Revision total knee replacement is the replacement of a failed total knee prosthesis with a new prosthesis. In simple terms, it is the replacement of a knee replacement or a "second knee replacement".
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There are three common reasons
Persistent pain and swelling indicates implant loosening or infection, and the location of the pain can be all over the knee or in one particular area. A decline in knee function may result in a limp, stiffness or instability. Patients who demonstrate these symptoms and signs may require revision joint surgery.
Due to loosening or stiffness of the joint may hamper the daily activities.then revision knee replacement is indicated.
If the ligaments around your knee become damaged or improperly balanced, your knee may become unstable.You may experience recurrent swelling and the sense that your knee is "giving way." If knee instability cannot be treated through nonsurgical means such as bracing and physical therapy, revision surgery may be needed.
Sometimes after total knee replacement you may not beable to perform everyday activities due various reasons. This may happen if excessive scar tissue has built up around the knee joint.If extensive scar tissue or the position of the components in your knee is limiting your range of motion, revision surgery may be needed.
Infection is a potential complication in any surgical procedure, including total knee replacement. Infection may occur while you are in the hospital or after you go home. It may even occur years later.
If an artificial joint becomes infected, it may become stiff and painful. The implant may begin to lose its attachment to the bone. Even if the implant remains properly fixed to the bone, pain, swelling, and drainage from the infection usually make revision surgery necessary.
Sometime Due to ligament laxity or components loosening you may feel give away sensation or dislocation of your knee joint.you may needed revision surgery in that case.
Usually the implant was firmly fixed during the surgery by using bone cement.Butover time, however, an implant may loosen from the underlying bone due to various reasons causing the knee to become painful.
A periprosthetic fracture is a broken bone that occurs around the components of a total knee replacement. These fractures are most often the result of a fall, and usually require revision surgery.
Knee surgery may be suitable for patients who experience:
When you have above mentioned symptoms and not happy with your total knee replacement surgery,Schedule an appointment with our expert surgeons.our team of best surgeons will examine thoroughly and provide best solution for your condition.we might ask you to get an x-ray and blood tests to treat you better.
Once you and your doctor decides to proceed with the revision total knee replacement, You will be asked to schedule a complete physical examination with your surgeon several weeks before revision surgery. This is needed to make sure that you are healthy enough to have the surgery and complete the recovery process. Patients with chronic medical conditions, like heart disease, may also be evaluated by a cardiologist, before surgery.
First, the old implant is removed and,asses the condition of the bone and surrounding structures and conduct tests to make sure it is free from infection
We reassess for any bone loss if needed, autografts(taken from your own bone) or allograft (taken from the bone bank) are used to fill voids where bone has deteriorated.Most of the time we use metal augments, Then the new prosthesis is placed.
Most revision total knee replacements take longer time to perform than primary procedures
As we follow American guidelines and techniques for our surgery.We always use USFDA approved implants imported from United States of America,Which are widely used worldwide for proven better results.
Possible complications include:
No, Revision knee replacement requires hospitalization of at least 48hours as this is a major surgery.In fact you may require a day of ICU stay for better care and monitoring.
Talk with your surgeon about any precautions you may have after surgery.
Make sure you have a follow-up appointment scheduled with your surgeon 10 to 14 days after your surgery.
Your surgeon and physical therapist will talk with you about your home exercise program. Follow any instructions he or she gives you. This will have a big impact on your recovery.
Swelling after surgery is common. You may experience the most swelling 7 to 10 days after surgery. Raise (elevate) your leg above the level of your heart by placing a pillow under your calf or ankle, not your knee. Apply ice for 20 minutes, 3 to 4 times a day to help reduce swelling. Call your surgeon right away if you have an increase in calf pain.
You will likely have a decrease in energy after surgery. Make sure to balance your activity with rest and continue with your home exercise program.
You will have some pain, discomfort and stiffness after surgery. It is important to create a pain plan to follow at home. Follow your surgeon’s instructions for pain medicine.
You may not feel like eating for the first few weeks after surgery. However, good nutrition is essential for your recovery. Try to resume eating healthful meals and snacks as soon as you are able. Make sure to drink six to eight 8-ounce glasses of liquids each day and include protein (meat, poultry, fish, beans, nuts and seeds) in your meals and snacks to help your body heal.
You may have constipation. This can be caused by taking pain medicine. Talk with your surgeon about ways to manage constipation.
You may feel some numbness in the skin around your incision. This should get better over time.
Continue with your home exercise program. This will have a big impact on your recovery.
You may continue to have pain, discomfort, stiffness and swelling. This is common and should get better over time. Continue treating with elevation, ice and other non-medicine ways to treat pain. (Most people are off pain medicine unless they were already taking pain medicine before surgery.) If you feel new pain or your pain gets worse, call your surgeon right away.
You should be able to resume most of your regular activities if your surgeon says it is OK. Some activities such as jogging, jumping and aerobics put a lot of strain or pressure on your new joint and should be avoided. Check with your surgeon before starting any new activities.
Ask your surgeon when it is OK to resume having routine dental appointments or any dental work done.
Your surgeon may want you to schedule an appointment 6 months after surgery to talk about your recovery and do an X-ray if needed.
Most of your pain should be gone 1 year after surgery. However, you may still have some swelling in your lower leg and foot, and discomfort going up and down stairs or sitting in one position for too long. It is important to be physically active and maintain a healthy weight for the best recovery.
You may resume playing low-intensity activities such as volleyball or softball. Do not do high-intensity activities such as soccer, tennis or basketball.
Many studies have shown that knee replacements have been lasted for 20 Years.
It takes 4 to 6 weeks to resume to your daily activities
Most patients can expect to be able to almost fully straighten the replaced knee and to bend the knee sufficiently to climb stairs and get in and out of a car
We provide the most full medical services, so every person could have the
pportunity o receive qualitative medical help.
Fellowship in Knee & Shoulder Surgery (Aus, NZ, Japan)
Specialist in Joint Replacement & Arthroscopy, Senior Consultant Ortho Surgeon.
Fellowship in Joint Replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Senior consultant Ortho surgeon
Fellowship in Joint replacement and Arthroscopy
Specialist in sports medicine and joint replacement surgery
Specialist in complex trauma surgery
Senior consultant Ortho surgeon
Fellowship in Arthroscopy, Joint replacement, Trauma & Ilizarov Limb Reconstruction
Fellowship in spine surgery
Senior consultant Ortho Surgeon
Revision total knee replacement is a surgical procedure to replace a previously implanted artificial knee joint (prosthesis) that has failed or become damaged.
Revision total knee replacement is done to alleviate pain, improve mobility, and restore function to the knee joint in cases where the original knee replacement has failed or become damaged.
The surgery is performed through an incision in the knee, during which the damaged or failed prosthesis is removed and replaced with a new one. The procedure may be more complex than the initial knee replacement due to the presence of scar tissue, changes in the bone, or other factors.
The recovery time after revision total knee replacement is typically longer than after the initial knee replacement, and may take several months. Physical therapy is often recommended to help the patient regain strength and mobility in the knee.
Like any surgical procedure, revision total knee replacement carries the risk of complications, including infection, bleeding, nerve or blood vessel damage, implant failure, and others. It's important to discuss the potential risks and benefits of the procedure with your surgeon before making a decision.
The success of revision total knee replacement can vary depending on several factors, including the cause of the original implant failure, the patient's age and overall health, and the experience and skills of the surgeon. In general, revision total knee replacement can provide good outcomes for patients with a failed or damaged artificial knee joint.