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. profile image

Kevin Borchard, M.D.

Orthopedic Surgeon

Residency Training: Wilford Hall Medical Center, Lackland Air Force Base, Texas Fellowship Training: Adult Reconstruction of the Hip & Knee,... More >
Gregg G. Martyak, M.D. profile image

Gregg G. Martyak, M.D.

Orthopedic Surgeon; Hand Specialist

Board Certifications: American Board of Orthopaedic Surgery with Subspecialty in Hand and Microvascular Surgery Fellowship Training: Hand and Microvascular Surgery,... More >
Mark Purnell, M.D. profile image

Mark Purnell, M.D.

Orthopedic Surgeon

Board Certification: American Board of Orthopedic Surgery with added Certification in Sports Medicine Fellowship:  Orthopedic Sports Medicine, Aspen, Colorado Residency: ... More >
Dan Ward, M.D. profile image

Dan Ward, M.D.

Orthopaedic Surgery

Residency Training: Cleveland Clinic, Cleveland, Ohio Fellowship Training: Adult Reconstruction of the Hip & Knee, New England Baptist Hospital in... More >
Fran Schreiber-Custer, PA-C profile image

Fran Schreiber-Custer, PA-C

Physician Assistant Advanced Orthopedics and Meeker Family Health Center

Education: University of Colorado School of Medicine Specialties: Orthopedics, Family Medicine, Women’s Health, Emergency Care, and International Medicine. Fran is... More >
Ashlie Gates, RN profile image

Ashlie Gates, RN

Orthopedic Nurse

Ashlie has been a Registered Nurse for 11 years. She started her career in Denver, Colorado at Swedish Medical Center... More >
Terri Jourgensen, RN profile image

Terri Jourgensen, RN

Orthopedic RN and Case Manager

Credentials/Licenses: Wound Care Certification and Orthopedic Nurse certified College: University of Wyoming, Laramie Wyoming Specialties: Wound care and orthopedics; 31... More >
Russell Stagg, CRNA profile image

Russell Stagg, CRNA

Nurse Anesthetist & Pain Management Injections, Pioneers Medical Center

Medical Education: University of New England, MSN, and University of Utah, BSN Board Certifications: NBCRNA Board Certified Professional Affiliation: Member... More >

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