Revision surgery is our expertise
Revision surgery—performed to replace or repair a failed joint implant from previous surgery—is a highly specialized and complex field of orthopedics requiring extensive training and experience. This expertise is one of the hallmarks of Pioneers Medical Center Advanced Orthopedics. Dr. Kevin Borchard and Dr. Daniel Ward both have fellowship training in this specialized field of orthopedic surgery from the New England Baptist Hospital—a premier provider for orthopedic surgery—and have developed a well-earned reputation for the excellence of their patient outcomes.
Revision surgery is typically indicated due to implant loosening and wear. For a total joint replacement to function properly, an implant must remain firmly attached to the bone. During the initial surgery, it was either cemented into position or bone was expected to grow into the surface of the implant. Over time, however, an implant may loosen from the underlying bone, causing the joint to become painful. The cause of loosening is not always clear, but high-impact activities, excessive body weight, and wear of the plastic spacer between the two metal components of the implant are all factors that may contribute. Also, patients who are younger when they undergo the initial joint replacement may “outlive” the life expectancy of their artificial joint.
Infection can also be a cause for revision surgery and may occur years after the initial surgery. If an artificial joint becomes infected, it may become stiff and painful. The implant may begin to lose its attachment to the bone. Even if the implant remains properly fixed to the bone, pain, swelling and drainage from the infection may make revision surgery necessary.
Instability is another factor in creating the need for revision surgery. If the ligaments around your joint become damaged or improperly balanced, your knee or hip may become unstable. Because implants are designed to work with the patient’s existing ligaments, any changes in those ligaments may prevent an implant from working properly. You may experience recurrent swelling and the sense that your joint is “giving way.” If joint instability cannot be treated through nonsurgical means such as bracing and physical therapy, revision surgery may be needed.
If you’re experiencing instability, pain, swelling or stiffness in your artificial joint, the Advanced Orthopedic Team at Pioneers Medical Center can help you determine if revision surgery is required. Our experience and expertise are unmatched in the highly specialized field and we provide comprehensive care before, during and after surgery with personal attention in a state-of-the-art facility.
Kevin Borchard, M.D.
Orthopaedic SurgeryResidency Training: Wilford Hall Medical Center, Lackland Air Force Base, Texas Fellowship Training: Adult Reconstruction of the Hip & Knee,... More >
Dan Ward, M.D.
Orthopaedic SurgeryResidency Training: Cleveland Clinic, Cleveland, Ohio Fellowship Training: Adult Reconstruction of the Hip & Knee, New England Baptist Hospital in... More >
Gregg G. Martyak, M.D.
Orthopedic Surgeon; Hand SpecialistBoard Certifications: American Board of Orthopaedic Surgery with Subspecialty in Hand and Microvascular Surgery Fellowship Training: Hand and Microvascular Surgery,... More >
Ashlie Gates, RN
NurseAshlie has been a Registered Nurse for 11 years. She started her career in Denver, Colorado at Swedish Medical Center... More >
Russell Stagg, CRNA
Nurse Anesthetist & Pain Management Injections, Pioneers Medical CenterMedical Education: University of New England, MSN, and University of Utah, BSN Board Certifications: NBCRNA Board Certified Professional Affiliation: Member... More >