Joint replacement surgery is usually life-changing, restoring comfort and mobility. Nevertheless, sometimes problems arise years later, caused by loosening of the prosthesis, fracture around the implant, or even an infection. Fortunately, help is available. Orthopaedic surgeons can guide patients through safe and effective strategies. At Doctify we help patients connect with trusted professionals.
Why do joint replacements fail?
Failure is uncommon, and most implants last many years before issues develop. But, sometimes they can fail, the most common reasons are:
- Loosening of the prosthesis: implant no longer fixed securely in bone.
- Wear and tear: artificial parts can gradually break down over time.
- Infection: bacteria around the implant may cause pain and inflammation.
- Bone loss or fracture around the implant.
Common symptoms of prosthesis failure
Understanding the signs of implant failure and knowing about revision surgery can bring peace of mind. The common symptoms include:
- Increasing pain in the replaced joint (different from normal post-op recovery).
- Signs of inflammation around the joint: swelling, redness, or warmth.
- High fever or chills: a temperature equal or above 38°C (101°F) or chills for various days could indicate a serious infection.
- Reduced mobility or stiffness returning after a period of good function
- Instability: a sensation of instability or looseness in the joint, feeling like the joint is “giving way.”
- Unusual noises: a clicking or grinding sensation in the joint during movement.
Experiencing one or more of these signs doesn’t always mean failure, but it’s important to get checked with an orthopedic surgeon.
How doctors diagnose implant problems
The diagnosis of implant problems is made by an orthopaedic surgeon and it’s really uncomplicated and tranquil. The diagnosis includes: imaging tests (X-rays, CT, MRI) to assess loosening, bone loss, or fractures, blood tests to check for infection or inflammation, and physical examination to review pain, movement, and stability. Each diagnosis is detailed and tailored to your situation.
What is Revision Surgery?
Revision surgery is a secondary procedure performed for replacing or repairing a previous joint replacement with new or specialised components, effectively acting as a “redo” operation. It can involve replacing or removing failed implants, correcting complications like infections or persistent pain, addressing undesirable cosmetic outcomes, or managing a new injury. The revision surgery differs from the first operation, it’s often more complex, sometimes requiring longer surgery. In some occasions its necessary the use of special implants or bone grafts if there’s significant bone loss. They should be performed by experienced orthopaedic surgeons with careful planning.
Benefits of Revision Surgery
The benefits of a revision surgery are multiple, among the most important are: relief of persistent pain, restored stability and function, body comfort, and improvement of quality of life — return to activities you may have lost. Although recovery may take longer than first-time surgery, outcomes are often very positive and long-lasting.
Risks and Considerations
Even though it is a beneficial surgery, there are some considerations and risks patients should be aware of. For example, there exists a higher risk compared to the first surgery, due to scar tissue, bone loss, or infection history. On the other hand, potential complications include infection, blood clots, or implant loosening again. Nevertheless, risks are carefully managed with preoperative planning and close follow-up care with the orthopaedic surgeon.
Recovery After Revision Surgery
Recovery after revision surgery usually requires a longer hospital stay and rehabilitation. Rehabilitation with physiotherapy plays a key role in regaining strength and mobility. The improvements after the revision surgery will be gradual, often it takes over several months till full recovery. Patience and persistence lead to the best results.
When to See a Specialist
It is fundamental for the patient to see an orthopaedic surgeon immediately if pain returns or worsens after a joint replacement, if mobility declines or instability develops, or if there are signs of infection such as swelling, redness, or fever. Remember that an early evaluation can prevent further complications.
Finding Relief and Renewed Movement
Joint replacement surgery is usually great and transformative, yet sometimes problems appear years later. While prosthesis failure is distressing, understanding the signs of implant failure and knowing about revision surgery makes all the difference. Revision surgery with an orthopaedic surgeon offers a solution. With expert care and proper follow-up, many patients regain comfort and independence. If your joint replacement doesn’t feel right, don’t wait — a specialist can guide you towards the right treatment and help restore your quality of life.
Find the right specialist for you. Doctify uses verified reviews so you can make the best decision for your healthcare.
Feel free to consult an orthopaedic surgeon through Doctify for personalised advice, we will be happy to help you! Find the best orthopaedic surgeons in the United Kingdom or search for the best specialists globally:
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Medically Reviewed
Last reviewed on 21/09/2025
