Setting the Pace

Revisional Surgery

Dr. Drennan Josey and Dr. Sarah Cullen both attended an intensive residency program that focused highly on revisional surgery. This means surgical cases that were performed by an outside provider with either a complication or an unsatisfactory result.

Depending on the outcome, our surgeons have both been highly trained in dealing with all types of revisional surgery ranging from infection control, delayed or non-unions of bones, broken hardware, over or under correction of a deformity, recurrence, etc.

If you would like to have Drs. Josey and Cullen examine the unsatisfactory outcome you have from a previous surgery you underwent, contact our office to schedule your appointment.





Prior Procedures We Fix With Revisional Surgery

Cartiva Revision

Cartiva is a synthetic cartilage implant. This was a popular type of implant that was used for arthritis of the great toe joint, which has unfortunately led to unsatisfactory results for some patients. Our foot and ankle surgeons have been able to revise this implant into either a fusion of the great toe joint or a different type of joint implant (called arthrosurface) depending on the severity of the deformity.

Hallux Varus Correction

Hallux varus is a condition affecting the big toe that causes it to point away from the other toes. The most common symptom other than the directional leaning of the toe is pain.

Because hallux varus typically appears as a result of overcorrection during bunion surgery, revision surgery is often required to restore the toes and foot. The surgical correction depends on the severity.

Non-Union of a Prior Fusion

Several factors contribute to a nonunion. If the bone ends that are fractured have been stripped away from the blood vessels that provide them with nutrition, they will die. As a result, the bone ends cannot contribute to new healing, and a nonunion is more likely.

Most nonunions require surgery.

Infected Bone Or Wound Site

We provide surgical correction of potentially severe prior surgical complications including infection and nonhealing surgical wounds.

Infected bone or wound site that may require hospitalization, excision of non-viable soft tissue and bone, etc.

Hardware Removal

Many foot and ankle procedures require the insertion of metal plates, screws, rods, or similar implants for stabilization of the bones while they heal. There are a number of reasons why our foot and ankle surgeons may choose to remove this hardware. Hardware can be removed if it is painful or associated with an infection, or if your bone didn’t heal as hoped, which may require new hardware to be placed.

The goal of the procedure is to safely remove the hardware without causing damage to the surrounding soft tissues.

Recurrent Deformities

We perform revisional surgery on recurrent deformities, commonly bunions.

Unfortunately, for many patients, bunions gradually return after surgery. The most common reason for a return of a bunion after bunion surgery is due to a procedure being performed that did not adequately address the severity of the bunion. The goal of correcting a failed bunion repair, using a procedure called revision surgery, is to relieve pain and deformity of the first toe that remains after the initial surgery.

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    (843) 852-9444


    (843) 852-9404

    Office Location

    2097 Henry Tecklenburg Dr. #210 West
    Charleston, SC 29414

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