Replacing a Replacement Part

MY hip!


It is bad enough you have to go through surgery to replace a knee, hip or shoulder … but what happens if you end up having to replace the replacement?

Reader Question …

George, I have an upcoming replacement of the original knee replacement…I would be interested in what others who have been thru it have to say about success or not success.”

According to one online source:

“How long will the new knee joint last? For 80–90% of people who have total knee replacement, the new joint should last about 20 years, and it may well last longer. If you’ve had a partial knee replacement, you’re more likely to need a repeat operation – about 1 person in 10 needs further surgery after 10 years.”

According to OrthoInfo (https://orthoinfo.aaos.org/en/treatment/revision-total-knee-replacement/)

“Over time, however, a knee replacement may fail for a variety of reasons. When this occurs, your knee can become painful and swollen. It may also feel stiff or unstable, making it difficult to perform your everyday activities.

If your knee replacement fails, your doctor may recommend that you have a second surgery—revision total knee replacement. In this procedure, your doctor removes some or all of the parts of the original prosthesis and replaces them with new ones.

Although both procedures have the same goal—to relieve pain and improve function—revision surgery is different than primary total knee replacement. It is a longer, more complex procedure that requires extensive planning, and specialized implants and tools to achieve a good result.”

Does anyone have experience or recommendations on replacing replacement parts?

Tournament #2: World Tennis Club

This week’s tournament is taking place at Naples’ World Tennis Club (virtually across the road from Naples Bath and Tennis) and is for both singles and doubles players (or the special breed who play both in the same event).  In my opinion, it is the BEST run event on the senior tour; so congrats to the planners and host of volunteers.

On Wednesday, we had a “pop up shower” that washed out the afternoon’s play; so the tournament is effectively one day behind schedule.  Noble and I (seeded #4) played our first round robin match yesterday vs. the solid team of Bob Mason and Terry Warner; and were able to stay in control most of the match for a 6-2, 6-2 victory.

For all the scores and today’s scheduled matches, click HERE

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4 thoughts on “Replacing a Replacement Part

  1. Replacement knee surgery should be done by someone knowledgeable and has experience in this area. Search for such a doctor via internet and through references. Check for orthopedic in Boston area.

    Howie, thanks, george

  2. Replacement knee surgery can often be necessary for several reasons (wear of the prosthesis, technique / skill of the surgeon, etc.). I have had 5 replacement surgeries on my right knee. The first 4 were done by the same surgeon following the tibial head of the replacement “breaking off” and simply replacing the “poly” each time – occurred every two years. The fifth replacement was done by a different surgeon who reset the implants at different orientations and longer prosthesis. Four years later all is well. Is replacement surgery successful? Definitely……

    DeWayne, Yikes! FIVE on the same knee. george

  3. I had a replacement of a replacement August 20 this year. Original replacement only lasted about 7 years…some pieces broke off and were causing pain.

    I had a real tough time in the hospital due to a fever (unrelated to the surgery I believe)
    I was in hospital for 8 days and hardly remember any of them. My insurance paid up to 20 days for in house rehab…I went to Solaris next to Imperial. Overall, positive experience.

    Once home continued out patient rehab for probably an additional 3 weeks.

    Like with the original replacement I slowly started hitting at 8 weeks…short sessions maybe 3 times a week…adding bike riding on off tennis days slowly building up mileage and speed.

    Anyone who has been thru knee replacement knows that the process to recapture your game and confidence in the knee is a slow process with discouraging days, finally you find yourself moving to the ball and covering court that you did not do the week before and each week that improves.

    5 months post surgery, I am moving totally pain free (but still wear a just in case brace) I can honestly say that the replacement of the replacement (at least at this point) feels better the original surgery ever felt.

    Trust me, I was very concerned prior to surgery about the results….just wanted to still be able to play quality tennis (relative term nearing 75) for a number of years yet!?!?

    Dave, great history! thanks, george

  4. I had a partial knee replacement fail after 3 years of playing only doubles on clay, about 2-3 times a week. I then had a full knee replacement in January 2019. The knee feels great now. I am up to knee pressing both legs at 100 lbs. and the one leg at 60 lbs. In addition to using a very experienced sports orthopedic surgeon who has done knee replacements for some professional athletes. I found the real key is the immediate rehab. Which by the way you will now have to do the rest of your life if you want any chance of playing tennis again. BTW, I believe my partial knee failed due to using a surgeon who only used robotic surgery. My full knee was not done that way. I am not playing tennis right now only due to a full shoulder replacement done in June 2019 by the same surgeon who did my full knee. My shoulder feels good after six months. I will be start going back on the court very slowly in about two weeks. Remember, rehab, rehab and no pain no gain. Good luck!

    Dave, rehab … and “prehab” to be in best shape for the surgery. thanks, george

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