The honest version
Revision joint replacement removes a failed or failing implant and rebuilds the joint — a more complex operation than the original, demanding specialized implants, bone-loss management, and a surgeon who does it routinely. At Sterling Ridge that surgeon is Dr. Rohan Gheewala — fellowship-trained in exactly this, including the replacements that were done somewhere else.
The reasons replacements fail
- Loosening & wear — the most common: implants outlived their fixation, or the plastic bearing wore through.
- Infection — the hardest problem, handled with staged protocols, not wishful thinking.
- Instability — a knee that buckles or a hip that dislocates has a mechanical cause worth finding.
- The never-right replacement — pain that outlasted every follow-up. Sometimes the implant is fine and the answer is elsewhere; an honest workup tells you which.
What makes revision different here
- A surgeon who chose this niche — revisions are Dr. Gheewala's lane, not an occasional case.
- Straight answers first — a meaningful share of "failed replacement" consults end with a non-surgical plan. You'll know why, either way.
- The one-roof recovery — revision rehab is longer and more particular than primary rehab; our 38-person rehab team runs it on the same chart as your surgeon.
The surgeons who take second-chance cases
Board-certified, fellowship-trained, and in the office every week — read their story, then decide.
Medically reviewed by Keith W.V. Johnson, MD, FAAOS · Updated September 28, 2026

Rohan Gheewala, MD
Brian Flowers, MD, FAAOS