Revision knee replacement surgery is the term used for the surgery to replace or repair a failed total knee replacement. The caues for failure include aseptic loosening, infection, instability of the knee, and fractures around or near the components. This is specialized surgery that may reqiure specialized equipment and implants.
Infection in a Total knee replacement is often diffucult to diagnose and may require several special investigations. The revision surgery in sepsis is usually done as a two stage procerdure to prevent recurrent infection in the revised knee.
Failed knee replacements present in many different ways and each patient requires a full assessment to plan appropriate surgery for revision knee replacement.
Kneecap replacement fractures and dislocations as well as extensor mechanism (quadriceps muscle, tendon, kneecap and patella tendon) disruption are difficult problems which require super specialist management.
A thorough clinical examination as well as appropriate radiological investigations are required in order for the surgeon to assess whether a revision procedure is required and in order to carry out accurate pre-operative planning.
