Revision Total Knee Replacement Surgery

In Sri Ganganagar by DR. PULKIT THATAI

Get the advanced revision total Knee Replacement Surgery in Sri Ganganagar by Dr. (Major) Pulkit Thatai. Dr. Pulkit Thatai is most experienced Knee replacement Surgeon in Sri Ganganagar. Call now +91-

Revision Total Knee Replacement Surgery in Sri Ganganagar

Total knee replacement stands as a pinnacle achievement in medical procedures, offering a vast majority of individuals relief from chronic knee pain and facilitating more active and fulfilling lives. Despite its success, knee replacements can encounter complications over time, leading to symptoms such as pain, swelling, stiffness, and instability, hindering everyday activities.

In such cases, considering revision total knee replacement surgery in Sri Ganganagar emerges as a highly beneficial option. Whether individuals are grappling with conditions like osteoarthritis, rheumatoid arthritis, or recovering from injuries, this surgery promises to alleviate pain and provide stability, ensuring a restored quality of life.

If your knee replacement fails, your doctor may recommend a second surgery – revision total knee replacement. In this procedure, your doctor removes some or all of the original prosthesis and replaces them with new ones.

What is Revision Total Knee Replacement

1. Implant Loosening and Wear

To ensure the success of a total knee replacement, it’s crucial that the implant remains securely attached to the bone. Initially, during surgery, the implant was either cemented onto the bone or press-fitted to allow bone integration. However, over time, the implant can loosen from the underlying bone, resulting in knee pain. The exact cause of this loosening isn’t always clear, but factors such as high-impact activities, excessive body weight, and wear of the plastic spacer between the metal components can contribute to it. Additionally, younger patients undergoing knee replacement may outlast the expected lifespan of their prosthetic knee, increasing the long-term risk of loosening or wear necessitating revision surgery. In some instances, microscopic particles accumulating around the joint can trigger an immune response, leading to a condition called osteolysis, where the bone surrounding the implant deteriorates, causing instability. Fortunately, advancements in material science have reduced the occurrence of osteolysis compared to previous decades.

2. Infection

Infection is a potential complication of any surgical procedure, including total knee replacement, and can occur during or after the surgery, even years later. An infected artificial joint can lead to stiffness, pain, and implant loosening. Treatment for infection varies depending on factors such as the type and duration of infection, its severity, and patient preferences. It can involve either debridement and retaining the implant or staged surgery, where the implant is entirely removed and replaced after clearing the infection. Your doctor will determine the best approach based on your specific situation, with implant removal offering a higher chance of curing the infection but involving a longer recovery period

3. Instability

Damage or imbalance in the ligaments surrounding the knee can cause instability, leading to symptoms like frequent swelling and a sensation of the knee giving way. Revision surgery may be necessary if non-surgical interventions like bracing and physical therapy fail to address knee instability.

4. Stiffness

Occasionally, a total knee replacement may not provide the necessary range of motion due to excessive scar tissue formation around the knee joint. In such cases, manipulation under anesthesia may be attempted to break up the scar tissue and improve motion. However, if stiffness persists due to extensive scar tissue or component issues, revision surgery may be required.

5. Fractures

Periprosthetic fractures, which are fractures around the components of a total knee replacement, often result from falls and typically require revision surgery. Factors such as the quality of remaining bone, the type and location of the fracture, and implant stability are considered in determining the extent of modification needed. In cases of bone degradation or osteoporosis, the damaged portion of the bone may need to be replaced with a larger revision component.

Dr. (Major) Pulkit Thatai

If you find yourself without any other options for consultation, Dr. Pulkit Thatai in Sri Ganganagar is the ideal choice for you. Renowned as one of the top knee replacement surgeons, he is your go-to person for any knee-related concerns.

Whether you seek guidance on resolving knee issues or have queries about knee replacement surgery, Dr. Pulkit Thatai will address all your concerns comprehensively.

With a track record of over 10000 successful surgeries throughout his career, Dr. Pulkit Thatai is adept at resolving your knee problems effectively. Moreover,Dr. Pulkit Thatai Clinic is well-equipped with all the essential facilities, ensuring you receive the best care possible.”

Process - Revision Total Knee Replacement Surgery

Revision total knee replacement is more complicated and time consuming than primary total knee replacement. In complicated cases, surgery can take several hours. To begin, your doctor will follow the line of the incision made during your primary total knee replacement. The incision may be longer than the original, however, to allow removal of older components. Once the incision is made, the doctor will move the kneecap and tendon to the side to reveal your knee joint. Your doctor will examine the soft tissues of your knee to make sure they are free of infection. He or she will assess all metal and/or plastic parts of the prosthesis to determine which parts are worn out or loosened or out of position. If necessary, your doctor will remove the original implant very carefully to preserve as much bone as possible. If cement was used in the primary total knee replacement, this is also removed. Removing this cement from the bone is a time-consuming process that adds to the complexity and length of revision surgery. After removing the original implant, your doctor will prepare the bone surface for the revision implant. In some cases, there may be significant bone loss around the knee. If this happens, metal enhancements and platform blocks can be added to the main components to make up for the bone shortfall. Rarely, bone graft material may be used to help rebuild the knee. The graft can come from your own bone (autograft) or from a donor (allograft). Finally, your doctor will insert special revascularization implants, repair any surrounding soft tissue that is damaged, and carefully examine the range of motion of the joint. A drain may be placed in your knee to collect any fluid or blood left over after surgery. After surgery, you will be taken to the recovery room, where you will stay for several hours while your recovery from anesthesia will be monitored. After you wake up, you will be taken to your hospital room.

Complications in Revision Total Knee Replacement Surgery

Like any surgical procedure, there are risks associated with revision total knee replacement. Because the procedure is longer and more complicated than a primary total knee replacement, it carries a higher risk of complications. Before your surgery, your doctor will discuss each risk with you and take specific measures to help avoid potential complications.

Potential risks and complications of revision surgery include:

Poor wound healing
Reduced range of motion or stiffness in the knee
Infection in the wound or new prosthesis
Bleeding
Blood clots in the legs that can travel to the lungs (pulmonary embolism)
Bone fracture during surgery Damage to nerves or blood vessels
Medical problems such as heart attack, lung complications, or stroke

Long Term Results in Revision Total Knee Replacement

Most patients who have revision surgery experience favorable long-term outcomes, including pain relief and increased stability and function. Complete pain relief and restoration of function are not always achievable, and some patients may still experience pain or knee stiffness after revision surgery.

How To Reach

What Our Patients Say

Under the care of Dr. Pulkit Thatai, my journey towards knee replacement surgery was nothing short of remarkable. From the initial consultation to the post-operative care, Dr. Thatai exhibited unparalleled professionalism and compassion

His expertise in orthopedic surgery, particularly in knee replacement procedures, was evident throughout the process. Dr. Thatai took the time to thoroughly explain the surgery and patiently addressed all my concerns, instilling confidence in me every step of the way

I am immensely grateful to Dr. Pulkit Thatai for his exceptional care and would highly recommend him to anyone seeking orthopedic treatment. He is not just a skilled surgeon but also a compassionate caregiver who goes above and beyond for his patients

Choosing Dr. Pulkit Thatai for my knee replacement surgery was the best decision I made for my health. From the moment I stepped into his clinic, I was greeted with warmth and professionalism that immediately put me at ease

During the surgery, I felt completely confident in Dr. Thatai's abilities, and the results were beyond my expectations. Thanks to his skillful hands and meticulous attention to detail, I am now able to enjoy a pain-free life with restored mobility

I cannot thank Dr. Pulkit Thatai enough for his exceptional care and expertise. He is not just a brilliant surgeon but also a compassionate healer who truly makes a difference in his patients' lives. I wholeheartedly recommend him to anyone in need of orthopedic care

What is revision knee replacement surgery?

Revision knee replacement surgery is a procedure performed to replace a previously implanted artificial knee joint that has worn out, become loose, infected, or failed for other reasons. It involves removing the old components and replacing them with new ones to restore function and alleviate pain.

Who is a candidate for revision knee replacement surgery?

Candidates for revision knee replacement surgery are typically individuals who have undergone a previous knee replacement surgery and are experiencing complications such as implant loosening, infection, instability, stiffness, or persistent pain despite conservative treatments.

What are the common reasons for needing revision knee replacement surgery?

Common reasons for requiring revision knee replacement surgery include implant loosening, wear and tear of the prosthetic components, infection, instability due to ligament damage, stiffness, and fractures around the knee implant.

How do I know if I need revision knee replacement surgery?

If you are experiencing symptoms such as persistent knee pain, swelling, instability, stiffness, difficulty walking or performing daily activities, or if you have been diagnosed with complications such as implant loosening or infection, you should consult with an orthopedic surgeon for evaluation.

What are the risks and complications associated with revision knee replacement surgery?

Risks and complications of revision knee replacement surgery may include infection, blood clots, anesthesia complications, nerve or blood vessel damage, continued pain, stiffness, implant failure, and the need for further revisions in the future.

What are the potential risks and complications of knee replacement surgery?

Risks and complications of knee replacement surgery may include infection, blood clots, implant failure, nerve damage, stiffness, and continued pain. It's essential to discuss these risks with your surgeon before the procedure.

How long does recovery take after revision knee replacement surgery?

Recovery time varies depending on individual factors such as the extent of the surgery, overall health, and adherence to rehabilitation protocols. Generally, patients can expect a longer recovery period compared to primary knee replacement surgery, with full recovery taking several months.

What is the success rate of revision knee replacement surgery?

The success rate of revision knee replacement surgery depends on various factors, including the reason for revision, the surgeon's experience, and the patient's overall health. While revision surgery can provide significant improvement in function and pain relief for many patients, outcomes may vary.

How can I prepare for revision knee replacement surgery?

Preparing for revision knee replacement surgery involves medical evaluations, pre-operative tests, discussions with your surgical team about expectations and risks, cessation of certain medications like blood thinners, and arranging for post-operative care and support.

Where can I find experienced surgeons for revision knee replacement surgery in Sri Ganganagar?

Experienced orthopedic surgeons specializing in revision knee replacement surgery can be found at reputable hospitals and orthopedic clinics in Sri Ganganagar. It's advisable to research online, seek recommendations from healthcare professionals, or ask for referrals from friends and family members to find the right surgeon for your needs.

What should I expect during the post-operative period?

Following revision knee replacement surgery, you can expect to undergo physical therapy, pain management, and regular follow-up appointments with your surgeon to monitor your progress and address any concerns. It's essential to adhere to your rehabilitation program for optimal recovery.