal and plastic parts.
Osteoporosis and hip fractures
Osteoporosis causes bones to weaken and become more prone to break during a regular activity like standing up from a chair or walking.
Osteoporosis is caused by the following:
- Family history