Atlanta Bone and Joint Specialists
  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Farhan Malik, M.D.
    • Julio Petilon, M.D
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Matt Crook, PA-C
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
  • Locations
  • Appointments
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Bianca
        • Tabatha
        • Meagan
        • Sandra
      • Billing >
        • Buffie
        • Jennifer
        • Vanessa
      • Scheduling >
        • Andrea
        • Farrah
        • Holly
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Melissa
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Hip >
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Hip and Knee Replacement
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • Blog
  • Español
  • How to Prepare and What to Expect Knee Surgery
  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Farhan Malik, M.D.
    • Julio Petilon, M.D
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Matt Crook, PA-C
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
  • Locations
  • Appointments
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Bianca
        • Tabatha
        • Meagan
        • Sandra
      • Billing >
        • Buffie
        • Jennifer
        • Vanessa
      • Scheduling >
        • Andrea
        • Farrah
        • Holly
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Melissa
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Hip >
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Hip and Knee Replacement
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • Blog
  • Español
  • How to Prepare and What to Expect Knee Surgery

Total Joint Revision Center

See what we can do for you!
Picture

What is a revision?

A total joint revision is a procedure done when a total hip replacement or total knee replacement fails.  It is essentially a "redo" of the first surgery.  There are many different modes of failure for a hip and knee replacement.  A failed surgery or implant can lead to significant pain and disability.  Our Atlanta surgeons are able to fix the smallest to largest knee replacement failures and perform complex hip revision surgery from all over the southeastern United States.
Picture
Front view of a revision total knee replacement
Picture
Side view of a revision total knee replacement

Why do knee replacements and hip replacements fail?

There are numerous reasons why hip and knee replacements fail.  A variety of factors must be assessed in order to delineate what the problem is with the joint.  Patients may suffer from infections (less than 1%), failure of the plastic, implant failure, loosening after a fall, allergic reaction, wear of the plastic over many years, etc.  When total joints fail, patients can be severely debilitated.  Our group believes in identifying the problem, explaining the root cause of the problem, then addressing it to our patients satisfaction.  From infection to breaking a bone around the implant, our Atlanta knee replacement failure and hip revision surgery specialists are all capable of restoring your function!  Turn no further, we're here to help.  Click to fill out our survey and let us review what's wrong with your hip replacement or knee replacement.

How do I know if my hip replacement or knee replacement has failed?

Infection
The joint may get a bacterial infection that will bind to the implant.  The bacteria may then create a "sugar shell" and make it resistant to your immune system as your immune system can't get rid of the encased bacteria.  This is known as a biofilm.  This type of problem with joint replacements is devastating.  Our surgeons are equipped with the best antibiotics and work with infectious disease teams to erradicate the infection and get you your life back!

Aligment Problems
In total knee replacements, poorly placed components with incorrect rotation can lead to knee stiffness.  Our surgeons will take X-Rays and see if this is part of the problem leading to stiffness. 

Plastic Wear
Think of the plastic in a knee or hip replacement as a tire.  As you use the tire, the tread begins to wear out.  The same thing can happen with a joint replacement.  As the plastic wears out, the small pieces of plastic may actually cause a reaction that may lead to bone loss.  These typically occur many years after a joint replacement.  If this occurs early in joint replacement, usually the implants have not been placed correctly.

Dislocation
Although rare with knee replacement, hip replacements can dislocate.  There are multiple reasons for hip dislocations.  The variables are the placement of the cup (socket), the femoral component (stem) and the approach taken to the hip.   Classically, posterior hip replacement surgeons have higher dislocations.  Although arguments are made against it by posterior approach surgeons, the data does not support them.  Posterior hip replacements have a significantly higher rate of dislocation than an anterior based approach to the hip.  Hip dislocations most commonly occur because of malpositioning as well as the surgical approach taken to the hip.

Stiffness
There are many reasons why a joint may become stiff after surgery.  Phenomena where extra scar tissue builds up is called "arthrofibrosis."  This term, when dissected means "arthro"- joint, "fibrosis"- scar tissue.  When joints become stiff, they lose function and become hard to mobilize.  Grueling therapy may be required as well as a procedure called a "manipulation under anesthesia," where the knee or hip is placed through a range of motion to break up the scar tissue in the operating room.

Heterotopic Ossification
Albeit rare, after joint replacement, unwanted extra bone may deposit around the joint.  We do not have a good explanation why.  However, this can be a significant source of stiffness and can severely limit patient mobility

Component Failure
Extremely rarely, the components may fail or dissociate.  In this rare condition, the surgeon must replace these components.


Is your hip replacement or knee replacement painful?  Let our Atlanta Bone & Joint knee replacement failure and hip revision surgery specialists look into it more.  Fill out our survey and a team member will get back to you within 2 business days.  Please note we can not make a diagnosis over the phone and you will most likely need to schedule a visit.

Painful Hip Replacement Survey
Painful Knee Replacement Survey
​
Picture

Click To Add H1 Text

  • Prior blood clot or pulmonary embolus
    • the #1 predictor of having another clot
  • Factor 5 Leiden
  • Von Willdebrands disease
  • Venous Statsis
  • Extensive immobilization after surgery
  • Lower Extremity surgery
  • Oral Contraceptive Birth Control

Click To Add Text

​

​Call to Schedule Your Appointment Today
SE HABLA ESPAÑOL!


Office Hours

Mon-Fri: 9AM-5PM  


Telephone

Decatur                             404.296.5005
Loganville                         770.564.3393
Snellville                           770.985.9330

High School Football Season Added Coverage Hours

Saturdays During High School Football Season
Injury Clinic is for INJURED PLAYERS ONLY.
Snellville
ONLY.
9AM-10AM