Revision Joint/ Knee Replacement

Overview

A revision knee/joint replacement involves removing the previous prosthesis and replacing it with the new one. Primary or the other surgical replacement techniques offers a good result for the patients, but it is likely that revision knee replacement surgery will be required 15-20 years after the first knee/ joint replacement surgery.

Why Revision Knee/ Joint Replacement?

Over the years, it is possible that your replacement surgery might wear out due to being overweight or playing high- intensity sports.You might need a revision surgery if your level of pain is increasing and the knee functionality is degrading day by day.

The main purpose of your surgery remains the same- to ease out the pain and to ease out the function and stability of your knee.
The procedure of the revision surgery is more complex than the first surgery.

Possible reasons for which the surgery is needed:

  • Infection.
  • Wearing of plastic components.
  • Acute pain
  • Instability of the knee.
  • Implant failure.
What happens during the surgery?

Before the surgery is performed, certain sets of inspections are prescribed, based on that the surgery is performed.If your X-ray and bone scan shows that the surgery is needed, then the doctor needs to check upon the cause of the pain.
Due to bacterial infection: If the findings after the examination shows the bacterial growth, then the surgery is performed in two stages.The first stage involves replacing the previous components and inserting some bone cement along with antibiotics into the knee. The second stage is carried out after 6-8 weeks, if there is no more infection, your surgeon will remove the bone cement and place the new knee implants.

If there is no infection present: In this procedure, if there is no infection present, the entire procedure is performed under one stage.
The implant will be removed, the joint will be washed and then a new implant will be introduced with the help of computer navigation to align the limb properly.

Post Operative Care

Every individual’s healing journey is different. But it will be affected by following factors:

  • How active the individual was before the surgery.
  • The day to day activities.
  • Nature of employment.
  • Age of an individual.

Although the person might recover sooner than the patient recovering from the surgery performed through the traditional techniques; it is advisable for the patients to consult their doctors before starting any rigorous activity.

Risks

As with any major surgical procedure, there are certain potential risks and complications involved with Robotic surgery but it is less than 1%. The possible complications after the surgery include:

  • Infection
  • A Blood Clot
  • Scarring
  • Swelling
  • Haemarthrosis
  • Damage to nerves
  • Fracture

 

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