Revison Knee Replacement

Revision Knee Replacement is a specialized surgical procedure performed to replace a previously implanted artificial knee joint that has failed or worn out over time. It involves removing the old prosthesis and inserting a new one, often with more complex components. The revised implants may include longer stems or augments to provide additional support. This surgery helps restore knee function, relieve pain, and correct alignment problems caused by loosening, infection, or wear of the original knee replacement.

The need for Revision Knee Replacement typically arises when a previous knee replacement no longer functions properly. Common causes include implant loosening, infection, bone loss, instability, or persistent pain. Patients may report difficulty walking, swelling, or a feeling that the joint is unstable or misaligned. When these symptoms interfere with daily activities and cannot be resolved with non-surgical treatments, revision surgery becomes the most effective option to restore stability and improve mobility.

Revision Knee Replacement is the recommended treatment when the original knee implant fails and conservative options are no longer effective. The surgery involves removing the damaged components and replacing them with new prosthetic parts tailored to the patient's bone condition. The revised joint offers better structural support, alignment, and mobility. This procedure is particularly important for patients with recurring issues after primary knee replacement and can provide long-term relief and improved joint performance when performed successfully.

Before undergoing revision surgery, patients receive a thorough evaluation including X-rays, blood tests, and possibly CT or MRI scans to identify the reason for implant failure. The surgeon will discuss the surgical plan, risks, benefits, and recovery expectations. Patients may need to stop taking certain medications and begin exercises to strengthen the surrounding muscles. Preparing the home for recovery—such as arranging for help, removing tripping hazards, or using assistive devices—is essential for ensuring a safe and smooth post-surgical period.

Revision Knee Replacement is done under general or spinal anesthesia and involves a more complex procedure than the initial replacement. An incision is made over the knee to remove the old implant and any damaged bone or scar tissue. The new components, often with specialized designs, are inserted to provide additional stability. Bone grafts or metal augments may be used to rebuild lost bone. The surgery usually takes 1.5 to 2 hours or longer, and once complete, the incision is closed and the knee is dressed for recovery.

After surgery, patients are monitored closely and given specific instructions for at-home recovery and follow-up care. The knee is bandaged or supported with a brace, and medications are prescribed to manage pain and inflammation. Cold therapy can help reduce swelling in the early days. Physical therapy is usually initiated soon after surgery to improve joint flexibility and function. Light activity may resume within 6–8 weeks, though recovery can take longer than a primary replacement. Patients should avoid high-impact activities and follow post-op guidelines carefully.

Rehabilitation is crucial for a successful outcome following Revision Knee Replacement. Physical therapy progresses through stages—from gentle range-of-motion exercises to strength training of the leg muscles. Over the next 3 to 6 months, patients gradually return to daily activities like walking, standing, and using stairs. While recovery times vary, most individuals experience meaningful pain relief and enhanced mobility. Long-term, patients should avoid activities that stress the joint and keep up with regular follow-ups to monitor implant stability and knee function over time.