While knee replacement surgery is an effective solution for many people suffering from knee pain due to arthritis or injury, in some cases, the knee replacement implant can fail over time. Factors such as implant wear and tear, loosening, infection, or other complications may lead to the need for revision knee replacement surgery. Mr. Sanjiv Manjure, an experienced orthopaedic consultant in Luton, specialises in revision knee replacement surgery and provides personalised care to ensure the best possible outcome for patients facing the challenges of a failed knee replacement. This guide covers the procedure, recovery, risks, and why Mr. Manjure is the ideal choice for your revision surgery.

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What is revision knee replacement surgery?

Revision knee replacement surgery is a procedure performed when a previously successful knee replacement fails or develops complications. The procedure involves removing the damaged or worn-out prosthesis and replacing it with a new one. Revision surgery is more complex than the initial knee replacement due to issues such as bone loss, implant loosening, or infection.

Some common reasons for needing revision knee replacement surgery include:

• Implant Loosening: Over time, the artificial components may become loose, leading to pain and instability.
• Implant Wear: The prosthetic components may wear down, leading to loss of function.
• Infection: Infection can compromise the integrity of the original knee replacement, requiring revision surgery.
• Fracture: A fracture in the bone surrounding the implant may require a revision procedure.
• Instability or Misalignment: The implant may not function properly or may become misaligned, affecting knee mobility.

Mr. Manjure will conduct a thorough evaluation to determine the need for revision surgery and decide on the most appropriate course of action.

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Who can benefit from revision knee replacement surgery?

Candidates for revision knee replacement surgery typically include individuals who:

• Experience persistent pain, instability, or reduced mobility after their initial knee replacement.
• Have developed complications such as implant loosening, infection, or wear.
• Have sustained fractures or significant bone loss around the knee joint.
• Experience knee stiffness, discomfort, or misalignment that affects their quality of life.

Mr. Manjure will evaluate the cause of your symptoms and determine if revision surgery is the best solution for your knee problems.

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The procedure

Pre-operative preparation

Before undergoing revision knee replacement surgery, Mr. Manjure will ensure you are fully prepared:

• Consultation: A thorough review of your medical history, previous surgeries, and imaging studies will be performed.
• Pre-Surgical Testing: Blood work, advanced imaging, and other diagnostic tests will be conducted to assess your knee joint, the status of the previous implant, and any bone loss or deformity.
• Pre-Operative Instructions: You will receive specific instructions on fasting, medications, and preparations needed before the surgery.

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The surgery/procedure itself

Revision knee replacement surgery is performed under general anaesthesia and typically involves:

• Removing the Original Prosthesis: If the implant is well-fixed or bone loss has occurred, removal can be challenging.
• Restoring Bone Loss: Bone grafts or specialised implants may be used to address bone loss and provide a secure base for the new implant.
• Implant Replacement: A new, custom prosthesis is placed to restore knee function and mobility. This may involve modifying the bone structure and realigning the joint to ensure proper fit.
• Closing the Incision: The incision is closed with stitches, and the knee is carefully bandaged.

The surgery typically takes 2-3 hours, depending on the complexity of the case. Mr. Manjure uses advanced surgical techniques to minimise complications and optimise outcomes.

Revision knee replacement surgery is performed at The Manor Hospital and Luton and Dunstable University Hospital, both equipped with modern facilities to support complex orthopaedic procedures.

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Duration and post-op care

After surgery, you will be closely monitored in the recovery room. Most patients stay in the hospital for 2-3 days, depending on their recovery progress. Immediate post-operative care includes:

• Pain Management: Pain relief medications will be provided to keep you comfortable.
• Early Mobilisation: Physiotherapy will begin shortly after surgery to restore movement and prevent complications like blood clots.
• Knee Support: A knee brace or splint may be used to stabilise the joint during the early stages of recovery.

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Recovery and aftercare

• First Few Days: Pain management, initial physiotherapy, and support for walking.
• First Few Weeks: Continued physiotherapy to regain range of motion and strength, with gradual improvement in mobility.
• 3-6 Months: Full recovery, during which most patients can return to normal activities, including walking and driving.
• 6-12 Months: Continued rehabilitation to enhance strength, stability, and knee function. Full recovery typically occurs within this period.

Mr. Manjure will provide continuous follow-up care to ensure your knee is healing properly and that you are achieving the best possible results.

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Risks and complications

As with any surgery, revision knee replacement surgery carries some risks, though these are rare and can be minimised with careful planning and post-operative care. Potential complications include:

• Infection at the surgical site.
• Blood Clots (deep vein thrombosis) in the legs.
• Implant Failure or loosening, particularly if there is significant bone loss.
• Fractures during implant removal or bone restoration.
• Nerve or Blood Vessel Injury during surgery.
• Knee Stiffness or reduced range of motion.

Mr. Manjure uses advanced techniques to reduce the risk of complications and ensure a smooth recovery. Close post-operative monitoring, follow-up appointments, and adherence to rehabilitation instructions are essential for achieving optimal outcomes.

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Why choose Mr. Sanjiv Manjure in Luton?

Mr. Sanjiv Manjure is a highly skilled orthopaedic consultant with over 20 years of experience in knee surgeries, including revision procedures. His personalised approach ensures that each patient receives the best care tailored to their needs. Reasons to choose Mr. Manjure for your revision knee replacement surgery include:

• State-of-the-Art Facilities at The Manor Hospital and Luton and Dunstable University Hospital.
• Advanced Techniques to minimise complications and improve recovery times.
• Comprehensive Aftercare to ensure a smooth recovery and optimal knee function.
• Personalised Care that addresses the unique challenges of revision knee replacement.

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FAQs

How Long Will My New Knee Last After Revision Surgery?
A revision knee replacement can last between 10-20 years, depending on factors like your activity level and overall health. Mr. Manjure will choose the most appropriate implant for long-term durability.

What Is the Recovery Time for Revision Knee Replacement Surgery?
Full recovery may take 6-12 months, with most patients able to resume normal activities within 3-6 months. Mr. Manjure will provide a detailed recovery plan to guide your rehabilitation.

Can I Return to Sports After Revision Knee Replacement?
While high-impact sports may be limited, many patients can return to low-impact activities like swimming, cycling, and walking within a few months.

What Happens if My Revision Knee Replacement Fails Again?
While this is rare, further revision surgery may be needed. Mr. Manjure will discuss all available options and ensure the best solution for your long-term care.

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If you are experiencing pain or complications from a previous knee replacement, contact us today to learn more about revision knee replacement surgery with Mr. Sanjiv Manjure. Book a consultation to discuss your options and take the next step towards restoring knee function and improving your quality of life.