Dr. Kamal Kishor Gupta has many years of experience in the field of orthopedic surgery, with a particular focus on total knee replacement surgery. He is treating patients for total knee replacement surgery, both in India and abroad. Patients receive personalized care throughout every step of the knee replacement process. From the initial consultation to the post-operative care, Dr. Kishorgupta and his team work closely with each patient to ensure that they receive the highest quality care and attention.
Total knee replacement is one of medicine’s most effective treatments. It allows patients to live fuller, more active lives free of persistent knee pain in the great majority of situations. A knee replacement, on the other hand, may fail over time for a variety of reasons. Your knee may become painful and swollen as a result of this. It might also feel stiff or unsteady, making it difficult to go about your daily routine.
Loosening and Wear of Implants:
An implant must remain securely linked to the bone in order for a complete knee replacement to operate effectively. The implant was either cemented into the bone or press-fit to allow the bone to grow onto the surface of the implant during the initial operation. The implant was firmly secured in both cases. However, an implant may loosen from the underlying bone over time, producing discomfort in the knee. High-impact activities, extra body weight, and deterioration of the plastic spacer between the two metal components of the implant are all variables that may lead to loosening. Patients who have their first knee replacement while they are younger may also “outlive” the life expectancy of their prosthetic knee. These individuals have a higher long-term risk of requiring revision surgery owing to loosening or wear.
Your knee may become unstable if the ligaments that surround it become injured or unbalanced. Because most implants are intended to operate with the patient’s existing ligaments, any alterations to those ligaments may cause the implant to fail. Recurrent swelling and the sensation that your knee is “giving way” are possible symptoms. If nonsurgical treatment options such as bracing and physical therapy are ineffective, revision surgery may be required.
A complete knee replacement may not always provide you with the range of motion you require to accomplish daily tasks. This might develop if there is too much scar tissue around the knee joint. If this happens, your doctor may try “manipulation under anaesthesia.” You will be given an anesthetic for this treatment so that you will not feel any discomfort. The doctor then tries to break up the scar tissue by bending your knee. In the vast majority of instances, this surgery improves the range of motion. The knee, on the other hand, might sometimes stay stiff. If your range of motion is limited by scar tissue or the position of the components in your knee, revision surgery may be required.
Any surgical surgery, including total knee replacement, has the risk of infection. Infection might strike while you’re still in the hospital or after you’ve returned home. It might even happen years later.
It’s possible that an infected artificial joint will become stiff and uncomfortable. The implant’s connection to the bone may begin to deteriorate. Even though the implant is securely attached to the bone, discomfort, swelling, and infection drainage frequently necessitate revision surgery.
A periprosthetic fracture is a damaged bone that develops surrounding the total knee replacement components. The most common cause of these fractures is a fall, and they almost always need revision surgery. Your doctor will examine many aspects when deciding the amount of revision required, including the quality of the remaining bone, the kind and location of the fracture, and if the implant is loose. When a portion of bone is broken or weakened due to osteoporosis, it may be necessary to entirely replace the damaged section with a bigger revision component.
Some patients may wonder when they should really proceed with the revision knee replacement surgery. If your discomfort is caused only by weakness, as we described, physical therapy and strengthening exercises will typically suffice. Multiple years after a complete knee replacement, your ligaments may stretch out and the knee may no longer be as stable as it once was, meaning that when a surgeon touches your knee, it may seem a little looser to them. Some patients are able to tolerate it, while others are unable to. If you’ve tried physical therapy and your knee still doesn’t seem to be getting better, you may require knee revision surgery.
A full physical examination with your primary care physician will be required several weeks prior to revision surgery. This is required to ensure that you are in good enough health to have surgery and recover fully. Before surgery, patients with chronic medical issues, such as heart disease, maybe assessed by a specialist, such as a cardiologist.
Imaging tests are performed. To understand more about the state of your knee, your doctor will generally request imaging studies.
The following are some of the potential risks and problems of revision surgery:
Heart attack, lung troubles, or stroke are examples of medical issues
Pain relief: One of the most significant benefits of total knee replacement surgery is that it can relieve severe pain caused by joint damage or arthritis. Many people experience a significant reduction in pain within weeks of the surgery.
Improved mobility: After surgery, most people find that their knee joint moves more easily, which allows them to participate in activities they couldn’t do before. This can improve their quality of life and overall health.
Better sleep: Painful knee joints can make it difficult to get a good night’s sleep. Total knee replacement surgery can relieve pain, making it easier to sleep through the night.
Improved mental health: Chronic pain and limited mobility can take a toll on a person’s mental health. By reducing pain and improving mobility, total knee replacement surgery can help people feel better emotionally and mentally.
Long-term durability: Modern knee replacement implants are designed to last for many years. In fact, most people can expect their knee replacement to last at least 15 years, and many last for 20 years or more.
Improved overall health: By relieving pain and improving mobility, total knee replacement surgery can help people maintain a more active lifestyle, which can lead to improved cardiovascular health, weight management, and overall wellness.