Revision joint replacement surgery is something which makes the surgeon at a task. It requires highest skill and expertise. 15-20 years of experience in knee and hip replacement surgery made our proud surgeons to upgrade their skills constantly to serve our patients the best.
A superspeciality hospital concept, in the trend of multispecialty hospitals, shows a dedication and passion of our surgeons in this field. Natural knee replacement (NKR) is the best example of our surgeons’ continuous efforts towards skill and knowledge enhancement.
Since last 20-25 years, total knee replacement surgery came into picture in Indian health care system. And initial cases of failure started since last 5 years. Local population was supposed to find outside centers for revision hip and knee replacement surgery. A smooth transition to revision surgery has been made by surgeons of Viroc Hospital so patient would not require going outside for revision replacement surgery.
What is revision surgery?
Revision surgery is also called as Re-surgery. Due to some reason if the primary replacement surgery fails and also all the measures to correct problem of primary replacement fails then re-surgery is required. Reasons of primary joint replacement failure can be severe post-op infection, implant loosening, fracture around implant.
Why revision surgery is required?
Reasons like post-op infection implant loosening, instability and patient specific factors like age, weight, activity level, surgical history contribute to the implant failure. Some of them can be treated if considered early; like infection.
When do you need revision knee surgery and what are the signs?
A failed knee implant is usually indicated by an increase in pain or a decrease in knee function. Persistent pain and swelling can indicate loosening, wear, or infection, and the location of the pain can be all over the knee (generalized) or in one particular area (localized).
The decline in knee function may result in a limp, stiffness, or instability. Patients who demonstrate these symptoms and signs may require revision joint surgery.
What will surgeon do in surgery?
The surgeon will remove the old implant and will fit new one. Bone grafting might be done if required. In some cases, metal wedges, wires or screws may be used to strengthen the bone. Finally, specialized revision knee implants are inserted. Temporary drains are usually placed to collect any fluids or blood that may remain after surgery.
What about after surgery?
Post-operative care after knee revision surgery is very similar to the care of a primary knee replacement. This includes a combination of physical therapy, blood management, and pain medication as necessary. Antibiotics and some method of blood clot prevention will be continued in the postoperative period. A brace or splint may be used to protect the joint after the surgery.