Revision Total Knee Replacement

Revision Total Knee Replacement is a surgical procedure performed to replace a previously implanted partial or full artificial knee joint that has failed due to any number of reasons, such as wear and tear, mechanical failure, infection, or issues with the implants resulting in ongoing pain.

Unlike a primary partial or total knee replacement, which involves replacing the damaged knee joint for the first time, a Revision Total Knee Replacement is more complex as it requires the removal of the old implants and insertion of a new prosthetic knee joint.

Here at New Victoria Hospital, our dedicated multidisciplinary team of Orthopaedic Consultants are committed to delivering exceptional care for patients requiring surgery. From the initial consultation through to the procedure and recovery, our leading Orthopaedic specialists will be on hand to support you throughout your journey.

When is Revision Total Knee Replacement Required?

Implant Wear and Loosening – Over time, the artificial joint can wear down due to friction and daily use, leading to loosening and instability of the knee.

Infection – In some cases, bacteria can infect the artificial joint, causing pain, swelling, and instability, making revision surgery necessary. In such cases, the revision operation may be performed in 1 or 2 stages.

Fracture – A break in the bone surrounding the implant (periprosthetic fracture) may require a revision procedure to ensure restoration of knee function and stability.

Instability – If the knee feels unstable or gives way during activity, it may indicate that the implant is not properly aligned, thus requiring correction through revision surgery.

Stiffness and Reduced Mobility – Scar tissue or incorrect positioning of the implant can lead to limited knee movement, affecting daily activities.

Recurrence of Pain – Significant pain following successful initial recovery could indicate an issue with the alignment of the implants or progression of osteoarthritis of parts of the knee joint that was not replaced following a Partial Knee Replacement or a Total Knee Replacement without Patella resurfacing.

Your Consultant will assess your symptoms and conduct the necessary diagnostic tests to determine whether a Revision Total Knee Replacement is the best course of action for your condition.

The Procedure

A Revision Total Knee Replacement is a complex operation that takes longer than a primary Total Knee Replacement. The procedure is performed under general or spinal anaesthesia, and your surgeon will carefully plan the surgery based on the condition of your knee and previous implants.

The surgery begins with an incision through your pre-existing scar to access the existing implants. The scar may be extended to allow adequate access to undertake the procedure. The old knee replacement components are removed while preserving as much of the original bone as possible. In cases where there has been significant bone loss, bone grafts or specialised implants may be used to rebuild the knee joint.

If the old knee replacement has been infected, the revision surgery may be performed in two stages. The first stage involves removing the old knee replacement, thoroughly cleaning the joint, implanting an antibiotic loaded non-metallic implant and closing the wound. Antibiotics are then administered for 4-6 weeks to help eradicate the infection.

Once the infection is completely cleared, the second stage of the procedure is carried out, where a new total knee replacement is implanted. This staged approach minimises the risk of further infection and improves long-term outcomes.

On occasions, a Revision Total Knee Replacement for infection can be performed as a single stage procedure. The appropriateness of this depends on a number of factors that will be explained to you by your Consultant.

When the new implants are securely in place, the knee is tested for stability before the incision is closed. The entire procedure typically takes 2 to 4 hours, depending on the complexity of the case.

Recovery and Aftercare

Following the surgery, patients usually stay in the hospital for 3-5 days to allow for initial recovery and monitoring. During this time, the medical team will provide pain management, wound care, and begin early mobilisation with the help of physiotherapists.

Rehabilitation plays a crucial role in recovery. Physiotherapy begins shortly after surgery to restore mobility, improve knee strength, and reduce stiffness. Patients will be given a personalised rehabilitation plan to follow at home. Walking aids such as crutches or a walker may be required initially, and weight-bearing on the operated leg will be gradually increased.

The overall recovery time varies between individuals, but most patients start noticing significant improvements within 3-6 months. Full recovery and return to daily activities typically take between 6-12 months, depending on factors such as overall health, adherence to physiotherapy, and the extent of the surgery.

Regular follow-up appointments will be scheduled to monitor progress and ensure that the new Total Knee Replacement is functioning properly.

Why Choose New Victoria Hospital for Revision Knee Replacement?

At New Victoria Hospital, we are committed to providing exceptional care to patients requiring Revision Total Knee Replacement surgery. Our expert Orthopaedic Consultants use the latest surgical techniques to ensure optimal outcomes.

Our commitment to exceptional patient care, combined with state-of-the-art facilities, ensures the best possible outcomes. Our goal is to support a smooth recovery, helping you regain mobility and return to your daily activities as quickly as possible.

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Start your journey to better health with our specialised Revision Total Knee Replacement services. We are covered by all major private health insurance providers, including AXA PPP, Aviva, BUPA, Vitality Health, and WPA.

Get in touch to learn more about how your Revision Total Knee Replacement insurance can support your journey to better mobility and health. If you don’t have private health insurance, we also offer self-pay options.

If you would like to learn more about Revision Knee Replacement at New Victoria Hospital or schedule a consultation with one of our Orthopaedic specialists, please get in touch on 020 8949 9020 or fill in our contact form.