Also Revision surgeries on künstlichen HÜFT- or knee joint Gehören to my portfolio in endoprosthetics.

In HÜFTGELENK are especially a infection of the prosthesis material, an early loosening of the stem or a fracture of the bone involving the implants as a complication gefürchtet.

Often, a primary hip implant can be used for revision surgery. Sometimes, special revision implants are necessary.

COMMON REASONS for a prosthesis replacement on the knee are, in addition to infection, e.g., instability or persistent pain.

In the context of a REPEAT knee operation, often special implants necessary to replace defective Bänder (through a so-called linked prosthesis) to reconstruct DEFECTS OF THE BONE (through augments or bone replacement MATERIAL).

IF YOU ARE EXPERIENCING COMPLICATIONS AFTER IMPLANTATION OF AN ARTIFICIAL JOINT SUFFERING, I AM HAPPY TO ADVISE YOU REGARDING THE POSSIBLE THERAPY OPTIONS! A PROSTHESIS REPLACEMENT IS ALWAYS THE LAST OPTION.

Prosthesis replacement - revisions of hip and knee endoprostheses

In our Special practice für joint replacement, ENDOPROTHETICUM Rhein-Main, we have über comprehensive expertise in the operative care of joints. In addition to the first implantation of artificial joints, the proper exchange of hip and knee prostheses, the so‑called revision or the prosthesis revision, to our core competencies. Professor Dr. med. Karl Philipp Kutzner is a renowned orthopaedist and surgeon your experienced contact for this complex procedure.

When is a prosthesis replacement necessary?

An artificial hip or knee joint has a limited lifespan. Although modern prosthetics often last 15 to 20 years or more today, various factors can make replacement necessary. The most common reason is aseptic (non-infectious) loosening of the prosthesis. This can occur due to material abrasion, leading to an inflammatory reaction and a breakdown of the surrounding bone. As a result, the prosthesis loses its firm hold.

  • Aseptic loosening: Wear of the material and bone loss lead to prosthesis instability.
  • Prosthesis infection (periprosthetic infection): Bacteria colonize the implant and cause an inflammation. This is an urgent reason for a prosthesis replacement.
  • Instability and dislocation: Repeated dislocation of the prosthesis, especially in hip joints.
  • Bone fractures (periprosthetic fractures): Fractures in the immediate vicinity of the implant.
  • Material wear or breakage: Rare but possible complications that affect the joint function.

Specialized diagnostics and planning in our joint replacement specialty practice

A successful prosthesis revision requires an exact diagnosis and meticulous surgical planning. In our specialized joint replacement practice in Mainz we use state-of-the-art imaging methods such as digital X-ray and computed tomography (CT). These enable us to assess the condition of the bone, the position and the loosening degree of the old prosthesis precisely. Based on these findings we develop an individualized surgical concept and select the appropriate revision implant.

Procedure for prosthetic replacement

Die Revision einer Endoprothese ist ein anspruchsvollerer Eingriff als die Erstimplantation. Der Chirurg muss zunächst die gelockerte Prothese unter maximaler Schonung des verbliebenen Knochens entfernen. Anschließend wird der Knochen für die Aufnahme des neuen Implantats vorbereitet. Häufig müssen Knochendefekte mit Spenderknochen oder speziellen metallischen Augmentaten aufgefüllt werden, um der neuen Prothese den notwendigen Halt zu geben. Der Eingriff erfordert große Erfahrung und chirurgisches Geschick, um ein stabiles und langlebiges Ergebnis zu erzielen.

Your expert in Mainz - Prof. Dr. med. Karl Philipp Kutzner

As an experienced Hüft- and knee specialist, Prof. Dr. Kutzner has performed a multitude of revision surgeries. Trust his expertise and the highly specialized focus of our practice to restore your Mobilität and Lebensqualität. If you have pain or problems with your künstlichen joint, do not zögern, schedule a consultation appointment in our Specialized practice für joint replacement to schedule.