Revision Knee Replacement: Why Some Surgeries Need to Be Redone

June 16, 2025

Featuring Dr. Deepak Mishra – Best Knee Replacement Surgeon in Faridabad

Introduction

Knee replacement surgeries have revolutionized orthopedic care, providing relief to countless individuals suffering from chronic joint pain and immobility. But what happens when a knee replacement fails to deliver the expected outcome? That’s where revision knee replacement comes in. Though not common, some knee replacement procedures need to be redone due to various complications, and this second surgery requires more expertise, precision, and care.

In Faridabad, Dr. Deepak Mishra is a leading name in advanced joint surgeries, including complex revision knee replacements. With vast experience and a patient-first approach, Dr. Mishra has helped hundreds regain mobility and confidence.

What Is a Revision Knee Replacement?

A revision knee replacement is a surgical procedure that involves replacing all or part of a previously implanted artificial knee joint. Unlike a primary knee replacement, which is done for arthritis or injury, revision surgery addresses issues like implant failure, loosening, infection, or wear and tear over time.

It is a more complicated surgery that demands expert orthopedic skills, advanced planning, and specialized implants.

Why Some Knee Replacements Need to Be Redone

Despite advancements in surgical techniques and implant technology, a small percentage of patients require revision for various reasons. Let’s explore them in detail:

1. Implant Wear and Loosening

Over time, even high-quality prosthetic joints can wear out. Daily movement causes gradual deterioration, especially in active or overweight individuals. Loosening can lead to pain, swelling, and decreased function.

2. Infection

Infection is a serious and unfortunate complication. It can develop shortly after surgery or even years later. Infected prosthetics require removal and thorough cleaning, followed by revision surgery once the infection clears.

3. Instability

If the joint feels unstable or “gives way,” it may be due to ligament damage, implant misalignment, or incorrect sizing. This instability can lead to discomfort and limited motion, necessitating revision.

4. Stiffness or Reduced Mobility

Scar tissue or improper positioning may cause stiffness, restricting movement. In some cases, physical therapy alone isn’t enough, and revision surgery becomes the only option for restoring joint function.

5. Fractures Around the Implant

Trauma or falls can cause fractures near or around the knee prosthesis. Depending on the severity, revision surgery may be required to stabilize the joint and replace the implant.

6. Allergic Reaction or Metallosis

Rarely, patients may experience a reaction to metal components in the implant. This can lead to pain, swelling, and soft tissue damage, making revision surgery necessary.

What to Expect During a Revision Surgery

Revision surgeries are more complex than the original knee replacement and typically involve:

Preoperative Tests: X-rays, MRIs, blood tests, and joint fluid analysis to determine the cause of failure.
Implant Removal: Careful extraction of the original prosthesis, which may be adhered to bone or surrounded by scar tissue.
Bone Reconstruction: If bone loss has occurred, grafts or custom implants may be used.
New Implant Placement: A specialized prosthesis is inserted to provide better stability and function.
Longer Recovery: Rehabilitation is more intensive and tailored to the individual’s needs.

Key Differences from Primary Knee Replacement

Factor	Primary Knee Replacement	Revision Knee Replacement
Complexity	Standard	High
Duration of Surgery	Shorter	Longer
Implant Requirements	Standard size	Customized or reinforced
Risk of Complications	Low	Higher
Recovery Time	Moderate	Longer and gradual

Meet Dr. Deepak Mishra – Faridabad’s Expert in Revision Knee Replacement

When it comes to knee revision surgeries in Faridabad, Dr. Deepak Mishra is a trusted name in orthopedics. With over 26 years of surgical experience, he has successfully performed hundreds of complex joint procedures. His approach is holistic, combining clinical precision, advanced surgical tools, and post-operative rehabilitation guidance.

Why patients trust Dr. Deepak Mishra:

Expertise in revision surgeries involving infections, bone loss, and implant loosening.
Comprehensive pre-surgery diagnostics to ensure accurate treatment.
Patient-centered care with minimal complications and high success rates.
Known for performing robotic and computer-assisted joint replacements.

Patients from across Delhi NCR and beyond consult Dr. Mishra for second opinions and revision procedures that require a highly experienced hand.

When Should You Consider Revision Knee Replacement?

You should consult an orthopedic surgeon if you experience:

Persistent or worsening knee pain
Instability or “buckling” of the knee
Limited range of motion despite physiotherapy
Signs of infection (fever, swelling, redness)
Audible sounds or discomfort when walking

Early diagnosis and intervention can prevent complications from becoming severe and increase the likelihood of a successful revision.

Conclusion

Revision knee replacement is a demanding yet life-changing procedure for patients whose primary knee replacements have not functioned as expected. With the right surgeon and approach, patients can regain mobility, reduce pain, and improve their quality of life.

In Faridabad, Dr. Deepak Mishra remains a leading authority in revision knee replacement surgery. His blend of surgical precision, patient dedication, and experience makes him the preferred choice for anyone facing knee joint issues—even after prior surgery.