Introduction to Revision Total Knee Replacement

Total knee replacement (TKR) is a well-established surgical procedure designed to alleviate pain and improve function in individuals with significant knee joint damage, often caused by osteoarthritis, rheumatoid arthritis, or other degenerative diseases. However, there are instances where a knee replacement may not perform as expected, leading to complications or discomfort. In such scenarios, a revision total knee replacement (RTKR) may be deemed necessary. This blog explores why and when revision knee surgery is necessary, examining the causes for complications, treatment options, and the overall process at Livasa Hospitals in Punjab.

Why is Revision Knee Surgery Necessary?

A revision total knee replacement becomes necessary when the initial knee implant fails or deteriorates. The following are some common reasons for knee revision surgery:

• Infection: An infection can occur post-surgery, necessitating implant removal and replacement.
• Wear and Tear: Over time, the components of the artificial knee can wear down or become loose.
• Instability: Some patients experience instability in their knee joint following the initial surgery.
• Patellar Complications: Issues with the kneecap (patella) can arise and may contribute to the need for revision surgery.
• Fractures: In rare cases, fractures around the implant can necessitate a revision.

Statistics on Knee Replacement Revision

Understanding the landscape of knee revision surgery can provide context to the importance of this procedure. Studies reveal that approximately 10-20% of total knee replacement patients may require revision surgery within 10-15 years post-operation. The revision rate can be attributed to various factors, from surgical technique to implant materials. At Livasa Hospitals, we prioritize advanced surgical techniques and material selection to minimize these risks and complications.

Identifying the Need for Revision Surgery

Recognizing the signs that indicate the need for revision surgery is crucial. Patients who experience the following symptoms should consult an orthopedic specialist:

• Worsening pain that disrupts daily activities
• Swelling and inflammation around the knee
• Loss of mobility or function in the joint
• Instability or feeling of the knee giving way
• Signs of infection, such as fever or drainage from the surgical site

How is Revision Total Knee Replacement Performed?

The procedure for revision total knee replacement generally follows a similar protocol to the initial knee surgery. However, it involves additional complexities due to the presence of existing hardware and potential soft tissue changes. Key steps in the process include:

• Anesthesia: The surgery is usually performed under general or regional anesthesia.
• Removal of the Old Implant: The surgeon carefully removes the existing prosthetic components.
• Assessment of Bone Quality: The condition of the bone is evaluated. Bone loss may require reconstructive techniques utilizing bone grafts or custom implants.
• Placement of the New Implant: New components are then precisely positioned for optimal function.
• Closure: The incision is closed with sutures and dressings to facilitate healing.

Recovery After Knee Revision Surgery

Recovery following revision total knee replacement can vary based on individual health, the extent of the procedure, and compliance with rehabilitation protocols. Typical recovery phases include:

• Initial Recovery: Hospital stays range from 2-5 days, depending on the procedure's complexity.
• Physical Therapy: Early mobilization and physical therapy are crucial for regaining strength and mobility.
• Follow-Up Visits: Regular follow-up visits with orthopedic specialists are essential for monitoring progress and addressing any concerns.
• Full Recovery: Most patients can expect a full recovery between 3 to 6 months, depending on their pre-operative condition and adherence to rehabilitation strategies.

Cost Considerations for Knee Revision Surgery in Punjab

The cost of knee revision surgery can vary widely based on multiple factors, including the specific practices of the orthopedic surgeons, the hospital's facilities, and individual patient needs. In Punjab, prices can typically range from ₹1,00,000 to ₹3,50,000. Comprehensive health insurance may cover part or all of the expenses associated with knee revision procedures.

At Livasa Hospitals, we provide transparent cost estimates and work closely with patients to accommodate financing options for knee surgeries, ensuring everyone has access to quality orthopedic care.

Emphasizing Importance of Choosing the Right Hospital

Selecting the right facility for knee revision surgery is critical for optimal outcomes. Factors to consider include:

• Surgeon Expertise: Look for orthopedic surgeons with experience in knee revisions.
• Hospital Accreditation: Ensure that the hospital is accredited and adheres to high standards of patient care.
• Patient Support Services: Quality orthopedic care includes comprehensive support services, from pre-operative education to post-operative rehabilitation.
• Patient Reviews: Research patient testimonials and reviews to gauge satisfaction and success rates.

Conclusion: Taking Control of Your Knee Health

If you’re experiencing pain or complications with your total knee replacement, understand that revision surgery is an option. At Livasa Hospitals, our team of orthopedic specialists in Punjab is dedicated to providing you with comprehensive care tailored to your specific needs.

With advanced techniques and a focus on patient outcomes, we aim to help you regain mobility and improve your quality of life. Don’t hesitate to book an appointment with our knee specialists today, or call us at +91 80788 80788 for more information.