Revision & Reconstruction Adelaide

Specialist revision & complex reconstruction

Been told there are no options left? Many patients have options.

Some joint problems are more complex than a first-time replacement. Identifying the options takes a careful review, contemporary technique, and a willingness to think beyond standard solutions.

  • The full range of revision hip & knee surgery
  • Partial-to-total conversion using modern bone-preserving techniques
  • Complex reconstruction after trauma — including limb-preserving surgery
  • Director of Training, Australian Orthopaedic Association (SA)
Dr Yas Edirisinghe
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FRACS · FAOrthA · MSurgSpecialist orthopaedic surgeon
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Australian trainedAdelaide-based specialist
Robotic & personalised3D pre-operative planning
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5 Adelaide hospitalsConsulting & operating
Get started

Seek a review for a complex situation

Patients told there are no further options are welcome to seek a review.

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Individual assessment
History, examination and your imaging reviewed with you.
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A clear plan
The options for your specific joint, explained in plain language.
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No obligation
A GP referral helps but is not required to enquire.

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When you’ve been told “nothing more can be done”

A specialist review can confirm — or challenge — that

After an operation that hasn’t worked out, or a major injury, patients are sometimes told that nothing more can be done. Many of these patients do have options.

A previous replacement has loosened, worn out, or developed an infection.
A previous partial replacement needs converting to a total.
Major trauma has left bone loss that no off-the-shelf implant can address.
You’ve been told fusion, amputation, or living with it are the only options.

Where the assessment shows no good options remain, Dr Yas will tell you honestly and explain why. Where options do exist, he sets them out — with the trade-offs, the risks, and the realistic outcome of each.

Specialist work

Contemporary revision & reconstruction

Dr Yas is Director of Training for the Australian Orthopaedic Association in South Australia, with responsibility for the training and supervision of orthopaedic fellows.

Traditional revision

For implants that have loosened, worn, become infected, malaligned or unstable: removing the components, managing bone loss with revision-grade implants.

Partial-to-total conversion

With modern bone-preserving partial designs, conversion can in many cases be done with minimal additional bone loss.

Responsible revision

Not every revision is a good idea. Where further surgery won’t meaningfully help, Dr Yas will tell you so.

Complex trauma

Limb-preserving reconstruction

Major injuries can leave anatomy that no standard joint replacement can address. Contemporary reconstruction can often offer a better answer.

Limb-preserving surgeryDr Yas has provided reconstruction for patients told they may need amputation.
Staged reconstructionCombinations of staged surgery, bone grafting, revision-grade implants and infection management.
Assessed, not assumedWhether reconstruction is possible depends on the specifics — but the assessment should be made.
Your pathway

How a complex review works

  1. 1

    Enquire

    Get in touch with details of your previous surgery and any imaging.

  2. 2

    Assessment

    Dr Yas reviews your history and imaging and examines the joint.

  3. 3

    A considered plan

    If revision or reconstruction is appropriate, the options and trade-offs are discussed honestly.

  4. 4

    Surgery & support

    Where surgery is the right answer, it’s planned individually.

  5. 5

    Follow-up

    Your recovery is monitored, with the rooms available for questions.

A responsible decision

Revision is not always the right answer

Some patients with a previous replacement and ongoing symptoms will not be meaningfully improved by further surgery — and Dr Yas will tell them so.

Where revision is the right answer, the operation is planned individually
Where it isn’t, alternatives — pain management, bracing, physiotherapy, monitoring — are discussed openly
The aim is to make sure the decision is the right one, not simply that another operation gets done
Common questions

Questions about revision & reconstruction

Why would a knee or hip replacement need revising?
Replacements can loosen over time, wear, become infected, malaligned or unstable, or cause persistent pain.
I’ve been told nothing more can be done. Is that always right?
Not always — this is the area where the “no options” conclusion most often turns out to be wrong on review.
Is it hard to convert a partial knee replacement to a total?
That older view is outdated. With modern bone-preserving partial designs, conversion can be performed with minimal additional bone loss.
Can a badly injured joint be reconstructed?
In many cases, yes. Dr Yas has provided limb-preserving reconstruction for patients told they may need amputation.
Is revision always the right answer?
No. Not every revision is a good idea. Where further surgery won’t meaningfully help, Dr Yas will tell you so.
Do I need a referral?
A GP referral is recommended and usually required for Medicare rebates. You’re welcome to enquire first.

A careful review of what can — and cannot — be offered.

Ortho PrecisionORTHOPRECISION
📞 08 7081 4100📍 Ashford · Elizabeth Vale · North Adelaide
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