What Is Revision Knee Replacement? When Is It Needed?

Revision knee replacement is a specialized surgical procedure performed to replace a failed or problematic knee implant with a new prosthesis, restoring function and alleviating pain. It is more complex than initial (primary) knee replacement and is needed when issues such as implant wear-and-tear, infection, loosening, fracture, or instability occur in the previously replaced knee.

What Is Revision Knee Replacement?

Revision knee replacement involves removing all or part of the original knee prosthesis and replacing it with new components. This surgery often requires advanced planning, specialized implants, and techniques to manage complications like bone loss or scar tissue. Some revision procedures involve partial replacement (one component), while others may require complete reconstruction of the joint.

When Is Revision Knee Replacement Needed?

• Implant wear and tear: Prosthetic joints can deteriorate over time due to constant use, leading to pain and instability.

• Loosening of the prosthesis: If the implant becomes loose within the bone, symptoms like pain and reduced mobility may develop.

• Infection: Deep joint infection is a serious complication and may require two-stage revision with antibiotics and staged surgery.

• Fractures near the joint: Broken bones around the knee implant can destabilize the joint, necessitating revision.

• Instability or malalignment: Problems with joint alignment or chronic instability, often causing the knee to give way, can require this intervention.

• Timeline: Primary implants generally last 15-20 years, but some may fail earlier due to health or mechanical factors.

Procedure Overview

• Comprehensive preoperative planning with tests, imaging, and infection assessment.

• Removal of the old implant, possibly using bone grafts or specialized implants to reconstruct lost bone.

• Insertion of the new prosthesis, ensuring optimal alignment and stability.

• May involve temporary drain and advanced wound dressings to minimize complications.

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About Dr. Kashyap Prabhu Solanki & Dr. Prabhu Solanki

Orthopaedic Surgeon – Andheri, Mumbai

Dr. Kashyap Solanki specializes in hip and knee replacement, robotic-assisted knee surgery, and joint preservation procedures like HTO, arthroscopy, and ligament reconstruction. He is also known for performing complex revision joint replacements and managing challenging upper and lower limb fractures. With a focus on precision and patient-centered care, Dr. Solanki helps restore mobility and improve quality of life through advanced orthopaedic solutions.

With over four decades of distinguished orthopaedic practice, Dr. Prabhu Solanki stands as one of Mumbai’s most experienced and respected orthopaedic surgeons. Having treated more than 40,000 patients and performed over 10,000 surgeries, his clinical outcomes and dedication have earned him widespread recognition — not just in Mumbai, but across India and abroad.

Dr. Solanki’s reputation for precision, ethical care, and long-term results has brought him patients from all over India, as well as international patients seeking high-quality orthopaedic treatment and surgical expertise in Mumbai.

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