REVISION SURGERY
There are hundreds of thousands of surgical procedures performed every year the majority of which do very well. Unfortunately in some cases there arise complications which may necessitate further treatments that were originally unplanned. Every person heals differently and sometimes these differences aren't obvious until after surgery, in other cases surgical errors can contribute to complications and sometimes nonadherence to post operative instructions can result in a poor outcome. In other cases there simply may be a failure of an implant since the majority of these are not designed to last forever.
As you can imagine the approach to a surgical complication requires a specific algorithm and a unique revision plan. Not every complication needs a surgical procedure to correct it. Sometimes casting, an injection, or wearing a special brace or specific physical therapy may be the only treatment necessary.
The most common situations we see when we are addressing previously performed bone surgery are delayed healing and nonhealing. The terminology used specifically in bones is delayed union and non union. We have very specific definitions to both of these that are based on X ray findings as well as the clinical history.
The next most common bone complication we see is osteomyelitis which is the medical term for bone infection ( click here for more in depth information on this ).
Not every complication is related to bone, after tendon trauma or tendon surgery scar tissue can create a significant problem. This scar tissue can bind tendons and prevent their normal function which can be painful. scar could also create contractures and bend the joints into abnormal positions or simply limit their range of motion.
We also deal with nerve injuries that are many times caused by scar tissue formation or accidental damage.
Of course there may be a number of complications working together that needs to be addressed at the same time.
Below are a few revision topics we deal with often.
BIG TOE JOINT IMPLANT FAILURE
THERE IS A TOPIC OF REVISION SURGERY THAT COMES UP OFTEN - THE FAILED IMPLANT IN THE BIG TOE JOINT. We do see this more often than other implant failures and thankfully there are a few different procedures we can do to salvage this situation.
Why is implant failure in this joint of particular concern?
The big toe has two main functions - it is important for balance. Also it protects the position of the other toes. When a big toe is deformed or even missing, the other toes dont have guidance as to proper positioning and ofen develop hammertoes and then other issues develop from that.
ANKLE JOINT IMPLANT FAILURE
THERE IS A TOPIC OF REVISION SURGERY THAT COMES UP OFTEN - THE FAILED IMPLANT IN THE ANKLE JOINT. We do see this more often than other implant failures and thankfully there are a few different procedures we can do to salvage this situation.
Why is implant failure in the ankle joint of particular concern?
The ankle consists of three bones , two in the leg called the tibia and the fibula and the foot bone called the talus. The connection of these bones is extremely complicated in order to allow for proper motion. Ankle replacements are bulky peices of metal that when need removal leave a large void of bone that needs to be dealt with. Luckly there are a few different ways to deal with this limb threatening situation.
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Our Florida and New York Office Locations
NAPLES OFFICE (Gulf Coast)
Serving Southwest Florida, including Fort Myers, Cape Coral, Bonita Springs, and Sarasota.
Address: 3940 Radio Road, Unit 104, Naples, FL 34104
Phone: 239-465-0311
WESTON OFFICE (Atlantic)
Serving the Tri-County area, including Miami, Boca Raton, West Palm Beach, and Hollywood.
Address: Weston near Cleveland Clinic coming soon
Phone: 239-465-0311
NEW YORK CITY OFFICE
Serving New York City and the boroughs as well as the entire Tri-state area
Address: 330 W. 58 street, Unit 610, NYC, NY 10019
Phone: 212-372-0991