|If nonsurgical treatments like medications and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. Joint replacement surgery is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities. Severe osteoarthritis is the commonest indication for knee replacement.|
I have performed more than 400 successful total Knee replacement surgery. Most of my patients are doing well. The youngest patient to have had TKR was 40 years and oldest was 85 years old.
Why do you need Knee Replacement Surgery
Failed Knee Replacement Surgery
All knee replacements contain a polythene bearing, and over a period of many years wearing of this bearing results in the accumulation of tiny fragments of polythene debris within the knee joint. This causes a chronic inflammation, softening and damaging the supporting bone and eventually resulting in loosening of the replacement, which is the commonest mode of failure. Occasionally the polythene bearing collapses completely allowing the metal running surfaces to wear directly against each other releasing metallic debris, and very occasionally the replacement itself or the supporting bone cracks or fractures. Other causes of failure include deep infection or instability of either the knee cap joint or the knee joint itself.
Revision Knee Replacement
Most people who have a knee replacement have excellent relief of pain and a restoration of their quality of life. However, some people develop pain, or problems with their knee replacement that requires further surgery. This may be due to wearing of the bearing surfaces, loosening of the components, or infection. In this event you may need a revision of your knee replacement. If you are having trouble with your knee following a total knee replacement, Dr Debnath will assess, and advise you or your options regarding a revision knee replacement, and whether this is appropriate.
Whilst over 90% of people undergoing a total knee replacement have a good to excellent result, there are always potential problems which may complicate your recovery. Knee replacement surgery is major surgery, and while every effort is taken to minimize the risk of surgery, complications can still occur.
- Prof (Dr) Ujjwal K Debnath
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