Joint damage caused by arthritis, degeneration, or failed implants can severely affect mobility and quality of life. Primary and Revision Joint Replacement Surgery offers advanced solutions to relieve pain, restore joint function, and help patients return to active living.
Dr. Atul Jaspal, bringing extensive experience in orthopaedics, is skilled in performing primary joint replacements as well as revision procedures for failed or worn-out implants.
Primary Joint Replacement – This is the first-time replacement surgery of a damaged joint (hip, knee, shoulder, or elbow) with artificial implants to restore function.
Revision Joint Replacement – This is performed when a previous replacement wears out, loosens, or fails due to infection, trauma, or implant-related issues. Revision surgeries are more complex and require advanced expertise.
Osteoarthritis (age-related wear and tear)
Rheumatoid arthritis
Trauma or fractures
Avascular necrosis (loss of blood supply to bone)
Failed or infected previous joint replacement
Persistent joint pain unrelieved by medications
Stiffness and swelling affecting mobility
Deformity or misalignment of the joint
Instability or loosening of a replaced joint
Difficulty in performing daily activities
Dr. Atul Jaspal conducts a detailed evaluation that includes:
Medical History & Physical Exam – Assessing pain, movement, and joint stability.
Imaging Tests – X-rays for bone alignment, MRI/CT for detailed joint structure.
Blood Tests & Joint Aspiration – To rule out infections (especially in revision cases).
Medications and pain-relief injections
Physiotherapy and strengthening exercises
Lifestyle modification & weight management
These are useful in early stages but may not provide long-term relief for advanced joint damage.
Primary Joint Replacement – Replacing the damaged joint (knee, hip, shoulder, or elbow) with high-quality implants to restore movement and function.
Revision Joint Replacement – Removing old or failed implants, repairing bone/tissue defects, and fixing new implants with advanced techniques.
Minimally Invasive Approaches – Smaller incisions, less tissue damage, and quicker recovery.
Customized Implants & Navigation – Use of patient-specific planning and computer-assisted systems for higher accuracy.
Pre-Operative Evaluation – Medical check-up and physiotherapy to prepare the body.
Anesthesia – General or spinal anesthesia.
Surgical Technique –
Primary: Damaged cartilage and bone are replaced with high-quality implants.
Revision: Old or failed implants are removed, bone defects are repaired, and new implants are fixed.
Closure & Recovery – Incisions are closed with minimal scarring.
The duration varies (2–3 hours for primary, 3–5 hours for revision).
Hospital Stay: 3–5 days (primary) or slightly longer (revision).
Initial Phase (Weeks 1–4): Pain control, wound care, physiotherapy begins.
Rehabilitation (Weeks 4–12): Strengthening exercises and improved mobility.
Long-Term (3–6 Months): Return to daily activities and light exercises.
Full Recovery: Usually within 6–12 months.
Long-lasting pain relief
Improved joint function and mobility
Correction of deformity or failed previous replacement
High success rate with advanced implants
Better quality of life and return to active lifestyle
Primary is the first replacement; revision is correcting or redoing a failed previous surgery.
Modern implants last 15–20 years or more with proper care.
Yes, revision is more complex, but in expert hands, outcomes are highly successful.
Most patients start walking within 24–48 hours post-surgery with assistance.
Patients with severe arthritis, failed implants, or persistent pain despite conservative care.
Expert orthopaedic care by Dr. Atul Jaspal—providing trusted, precise, and patient-focused treatment for all bone and joint problems in Sunder Vihar, Paschim Vihar, Delhi.
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