Knee Revision Replacement

Knee Revision Replacement Surgery in Dubai at Emirates Hospitals Group. Our Orthopedic department boasts of the best orthopedic surgeons in Dubai having British and German Board Certifications. The Orthopedic Department, recognized as one of the best in Dubai, is equipped with the latest technology and staffed by highly skilled orthopedic surgeons. Among our specialized services is knee revision replacement surgery, a complex procedure aimed at correcting issues with previous knee replacements and restoring optimal joint function.

Procedure

Knee revision replacement surgery is a more complex procedure compared to a primary knee replacement. It involves removing the original implant and replacing it with new components. The specific steps may vary depending on the nature of the problem, but generally involve:

• Incision and Exposure: The surgeon makes an incision around the original incision site, carefully dissecting tissues to access the implant.
• Implant Removal: Damaged or loose components of the original implant, including bone cement if used, are meticulously removed.
• Bone and Tissue Evaluation: The underlying bone and surrounding tissues are assessed to determine the extent of damage and plan the most suitable approach for the revision.
• Bone Grafting (if necessary): In some cases, bone loss may necessitate bone grafting to provide a stable foundation for the new implant.
• Implant Selection and Positioning: Based on the findings, the surgeon selects the most appropriate revision implant and carefully positions it to restore proper joint alignment and function.
• Closure and Stabilization: The surrounding tissues are repaired with meticulous care, and the incision is closed.

Symptoms Indicating the Need for Revision Surgery

Several signs might indicate the need for revision knee replacement surgery. If you experience any of the following following your initial knee replacement, consult your doctor:

• Persistent Pain: Increased pain or persistent pain around the knee joint, especially with weight-bearing activities, can signify implant loosening or instability.
• Stiffness and Reduced Motion: A significant decrease in your knee’s range of motion or persistent stiffness could indicate problems with the implant or surrounding tissues.
• Instability and Giving Way: A feeling of instability in the knee or your knee giving way unexpectedly could be a sign of ligament damage or implant loosening.
• Noise and Grinding: Clicking, grinding, or popping sounds during knee movement might suggest wear and tear of the implant or surrounding tissues.

Diagnosis: Evaluating the Need for Revision Surgery

A comprehensive evaluation by one of our highly skilled orthopedic surgeons is crucial to determine if knee revision surgery is the best course of action. The evaluation typically involves:

• Detailed Medical History: A discussion about your symptoms, their duration, limitations they cause, and any previous surgeries on your knee.
• Physical Examination: The surgeon meticulously examines your knee for swelling, tenderness, range of motion, stability, and alignment.
• Imaging Tests: X-rays provide a clear picture of bone alignment and implant integrity. MRI scans reveal the extent of soft tissue damage and any loosening of the implant.

Based on the evaluation findings, your surgeon will discuss the potential benefits and risks of revision surgery compared to other treatment options, such as physical therapy or injections.

Recovery Process and Protocols

Recovery after knee revision surgery typically requires more time and effort compared to a primary knee replacement due to the more extensive procedure. Our dedicated team will provide comprehensive support throughout your recovery journey:

• Pain Management: Effective pain control medication and techniques like ice therapy and electrical stimulation will be utilized to manage post-surgical discomfort.
• Physical Therapy: A crucial part of recovery, physical therapy focuses on:
  • Strengthening exercises to rebuild muscle strength and support the revised joint.
  • Range-of-motion exercises to improve flexibility and regain a wider range of motion.
  • Gait training to relearn proper walking mechanics with the revised knee joint.
• Hospital Stay: Depending on the complexity of the surgery, your hospital stay may range from a few days to a week.
• Home Care: You will be discharged with detailed instructions on wound care, pain management, medications, and specific exercises to perform at home.
• Follow-Up Appointments: Regular follow-up appointments with your surgeon and physical therapist are essential to monitor progress, ensure proper healing, and adjust the rehabilitation program as needed.