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General enquiries:
+44 (0)207 935 4444
Book an appointment:
+44 (0)207 616 7693
Self-pay enquiry:
+44 (0)203 219 3315

What is a revision total knee replacement?

A revision total knee replacement is an operation to take out your old knee replacement and put in a new one.

A knee replacement can fail for the following reasons.

  • Wearing out of the artificial joint
  • Infection in your knee replacement
  • Dislocation (coming out of joint)
  • Fracture (break) of the femur or the tibia around your knee replacement

What are the benefits of surgery?

You should be able to walk better and do more of your normal activities.

Are there any alternatives to surgery?

If your symptoms are mild, you and your surgeon may decide to watch and wait for a while.

If your knee replacement keeps coming out of joint, you can wear a brace to try to keep your knee in place.

If you have an infection in your knee replacement, you can sometimes keep it under control and prevent your knee replacement from failing by taking antibiotics.

If you have a fracture around your knee replacement, you can sometimes have an operation to fix the fracture, without changing your knee replacement. You can sometimes be treated in a cast.

What does the operation involve?

Various anaesthetic techniques are possible.

Your surgeon will make a cut on the front of your knee. They will remove your knee replacement and any cement.

Your surgeon will put in a new knee replacement, which is often larger than your old one.

Your knee replacement is fixed into the bone using acrylic cement or special coatings on your knee replacement that bond directly to the bone.

Figure showing a revision knee replacement

The type of surgery you need can be more complicated if you have an infection, or the bone is thin or broken.

What complications can happen?

Some of these can be serious and even cause death.

General complications of any operation

  • Pain
  • Bleeding
  • Unsightly scarring of your skin
  • Difficulty passing urine
  • Infection of the surgical site (wound)
  • Blood clot in your leg
  • Blood clot in your lung
  • Chest infection
  • Heart attack
  • Stroke

Specific complications of this operation

  • Split in the bone when your knee replacement is inserted
  • Damage to ligaments or tendons near your knee
  • Damage to nerves around your knee
  • Damage to blood vessels around your knee
  • Infection in your knee
  • Loosening
  • Dislocation of your knee replacement
  • Continued discomfort in your knee
  • Severe pain, stiffness and loss of use of your knee

How soon will I recover?

You should be able to go home after 4 to 7 days.

You may need to use a walking aid for a few weeks. It often takes longer to recover from a revision knee replacement than your first knee replacement.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most people make a good recovery and most revision total knee replacements work well.

A revision total knee replacement can fail with time, if it wears out, or the original problem comes back.

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world-renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

TREATMENT COST

The London Clinic offers affordable, competitive self-pay packages for certain treatments. Please call +44 (0)20 3219 3315 to speak to our helpful team to find out more and to book an appointment.

Summary

If your original knee replacement fails, you can usually have another operation to do your knee replacement again. If this revision operation is successful, you should be able to continue many of your normal activities.

Disclaimer

The operation and treatment information on this website is published under license by The London Clinic from EIDO Healthcare UK and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you.

mEDICAL aDMISSIONS

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Facilitating acute admissions into The London Clinic whilst maintaining the highest levels of safety and care, supported by a consultant on-call rota.

Concierge service

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We can support our patients with travel, hotel accommodation, London tours, plus theatre and restaurant reservations.

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Main numbers

General enquiries: 020 7935 4444 Appointments: 020 7616 7693 Self-Pay: 020 3219 3315

Other numbers

Concierge service: 020 3219 3323International office: 020 3 219 3266Invoice and payment enquiries: 020 7616 7708

Your call may be recorded for training and monitoring purposes.

Medical service numbers

Breast services appointments: 020 7616 7653 Diagnostics appointments: 020 7616 7653 Endoscopy appointments: 020 7616 7760 Eye centre appointments: 020 7616 7768 Haematology appointments: 020 7535 5503 Kidney services appointments: 020 7224 5234 Liver services appointments: 020 7616 7719 Physiotherapy appointments: 020 7616 7651 Radiology appointments: 020 7616 7653

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