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Considering Joint Replacement? Send Your X-Rays For Dr. Hulse's Opinion

Revision Joint Hip/Knee Replacement

Revision Joint Replacement is a specialised procedure performed when a previous knee replacement has worn out, become loose, infected, or is no longer functioning as expected. Unlike a primary knee replacement, a revision surgery is more complex because it involves removing old implants, addressing bone loss, and reconstructing the joint using advanced implants designed for stability and long-term function.

If your knee replacement feels unstable or continues to swell, it may be time for a detailed evaluation. Consult with Dr Hulse to determine the appropriate path forward.

Consult with a specialist

Are you curious about how this revolutionary technology works? Let’s dive into the details!

Why a Revision Joint Hip/Knee Replacement Is Needed

Implant failure can develop gradually or suddenly. Many patients feel something is “not right” with their knee years after the first replacement. Common signs include increasing pain, persistent swelling, difficulty bearing weight, or a feeling that the knee is unstable or drifting out of alignment. Sometimes, patients hear clicking or grinding or notice that their leg looks more bowed or knock-kneed than before. These symptoms often indicate loosening, wear, infection, stiffness, or a fracture around the implant , and all require proper evaluation.

Mako Robotic Total Hip Replacement

How does this advanced procedure benefit patients? Let’s explore the key advantages!

Revision surgery may be required for several reasons, including:

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Implant Loosening or Wear:

Over time, knee implants may experience wear or loosening due to activity, age, or mechanical factors.
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Infection:

One of the most common reasons for revision. Infection may appear soon after surgery or many years later.

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Instability or Recurrent Dislocation:

When the knee feels unstable, gives way, or causes frequent falls.

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Stiffness-limited Range of Motion:

Some patients develop arthrofibrosis, which can cause painful or restricted movement.
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Periprosthetic Fracture:

A fracture occurring around the implant due to trauma or weakened bone.
If something doesn’t feel right with your replaced knee, don’t wait. A specialist evaluation can help you regain comfort, function, and peace of mind.
Consult with a specialist

Curious about what the procedure involves? Let’s break it down step by step!

How Revision Surgery Is Different

Revision joint replacement is more complex than a first-time knee replacement because:
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Existing implants need to be removed carefully without damaging bone.
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There may be bone loss, requiring specialised augments, cones, or stemmed implants.
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Surgery may take longer and require a surgeon experienced in managing complex joint conditions.
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A detailed evaluation—clinical, radiological, and, when indicated, an infection workup—is essential before planning.

Advanced Techniques & Technology Used

Depending on the patient’s condition, the surgeon may use:
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Specialised revision implant systems (including stemmed components and stabilising implants)

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Bone grafts or metal augments to rebuild lost bone

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Computer navigation or robotic assistance for optimal implant placement

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Two-stage revision in cases of infection (remove → treat → re-implant)

What Patients Can Expect

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Thorough Assessment: History, blood tests, X-rays, CT scans, and infection screening.

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Individualised Surgery Plan: Based on the cause of implant failure and bone condition.

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Recovery Timeline: Rehabilitation may take slightly longer than in primary knee replacement, but most patients regain good function.

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Outcome: When done by a specialist, revision knee replacement significantly improves pain, stability, and quality of life.

Who is an Ideal Candidate?

Patients who previously had a knee replacement and now experiences the following symptoms should be evaluated for possible revision surgery:
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Persistent pain
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Swelling or warmth
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Instability
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Difficulty walking
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Sudden change in knee function
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Symptoms following trauma

Goal of Revision Surgery

The aim is to restore:
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Joint stability
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Pain-free movement
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Alignment and function
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Overall mobility and confidence

Success Rate

Revision knee replacement has high success rates, with most patients experiencing significant pain relief and improved stability. Modern implants and advanced surgical planning make outcomes predictable, even in complex cases. Many patients return to daily activities with better comfort and confidence.

Why Choose Dr. Hulse for Your Revision Knee Replacement?

Dr. Narayan Hulse is a highly respected orthopaedic surgeon in Bangalore with decades of experience managing complex joint-replacement cases.

His expertise in revision surgery allows him to handle implant failures, bone loss, and infections with precision and confidence.

He uses advanced imaging, modern revision implant systems, and evidence-based surgical methods to ensure stable, long-lasting results.

Every patient receives a personalised treatment plan, with clear guidance on what to expect before, during, and after surgery.

His care extends beyond the operation, providing structured rehabilitation support and close follow-up to facilitate safe, smooth recovery

Precautions After Revision Surgery

Patients recovering from a revision knee replacement should follow a few important precautions to protect the new implant and support healing. These steps help reduce the risk of complications and ensure long-term success.
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Follow weight-bearing instructions closely.
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Continue prescribed physiotherapy to rebuild strength.
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Avoid high-impact movements until cleared.
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Keep the wound clean and monitor for swelling or redness.
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Attend all follow-up appointments for X-rays and assessments.
Simple, consistent precautions during the early weeks make a major difference in how well the knee heals.

Recovery Expectations

Recovery may take slightly longer than a primary knee replacement, but progress is steady. Most patients begin walking with support soon after surgery. Pain reduces gradually, mobility improves week by week, and physiotherapy helps strengthen the joint and restore movement.

Long-Term Outcome

With proper care, revision knee replacements can provide lasting improvements in pain, stability, and function. Modern revision components provide strong support, and patients can return to low-impact activities comfortably. Maintaining strength and a healthy lifestyle helps preserve long-term results.

Frequently Asked Questions

How long do revision knee implants last?

Modern revision implants are designed for durability and can last for many years, particularly when properly aligned and supported by advanced components.

Is revision surgery more painful?

Pain levels are similar to primary knee replacement, and modern pain-management protocols keep patients comfortable.

Can elderly patients undergo revision surgery?

Age alone is not a limiting factor. What matters is overall health, mobility goals, and the specific reason for revision.