Revision Joint Replacement Specialist

Brian S. Parsley, MD -  - Adult Joint Reconstruction Surgeon

UT Physicians

Brian S. Parsley, MD

Adult Joint Reconstruction Surgeon & Board Certified Orthopedic Surgeon located in Bellaire, TX & Sugar Land, TX

Signs of a failed joint replacement surgery include pain and stiffness in the affected joint. For revision joint replacement surgeries of the knee and hip, see UT Physicians: Brian S. Parsley, MD in Bellaire, Texas. Dr. Parsley has decades of experience and advanced training to perform effective revision joint replacement surgeries that can improve your pain levels and quality of life. To schedule a consultation, call the office or use the online tool.

Revision Joint Replacement Q & A

What is a revision joint replacement?

A revision joint replacement surgery is a procedure to replace a prosthetic that has failed after prior joint replacement surgery. Revision joint replacements are complex surgeries that require advanced training and specialized tools to complete.

Dr. Parsley specializes in revision joint replacement surgery for the hip and knee to help you get out of pain and improve the function of your joint. As a specialist in the field, Dr. Parsley performs 350 to 450 joint replacements each year, many of which are revision joint replacements.

Why do joint replacement surgeries fail?

Joint replacement surgeries fail when the original prosthetics devices break down or wear out. Causes of prosthetic failure include:

  • Loosening of the prosthetic
  • Infection
  • Fractures
  • Instability of soft tissue structures in the area
  • Patient-related factors, including age, weight, and activity levels

Depending on the original surgery you had, your prosthetic may have been cemented in place or attached by a biologic (non-cement) agent. Either the prosthetic or the bonding agent can wear away over time, causing loosening and stability issues resulting in pain, swelling and loss of function.

What are the signs that I need a revision joint surgery?

If you notice an increase in pain or a decrease in function of the joint where you previously had a joint replacement surgery, you may need a revision joint surgery. Signs that you need a revision include:

  • Persistent pain and swelling in and around the joint
  • Loss of range of motion or stiffness
  • Walking with a limp
  • Sensation of instability, like your leg may give out underneath you

To determine if you’re a candidate for a revision surgery, Dr. Parsley completes a thorough exam and collects updated imaging, including X-rays and an MRI, of your joint to understand its current condition.

What happens during a revision joint surgery?

Most revision surgeries take two to three hours to complete. While you’re under sedation, Dr. Parsley makes small incisions around the joint and removes the original implants. He may need to add bone grafts or metal wedges, wires, or screws to strengthen the underlying bone. Dr. Parsley then fits a new prosthetic in place and secures it with cement or another bonding agent.

Recovery after a revision joint surgery is similar to the original recovery plan. Dr. Parsley includes early physical therapy to help strengthen your hip or knee and improve your range of motion.

To schedule a revision joint replacement consultation, call Brian S. Parsley M.D. or book online.

For more information on Joint Replacement, please click here.