Revision Knee Replacement

Making the decision to go forward with revision knee surgery is always difficult as the risks and benefits of further surgery are less clear than undertaking a knee replacement for the 1st time. 

The most important part of this decision-making process occurs in the outpatient setting when Simon explains the differing treatment options in your case.

Once the decision has been made to go forward with revision knee replacement, this may be carried out as a single operation when the initial knee replacement is removed and immediately replaced with a new knee replacement.

Revision knee replacement surgery is far more complex than the initial knee replacement surgery and often requires the use of special implants to support the new knee replacement safely within the bone.

In the case of infection revision knee surgery may be carried out as a two-stage procedure with initial removal of the knee replacement and insertion of temporary spaces which then requires a 2nd operation at a later date to remove the temporary spacers and insert a new knee replacement. 

Between the stages of your revision knee replacement you will require antibiotic treatment to eradicate infection which requires a close liaison with a consultant microbiologist who will give advice about the correct antibiotic treatment for you. 

Sometimes this will require a further procedure to insert a semipermanent intravenous line through which intravenous antibiotics can be given regularly. 

The early recovery following revision knee replacement is generally slower than 1st time round however even in the case of a two-stage revision knee replacement you should be able to mobilise with crutches putting weight through the temporary replacement between the 2 stages. 

As with a primary knee replacement procedure, it is imperative that you follow the physiotherapy exercises to maximise your recovery.