Dr Biren Nadkarni has specialization in performing Revision Knee Replacement surgery.

Total reconstruction of the knee is considered as some of the best processes in all medicine. It helps individuals live richer, more healthy lives free of debilitating knee pain in most cases. When this progresses, the knee can get sore and swollen. The patient might also feel a little uncomfortable after the knee replacement and it might make it difficult for him or her in performing the daily routine task.Your doctor will order a second surgery, a full knee replacement, if your knee fix fails. Your doctor removes any or more of the initial prosthesis sections in this process and substitutes them with new ones. The knee joint is replaced by an appliance or prosthesis, consisting of metal and plastic parts during primary complete knee replacement. While most complete knee replacements are very reliable, complications such as implant wear and loosening can involve a revision phase to repair the original components over time.

Before Revision Knee Replacement Surgery


After Revision Knee Replacement Surgery

revision knee replacement


As the surgeon must remove the initial implant, which may have evolved into the actual tissue, a revision operation is usually more complicated than the original knee replacement surgery.

Moreover, there is less bone left until the surgeon removes the prosthesis. In certain cases, to sustain the new prosthesis, a bone graft may be needed to implant a bone transplanted fragment from another region of the body or a donor. However, additional preoperative preparation, advanced equipment, and greater surgical capacity are needed for the operation. It takes longer than a primary original knee repair to perform the surgery.

You will have unique symptoms if revision surgery is required. Excessive wear or loss signs include:

1- Decreased flexibility or decreased activity in the knee

2- Heightened discomfort or illness (which usually occurs soon after the initial procedure)

3- A bone fracture or outright collapse of the device

The small pieces that are present inside the prosthetic device can also fall sometimes and this might allow small particles to gather in some parts of the joint.


As Dr. Biren Nadkarni thinks to minimise the chances of infection that might happen doctors usually prefer to give antibiotics at a regular interval of time. Antibiotics are used in many cases to cure the infection. In other cases, though, inflammation can result in the loss of the replacement joint, and if it spreads across the body, it can also be life-threatening. When the wounds start to heal the chances of the infection decrease but they are never zero. If people want to go to any dentist then they are advised to make the dentist aware of their joint replacements. The implants can get affected because of the infections that happened during the dental treatment.


The knee replacement revision is more complicated and takes longer to execute than the knee’s main complete replacement. The surgery might take up to two or three hours.

As Dr. Biren Nadkarni says, we should follow the incision path during the primary knee reconstruction. However, the incision may be longer than the initial, to facilitate removing the old components. When the incision is made, the doctor will expose the knee joint by pushing the kneecap and tendons to the right.

The doctors usually examine the tissues which are soft and are present inside then me to make sure that it is infection free. To decide which pieces have been worn or loose or moved out of place, he or she may assess all the metal and/or plastic parts of the prosthesis.

The specialist would gently remove the initial implant to retain as much bone as possible. If cement is used in the main complete reconstruction of the leg, it is often omitted. After the initial implant has been extracted the doctors usually prepare for the revision implant with the help of the bone surfaces. There may be considerable bone damage around the knee in some cases.


The implants that are being removed from the person who already went through to a complete knee replacement is a knee revision, “reoperation.

Some knee revisions can require only one implant to be replaced. A complete revision of this sort is a complicated process involving thorough preoperative preparation, advanced implants and equipment, extended operating times, and the mastering of demanding surgical techniques. The procedure is called “cooled radiofrequency ablation,” recently approved by the Food and Drug Administration.

Pre Surgery

Specialized surgical procedures and technology for knee replacement have been primarily designed to overcome complete knee replacement revision challenges. During the pre-operative preparation process of surgery, replacement of well-fixed implants, bone loss control, soft tissue deficiency, and instability, and a technique for achieving stable fixation of a new implant all need to be addressed. A well-thought-out pre-operative procedure would ensure that all the appropriate instruments and implants are available by the time of surgery.

Post Surgery

There are few things that the patient needs to keep in mind for or his betterment after the surgery. On your diet, medications, fitness schedule, activity level, discharge equipment, follow-up consultation, and signs and symptoms to look out for, you will receive guidance.

1- Speak to the physician about any precautions you might have after the procedure.

2- Make sure that 10 to 14 days following the surgery, you have a follow-up consultation planned with your surgeon.

3- After surgery, you’ll definitely have a drop in capacity. Ensure that the task is matched with rest and proceed with the home fitness routine.

4- After treatment, you will have some pressure, swelling, and stiffness. It is recommended to prepare a pain plan to be followed at home. 

5- For the first few weeks after surgery, you may not feel like feeding. However, for your healing, proper nutrition is important. The patient needs to keep in mind that he or she drinks enough water that is required by the body and also has a proper diet. For example the patient needs to take meat and eggs and nuts and everything in proper quantity.


You will be given the following postoperative measures after knee replacement surgery:

1- Don’t have your legs crossed.

2- Don’t kneel and put nothing behind your knee.

3- For that reason, a cushion or other substance should not be put behind the knee.

4- It is to be positioned under the heel if elevation and/or support under the operative leg is needed.

5- You’re going to be asked not to flex or twist your new leg.

6- You will receive transportation directions to and from your home through your vehicle.


The vast majority of patients who have revision surgery report positive long-term effects, including pain reduction and improved stability and function, as Dr. Biren Nadkarni says. However, complete pain relief and function reconstruction are not always possible, and after revision surgery, some patients can still feel pain or knee stiffness.

Consult Dr Biren Nadkarni for Revision Knee Replacement Surgery