A revision knee replacement surgery is a procedure for people who have previously had a partial or total knee replacement, and who now need a revision surgery to replace the surgical implants or correct a problem with the existing implants.
Partial and full knee replacement surgery is designed to improve the function of a knee joint damaged by injury or disease. The surgical implants that are placed into the knee to repair it last for a long time—around 15 to 20 years—but for many people there does come a point at which the knee implants need to be replaced. This is particularly true for young people or people who are very active.
There are several reasons why someone might need a revision knee replacement procedure.
In all cases, the end result is usually that the knee is less functional than it was. For instance, it can become stiff, swollen, painful, or it might be unstable.
Even though revision knee replacement has the same overall goal as a partial or total knee replacement—to repair and restore an injured or damaged knee joint—the revision surgery is actually very different. Revision surgery is often a much longer procedure, and a more complicated one. This is partly because the kind of revision that's needed depends on what has gone wrong with the existing knee implants.
Revision knee replacement is performed under general anaesthetic. If for some reason a patient can't tolerate a general anaesthetic, a local anaesthetic, combined with sedation, is an alternative option.
Some aspects of revision knee replacement are similar to primary knee replacement. For instance, in both procedures the surgeon must remove damaged bone and other tissue in order to make way for new implants. However, because in a revision procedure the surgeon is replacing implants with implants, it's a bit more complicated. Sometimes, for instance, only one or two of the three implants in the knee might need to be replaced, rather than all three. Another issue is that sometimes an implant that has suffered a mechanical fault causes damage to surrounding bone. In these cases the surgeon must devise a way of repairing the bone, for instance with a bone graft or metal implants that strengthen the bone.
Once the surgeon has replaced the implants and added any other components that are needed, they must repair any damage that has been done to the surrounding tissues. Next, they test the newly-repaired joint to check its range of motion, before closing up the incisions in the knee.
After having a revision knee replacement patients stay in hospital for several days. The recovery period after revision surgery is often longer than the recovery period after a primary knee replacement, in most other ways recovery is very similar. Most people can start walking the day after their surgery, working with a physical therapist on rehabilitation exercises. The first few weeks usually require the use of a cane or other support device to provide stability while walking.
The long-term outcome for revision surgery is similar to that of primary surgery, in that relief from pain, and increased knee function and stability are likely results. However, after revision surgery some people still have some minor pain or stiffness.
I am writing to thanks you & your staff fro the wonderful work you did on my hip repllacement. It is so nice not to be in constant pain and it's enjoy able to go for a walk now & not dread it as before. I can't thank you + the staff at the cavell hospital enough.
After years of arthritic pain, steroid injections, physiotherapy and arthroscopy (which actually made things far worse)... I now feel like a new woman thanks to the knee surgery you performed last month - I have no doubt this is due in no small part to your skill as a surgeon. The wound healed quickly, recovery has been rapid, without any complications and the scar is neat and beautifully stitched!!
Having recently undergone a full left knee replacement I am 100% satisfied with everything Mr Saksena and his team at The Cavell provided. I was given plenty of advice both before and after my surgery, which was very reassuring. My recovery has been rapid with minimal pain and within 8 weeks I had full extension and 130 degree flexion back in the knee. I wouldn't hesitate to recommend Mr Saksena as an orthopaedic surgeon.
I had a total knee replacement with Valgus Deformity 7 weeks ago, and this gave the surgeon extra work to do, I only have good things to say about this surgery and after care with all staff involved at Chase Farm Hospital, as in my experience I have heard a lot of good and bad things about this type of surgery, Well I can only say that if anyone has concerns about this please try not to worry it is worth while as it has given me a new lease of life to what I had before, and yes the first 2 weeks are the worse, but please do try your exercises, because as they say you only get the real benefit if you are prepared to do your bit. Thanks very much for my new lease of life yet again.
I was very fortunate to be referred to Mr Saksena as an NHS patient and was very impressed with the treatment and care provided by Mr Saksena and the whole team at Cavell Hospital. Once discharged, someone was always available to talk to you and an appointment was made immediately if you needed to see a nurse (which I did several times, due to a normal discharge from my wound). The entire staff were all friendly, cheerful and efficient. The scar is very neat and after 7 weeks I am walking well and just using a stick outdoors.
I would like to just sincerely thank you for the job you did on my knees, both of them. Before I had my knees replaced I was in constant pain, which had been the case for nearly 5 years. It was so bad that I often wondered what the use was in living! Now, nearly 2 years later, I feel I have my life back. I can now walk without pain and every single day, and I mean every single day, I walk the roads that I walked pre-operations and I remember the pain that I was in for every small distance I had to walk. Now, I walk with a smile on my face and a thrill in my heart, so very grateful for having the freedom to enjoy walking once again. I also have great fun going with the grandchildren to the park and playing with them, which before the operation was impossible as all I could do was basically sit and supervise them. So there too there is a huge change.
You did a total knee replacement on my right leg on 22nd March in the Kings Oak Hospital and it has been very successful. I am now almost pain free with the knee getting stronger each day. I would like to thank you and your excellent medical team for doing such a neat job. I would also like to thank the wonderful nurses at the hospital who were always cheerful and efficient.
In September 2014 I underwent a knee replacement operation. Mr Saksensa was an amiable professional with a calming influence and caring nature. His team were friendly and supportive. My knee replacement was a complete success and I am still enjoying my favourite sport of skiing.
You performed a partial meniscectomy at Highgate Hospital in late april. I would like to thank you for your hardwork; the problem has been entirely resolved and I am pretty sure that is down to the procedure rather than the passage of time as the condition persisted during the prior two months. Some part of that is surely down to your skill.