Revision surgeries also part of my portfolio at the Endoprosthetics Center.

At the hip joint, complications such as infection of the prosthesis material , early sinking of the stem, or a fracture of the bone involving the implants are particularly feared.

Often, a revision surgery can be performed when replacing a primary hip implant. Sometimes, special revision implants are necessary.

Common reasons for knee replacement surgery include, besides infection, instability or persistent pain.

During a repeat knee surgery, special implants necessary to replace defective ligaments (using a so-called coupled prosthesis ) or to rebuild bone defects (using augmentations or bone substitute material).

Should you experience complications after the implantation of an artificial joint , I would be happy to advise you on the possible treatment options! A prosthesis replacement is always the last resort.

Prosthesis replacement – ​​Revisions of hip and knee endoprostheses

At our specialized joint replacement practice , ENDOPROTHETICUM Rhein-Main, we possess comprehensive expertise in the surgical treatment of joints. In addition to the initial implantation of artificial joints, the expert revision or replacement one of our core competencies. Professor Dr. med. Karl Philipp Kutzner, a renowned orthopedic surgeon, is your experienced contact person for this complex procedure.

When is a prosthesis replacement necessary?

An artificial hip or knee joint has a limited lifespan. Although modern prostheses often last 15 to 20 years or more, various factors can necessitate a replacement. The most common reason is aseptic (non-infectious) loosening of the prosthesis. This can be caused by material abrasion, which leads to an inflammatory reaction and bone loss in the surrounding area. As a result, the prosthesis loses its secure fit.

  • Aseptic loosening: Wear and tear of the material and bone loss lead to instability of the prosthesis.
  • Prosthetic infection (periprosthetic infection): Bacteria colonize the implant and cause inflammation. This is an urgent reason for 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 can impair joint function.

Specialized diagnostics and planning in our specialist practice for joint replacement

Successful joint replacement surgery requires precise diagnosis and meticulous surgical planning. At our specialized joint replacement clinic in Mainz, we utilize state-of-the-art imaging techniques such as digital X-ray and computed tomography (CT). These allow us to accurately assess the condition of the bone, the position, and the degree of loosening of the old prosthesis. Based on these findings, we develop an individualized surgical plan and select the appropriate revision implant.

Procedure for prosthesis replacement

Revision of an endoprosthesis is a more complex procedure than the initial implantation. The surgeon must first remove the loosened prosthesis while preserving as much of the remaining bone as possible. The bone is then prepared to receive the new implant. Often, bone defects must be filled with donor bone or special metallic grafts to provide the necessary support for the new prosthesis. The procedure requires extensive experience and surgical skill to achieve a stable and long-lasting result.

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

As an experienced hip and knee specialist, Prof. Dr. Kutzner has performed numerous revision surgeries. Trust in his expertise and the highly specialized focus of our practice to restore your mobility and quality of life. If you are experiencing pain or problems with your artificial joint, please do not hesitate to schedule a consultation at our specialized joint replacement clinic .