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Knee replacement surgery usually helps people get rid of pain and move around more easily. But sometimes, problems can happen after the surgery. In such cases, doctors may need to do a second surgery, called a revision knee replacement. This means removing the old implant and putting in a new one to fix the issue and make the knee work better.

This second surgery is more complicated than the first one. Doctors carefully check your symptoms, how well your knee works, X-rays, and other tests to decide if you really need another surgery. Knowing why revision surgery might be needed can help you better understand your options and make the right decision.

Why a Second Knee Replacement Surgery Might Be Needed

  • Loose Implant: Over time, the part placed in the knee can loosen from the bone, causing pain and making it hard to move properly.
  • Infection: An infection can happen soon after surgery or even years later. It can cause swelling, pain, and trouble using the knee.
  • Wear and Tear: Like anything used daily, the knee implant can wear down, especially in younger or more active people.
  • Unstable Knee: If the knee feels like it might "give out", the implant or nearby ligaments might not be holding things in place properly.
  • Ongoing Pain: If there’s pain that won’t go away and no clear reason for it, it could be a sign that something’s wrong with the implant or tissues around it.
  • Wrong Positioning: If the implant wasn’t placed correctly, it can cause uneven pressure, pain, and reduced movement.

These problems can affect how well your knee works. In such cases, a revision surgery may be needed to help you move better and feel more comfortable.

Warning Signs After Knee Replacement Surgery

It’s important to notice any problems after your knee replacement. Some common signs that something might be wrong include:

  • Pain that doesn’t go away or gets worse
  • Swelling around the knee
  • The knee feels weak or like it might “give out”
  • Trouble bending or straightening the leg
  • Difficulty doing everyday activities because of knee stiffness or limited movement

If you have any of these symptoms, you should see your doctor right away. Catching problems early can help avoid more serious issues and increase the chances of a successful second surgery if needed.

Possible Risks of Second Knee Replacement Surgery

While a second knee surgery can help fix problems, it also comes with some risks, such as:

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  • Infection: Even with care, infections can happen. Doctors use clean tools and antibiotics to reduce this risk.
  • Blood Clots: These can form after surgery, but doctors use medicines and get you moving early to help prevent them.
  • Nerve Damage: This is rare but can happen. Surgeons plan carefully to avoid it.
  • Stiffness: The knee might become stiff, but physical therapy can help you move better again.
  • Longer Recovery Time: Healing after a second surgery may take more time than the first one.

The orthopedic experts at Joint Replacement Delhi carefully plan and perform the surgery to lower these risks and help patients get the best results.

How Successful Is Knee Revision Surgery and What About Recovery?

Most of the time, knee revision surgery helps reduce pain and improve how well the knee works. The results can vary based on a few things, like:

  • Age and Health: Younger and healthier people usually heal better and faster.
  • Type of Surgery: If the problem is small, recovery is often quicker. But if the surgery is more complex, it may take longer to heal and get back to normal.

Recovery can be different for each person, but it usually includes:

  • Hospital Stay: Most people stay in the hospital for a few days so doctors can keep an eye on them.
  • Physical Therapy: Exercises start soon after surgery to help you get your strength and movement back.

It usually takes about 6 to 12 months to fully recover, with a slow and steady return to normal daily activities.

How to Help Prevent Problems After Knee Replacement

Some issues with knee implants can’t be avoided, but there are ways to lower the chances of problems:

  • Getting Healthy Before Surgery: Managing conditions like diabetes or losing extra weight before surgery can help reduce risks.
  • Choosing the Right Implant: Doctors pick the implant that best fits your body and activity level.
  • Regular Checkups: Seeing your surgeon for follow-up visits helps catch any problems early and fix them before they get worse.

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Final Thoughts

A second knee surgery might sound scary, but it can be the right choice to help you feel better and move around more easily. If you think your knee implant isn’t working right, it’s important to talk to a doctor who knows a lot about these kinds of surgeries.

At Joint Replacement Delhi, Dr. (Prof.) Anil Arora’s team is experts in fixing knee replacements. They use the latest tools and methods to give you the best care possible. You’ll be in good hands from start to finish — from finding the problem to creating a treatment plan and helping you recover. If you’re having trouble with your knee replacement, don’t wait to get help.

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Contact with Dr. (Prof.) Anil Arora for Joint Replacement

Dr. Anil Arora

Dr. (Prof) Anil Arora

Vice Chairman & Head of Department Orthopaedics & Joint Replacement Surgery, Max Super Speciality Hospital, Patparganj, Delhi

Chairman & Chief Surgeon, Prof. Arora's Knee & Hip Surgery Clinics, NCR

Education & Training:

  • DNB in Orthopaedics from National Board of Examinations
  • MS in Orthopaedics from Dr. SN Medical College, Jodhpur

Hospital: Max Super Specialty Hospital

Clinic: Prof. Arora’s Knee & Hip Surgery Clinics, Delhi NCR


Experience: 33+ Years

  • Commonwealth Academic Staff Fellowship in Primary, Complex & Revision Joint Replacement Surgery: Royal National Orthopaedic Hospital - Stanmore, London (UK)
  • Professor at University College of Medical Sciences & GTB Hospital, New Delhi
  • Assistant Professor at Dr SN Medical College & Mahatma Gandhi Hospital, Jodhpur
  • Senior Resident at University College of Medical Sciences & GTB Hospital, New Delhi

Specialty: Orthopaedic Joint Replacement (Robotic Knee & Hip Replacement) Max Super Specialty Hospital

About: Dr. (Prof.) Anil Arora, Guinness world record holder and Limca book of records holder, is a Senior Robotic Total Knee & Hip Replacement surgeon. He is an Internationally known figure in Orthopedics and joint replacement. He has been performing joint replacements since 1988, experience of more than 33 years and 12,000 Knee & Hip Replacement surgeries. Teaching in medical college and training Orthopedic surgeons has provided him with vast surgical and clinical experience and expertise. He has wide-ranging skills in knee and hip replacement surgeries. He is known for his sound clinical judgment and fine surgical skills. He was the first surgeon to start pinless computer navigated total knee replacements in north India. He is regularly performing primary, complex and revision (Robotic & pinless computer navigated) knee and hip replacement surgeries. He is also performing primary and revision elbow and shoulder replacements. He is the immediate past president of Delhi Orthopedic association.