Mr. Sudheer L Karlakki
MBBS, FRCS(Ed&Gl), FRCS(Orth), Msc(Orth Eng), LLM (Med Law)
GMC membership number: 4340252
Consultant Hip & Knee
Replacement & Revision Specialist
Honorary Senior Lecturer
Robert Jones & Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry
01691 404344 & 07384 277867
Revision Knee Replacement:
Is a surgery involving replacement of a worn & loose, infected, maligned implants or fractures around a previous joint replacement with a repeat surgery. Most of the revision or redo surgeries are for a worn and loosened knee replacement.
The surgery is complex, prolonged and technically challenging as it involves removal of old implant, cement from the weakened bone and fixing a new implant. It may be necessary to utilise bone graft to make up for the bone loss.
Your general condition, amount of bone loss and extent of surgery required influences the duration and outcome of surgery which your specialist will discuss with you during your consultation.
If you have had a knee replacement previously and starting to encounter pain upon activity, swelling, instability and change in alignment of the knee, it's best to get it checked by a specialist, often a simple plain x-ray is all that may be required in addition to clinical examination to begin with.
Failure of replaced joint and the bone loss that goes with it, can be subtle. Any recent and persisting of symptoms, especially after years of good service in knee with or without swelling, particularly after activity is best to get checked out by a revision specialist.
Surgery is not only aimed towards improving symptoms but also towards minimising further bone loss. Extent of bone loss not only influences the complexity of surgery but can also lead to insufficiency fracture, the surgery for which can be more serious.
