Revision Total Knee Replacement

Revision Knee Replacement is a specialised procedure performed to replace a previously implanted knee replacement that has failed due to wear, loosening, infection, instability or fracture.

Revision surgery is often more complex than primary knee replacement and requires careful planning, specialised implants and considerable surgical expertise.

When is Revision Knee Replacement Surgery Needed?

Revision Knee Replacement may be recommended for:

• Implant loosening or wear
• Infection around the knee replacement
• Persistent pain or stiffness
• Knee instability or giving way
• Periprosthetic fractures
• Implant malalignment
• Bone loss around the implants

Common Symptoms with a Failed or Painful Knee Replacement

Patients may experience:

• Increasing knee pain
• Swelling or stiffness
• Difficulty walking
• Instability or giving way
• Reduced knee function
• Recurrent infections or wound problems

How is the Problem Diagnosed?

A detailed evaluation may include:

• Clinical examination
• Long-leg X-rays
• Blood tests
• CT scan or MRI
• Joint aspiration with culture and sensitivity tests when infection is suspected

This helps identify the cause of failure and allows accurate surgical planning.

Modern Revision Techniques

Depending on the underlying problem, revision surgery may involve:

• Replacement of one or all implant components
• Reconstruction of bone loss using cones or augments
• Use of long stems for additional support
• Treatment of infection using single-stage or two-stage revision techniques

Each procedure is individually tailored to the patient’s needs.

Recovery After Revision Surgery

• Hospital stay of 3–5 days
• Early physiotherapy and mobilisation
• Walking aids initially as required
• Progressive strengthening and rehabilitation
• Recovery varies depending on the complexity of surgery

Why Choose Dr Anand Jadhav?

Dr Anand Jadhav specialises in Complex Primary and Revision Knee Replacement Surgery, with expertise in:

• Aseptic Loosening
• Infected Knee Replacements
• Instability after TKR
• Periprosthetic Fractures
• Complex Reconstruction and Bone Loss Management

His Aim is Simple