Driven by a passion for excellence and a deep understanding of the intricacies of knee health, Nidhanam Orthopedic Center led by Dr. Hiren Jadvani (knee surgeon) has positioned itself as a trailblazer in the field, offering a comprehensive range of services that cater to diverse knee conditions. In particular, the center is renowned for its unparalleled expertise in revision total knee replacement, a complex procedure that demands the highest level of skill and innovation. With a steadfast commitment to providing personalized care and the most advanced surgical options, Nidhanam Orthopedic Center stands as a beacon of hope for individuals in need of transformative knee interventions.
Total knee replacement surgery has transformed the lives of countless individuals, providing relief from chronic knee pain and enabling them to lead more active and fulfilling lives. However, like any medical intervention, knee replacements can encounter complications over time. When these complications arise, the option of revision total knee replacement becomes a crucial consideration. This procedure involves replacing some or all of the original prosthesis components with new ones, aiming to alleviate pain and restore function. Here, we delve into the situations that may warrant revision total knee replacement and shed light on the factors that guide this decision.
- Implant Loosening and Wear
The success of a total knee replacement relies on secure implant fixation to the bone. Yet, over time, factors such as high-impact activities, excessive body weight, and wear of the plastic spacer between metal components can contribute to implant loosening. Even patients who underwent knee replacement at a younger age may face a higher risk of implant failure due to loosening or wear over the years. Additionally, particles from the plastic spacer can trigger an immune response that erodes healthy bone, leading to instability. Advances in materials have mitigated this issue, but it remains a consideration.
- Infection
Infection is a potential complication of any surgical procedure, including knee replacement. An infected joint can cause pain, stiffness, and implant instability. Depending on factors like the type and extent of infection, there are two revision approaches: debridement and implant retention or staged surgery. The latter involves removing the infected implant, using an antibiotic spacer, and later inserting a new prosthesis. In rare cases, a one-stage surgery may be performed, where the implant is removed and replaced in a single procedure, followed by intravenous antibiotics.
- Instability
Knee instability can arise from damaged or imbalanced ligaments around the joint. Since implants are designed to work with a patient’s existing ligaments, changes can compromise their function, leading to swelling and a sense of instability. Nonsurgical interventions like bracing and physical therapy are explored first, but if unsuccessful, revision surgery may be necessary.
- Stiffness
In some instances, scar tissue buildup around the knee joint can limit range of motion, hindering everyday activities. Efforts to break up scar tissue through manipulation under anesthesia may succeed, but if stiffness persists due to excessive scar tissue or improper component positioning, revision surgery may be considered.
- Fractures
Periprosthetic fractures, caused by falls or trauma around the knee replacement, can require revision surgery. The extent of the revision is determined by factors like bone quality, fracture type and location, and implant stability. Severe fractures may necessitate replacing a damaged portion of bone with a larger revision component.
When considering revision total knee replacement, a comprehensive evaluation is essential. Factors such as the patient’s age, overall health, bone quality, and the specific cause of implant failure guide the decision-making process. Advances in surgical techniques, materials, and implant design have improved outcomes, making revision surgery a viable option for restoring comfort and function when complications arise. Communication with a skilled orthopedic surgeon is key to determining the best course of action and achieving optimal results.
Remember, every individual’s situation is unique, and medical advice should always be sought from qualified healthcare professionals.
Nidhanam orthopedics Center is the best hospital in Surat to provide Total Knee Replacement Surgery. Dr. Hiren Jadvani is the best knee surgeon of Surat, has more than 10 years of experience in performing total knee replacement surgery.
Surgery cost depends upon unilateral or bilateral replacement requirement and also type or manufacturer of replacement. To know more about cost of total knee replacement surgery, book consultation with Dr. Hiren Jadvani.
Frequently Asked Questions
Arthroscopic surgery is a type of minimally invasive surgery that requires only small incisions thanks to a device known as an arthroscope. It lets your surgeon see inside the joints and view the specific area being worked on during surgery without the need for large incisions.
Arthroplasty is the reconstruction or replacement of a joint such as a shoulder, elbow, wrist, hip, knee or ankle. Depending on the extent of the joint injury or condition, you may need partial or total arthroplasty.
Like human bone, the prosthetic devices used in joint replacement surgery can become damaged or simply wear out. If you’ve previously had partial or total joint replacement surgery but need to have the joint operated on again, it’s considered revision surgery.
Advances in medical technologies — including the prosthetic materials used in total and partial hip, knee, elbow and shoulder joints — continue to extend the life expectancy of artificial joints. Generally speaking, today’s prosthetic devices can last upwards of 15-20 years. Factors that can impact the durability of prosthetics include your activity level, overall health, weight and whether you have arthritis.
While the goal of surgery is to restore function and get you moving without pain, there are usually some limitations after orthopedic surgery. Talk to your orthopedic surgeon about realistic expectations after surgery.
There’s no one-size-fits-all answer for deciding when to have surgery. Your orthopedic surgeon or other doctors will help you determine when surgery is the most appropriate next step. Key considerations include whether you’re in pain, if you’re experiencing instability or decreased mobility, and whether the injury or condition is affecting your quality of life.
For first consult, patient will be evaluated with detailed history and clinical examination before he/she is advised suitable imaging. Additionally, it will be helpful to bring along previous X-rays and scans especially related to fractures and for comparative assessment.
A fracture is a broken bone. A sprain occurs when you injure the ligaments that connect your bones.
For most of the patients, average stay after surgery is between 2-5 days, depending on the type of surgery. Discharge is planned when medical condition is stable, pain is adequately controlled with oral medications, able to eat and urinate and when physical and occupational goals are successfully met. Bracing, rehabilitation and after surgery instructions will be provided to the patient at discharge.
Following discharge after surgery, you are required to contact the physiotherapist who will help in optimum post-operative recovery. At Nidhanam Orthopedics Speciality Center we have consultant physiotherapist and rehab expert in our team of doctors to ensure smooth rehabilitation and recovery.