✦ Re-Implantation Surgery

Revision Knee Replacement

Q: How is failure of a knee implant detected?

Clinical exam plus X-rays, blood inflammatory markers, bone scans and joint aspiration together pinpoint loosening, infection or instability.

Q: Is revision recovery longer?

Yes — recovery typically takes 6–12 months with structured physiotherapy. Final outcomes depend on cause of failure and bone quality.

Q: Can revision surgery be repeated?

Yes — second or third revisions are possible but increasingly complex. Each revision compromises bone stock and reduces functional outcomes.

Q: Is the implant cost higher?

Revision implants are costlier due to specialised stems, augments and cones. Insurance generally covers revision with prior approval.

When a previous knee implant has loosened, infected or failed, this advanced procedure removes it and reconstructs the joint using specialised revision components for renewed stability and pain relief.

2–4 Hours PROCEDURE

5–7 Days HOSPITAL STAY

>85% SUCCESS RATE

10–15 Yrs IMPLANT LIFE

What is Revision Knee Replacement?

Revision Knee Replacement is a technically demanding procedure undertaken when an existing knee prosthesis fails because of mechanical loosening, polyethylene wear, periprosthetic infection, peri-implant fracture, instability or persistent unexplained pain. The original components and any retained cement are extracted, bone defects are reconstructed using metal augments, structural bone graft or porous metal cones, and revision-grade implants with stems and constraint are inserted. Performed by Dr. Hithesh in Hyderabad, the operation aims to relieve pain, restore alignment and give the patient another decade or more of reliable knee function.

Indicated for patients whose primary knee replacement has failed — manifesting as persistent pain, swelling, instability, deformity or loss of motion — and who are medically fit for complex revision surgery.

How the Procedure Works

Comprehensive Workup

Inflammatory markers, joint aspiration and detailed imaging identify the precise mechanism of failure before surgical planning.

Component Extraction

The failed prosthesis and bone cement are systematically removed while preserving as much native bone stock as possible.

Defect Reconstruction

Bone losses are filled with structural allograft, metal augments or trabecular metal cones to recreate stable platforms.

Revision Implant Placement

Stemmed components with appropriate constraint restore alignment, ligament balance and durable rotational stability.

Closure & Recovery

Soft tissues are closed in layers; protected weight-bearing and graded physiotherapy guide functional recovery over months.

Outcomes

2–4 HoursDURATION

5–7 DaysHOSPITAL STAY

>85%SUCCESS RATE

6–12 MonthsFULL RECOVERY

Who Needs This Treatment?

→Eliminates persistent pain caused by a failing primary knee implant
→Corrects malalignment, ligament instability or recurrent dislocation effectively
→Two-stage revision protocol reliably eradicates deep periprosthetic infection
→Restores meaningful walking ability and confident return to activity
→Reconstruction techniques compensate for significant bone loss reliably
→Specialist revision experience reduces surgical complications and improves longevity

Revision knee surgery rewards a forensic mindset. You must understand exactly why the first implant failed before planning the second — only then can you build something that truly lasts the patient's lifetime.

— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

How is failure of a knee implant detected?+

Is revision recovery longer?+

Can revision surgery be repeated?+

Is the implant cost higher?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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