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Video: Dr. Randall Peyton talk about joint revisions

Although hip and knee joint replacement surgery is very successful, there continues to be a need for revision joint replacement surgery in cases where the artificial joint fails in some way, causing pain, mobility issues, or other problems that require surgical intervention to correct. These procedures require careful pre-surgical planning and preparation in order to ensure the complications are resolved and the outcome is optimized for the patient’s needs.

Depending upon the type of failure that occurs, the previously implanted components either need to be completely or partially replaced. The bone around the damaged components is prepared using special techniques in order to help strengthen and reinforce them before inserting the new components. Added reinforcement is used when necessary to ensure the joint is stable and secure. Before revision surgery occurs, the joint will be carefully evaluated to ensure the best possible approach for the resolution of the issues you’re experiencing.

Some of the most common reasons for joint revision surgery include infection, wear-and-tear of the artificial components over time, loosening or displacement of the components, joint instability or stiffness, persistent pain in the joint, and fractures of the bone surrounding the joint components (usually as the result of a fall). Because hip and knee joint replacements are prosthetic joints, they can wear out with time. For this reason, it is very important to see your surgeon every 1 to 2 years after replacement surgery for examination and radiographs.

Revision surgery requires special expertise and considerable experience in order to achieve the best possible results. Unlike initial joint replacement surgery, revision procedures require more complex techniques and a deep understanding of the methods used to reinforce joints that have been compromised by implant failures. With nearly 20 years of experience in total joint replacement and complex revision surgery, Dr. Randall Peyton has the knowledge to help restore your quality of life, using the most advanced techniques and technology to enable every patient to get the customized care necessary for the best possible outcome.

Randall Peyton, MD is a fellowship-trained total joint physician who specializes in the non-operative and surgical treatment of patients with knee, hip, and sports injuries. He treats patients in our Sterling office. To schedule an evaluation, request an appointment online or call us at 703-444-5000. To stay up-to-date on the latest news and tips from us, be sure to follow us on Facebook and Instagram, and sign up for our monthly newsletter for even more information sent straight to your inbox!



Arthritis & Sports is the premier orthopaedics practice in Northern Virginia. Our team of specialty-trained physicians offers the latest treatment options for the full spectrum of orthopaedic sub-specialties - all under one roof.


From nonsurgical treatments like orthobiologics and physical therapy, to massage therapy and  nutrition counseling, we are dedicated to providing you with exceptional care from injury through rehabilitation.

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