Revision Knee Replacement
When a previous knee replacement no longer functions as intended — due to wear, loosening, or infection — this corrective procedure removes the failed implant and restores the joint to reliable, pain-free function.
What is Revision Knee Replacement?
Revision knee replacement addresses the failure of a previously implanted knee prosthesis — removing the worn or failed components and reconstructing the joint with specialised revision implants. The procedure is considerably more demanding than a primary replacement because scar tissue, bone loss around the implant, and the need for extended fixation systems all add complexity. At Lux Hospitals, Dr. Sai Kishan undertakes a detailed pre-operative investigation of every revision case — including imaging, blood markers, and joint fluid analysis — to establish precisely why the first replacement failed before determining the revision strategy.
Indicated when a previously implanted knee replacement produces progressive pain, instability, reduced range of motion, mechanical failure, or confirmed infection — and where thorough clinical and laboratory assessment has identified the underlying cause driving the need for revision surgery.
How the Procedure Works
Failure Mode Analysis
Advanced imaging, infection screening blood tests, and joint aspiration confirm the cause of failure and guide selection of the revision implant system.
Anaesthesia & Approach
The previous scar is used wherever possible; meticulous soft tissue dissection exposes the failed prosthesis in full.
Implant Extraction & Bone Assessment
Failed components are carefully removed; bone defects are catalogued and planned for treatment with augments or structural graft.
Revision Implant Reconstruction
Stemmed revision implants with appropriate augments are fixed to provide durable stability in the compromised bone stock.
Closure & Rehabilitation Programme
The wound is closed with care; a tailored rehabilitation programme begins early, progressing according to individual recovery milestones.
Outcomes
Who Needs This Treatment?
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Resolves pain and instability from a failed, infected, or mechanically worn implant
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Restores functional movement to a knee that has progressively deteriorated
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Bone deficiency addressed with modern augmentation and grafting techniques
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Staged revision protocols available when prosthetic joint infection is confirmed
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Revision-specific implant systems designed for use in compromised bone
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Thorough pre-operative failure analysis reduces the risk of repeat failure
Revision knee surgery demands an entirely different level of pre-operative investigation. You cannot plan what you do not understand — identifying why the first replacement failed is the single most important part of this procedure.
— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery
Revision Knee Replacement Cost in Hyderabad
The cost of Revision Knee Replacement in Hyderabad at Lux Hospitals generally ranges from ₹3,50,000 to ₹7,00,000, with an average estimated cost of ₹5,25,000. Revision knee replacement may be required when a previous knee replacement develops complications such as implant loosening, infection, instability, wear or other forms of failure. The final cost depends on the cause of failure, bone condition, implant requirements and complexity of the revision procedure.
| Procedure | Approximate Cost Range |
|---|---|
| Loosening, infection, failed primary | ₹3,50,000 ₹7,00,000 |
Revision knee replacement is generally more complex than primary knee replacement because existing implants may need to be removed and bone loss or soft-tissue problems may need to be addressed. In selected cases involving infection, treatment may require staged surgery and additional infection management, which can increase the overall treatment cost.
Factors Affecting Revision Knee Replacement Cost in Hyderabad
The total cost of revision knee replacement varies according to the reason for implant failure and the condition of the knee. Important factors include:
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Reason for revision, including implant loosening, infection, instability, excessive wear, stiffness, fracture around the implant or failure of the previous knee replacement
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Extent of bone loss around the existing implants, which may require bone grafting, metal augments, specialized components or other reconstructive techniques
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Complexity of removing the previous knee implants, particularly when components are firmly fixed or extensive scar tissue is present from earlier surgery
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Type and number of revision implants required, including specialized stems, augments, spacers or constrained components selected according to the stability and bone condition of the knee
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Presence of infection around the artificial joint, which may require blood tests, joint-fluid analysis, antibiotic treatment or staged revision surgery
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Condition of the knee ligaments and surrounding soft tissues, especially when instability or inadequate soft-tissue support affects the choice of revision implant
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Preoperative investigations such as X-rays, blood tests, joint-fluid testing and other imaging when required to identify the cause of implant failure and plan surgery
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Hospital stay, anaesthesia, implants, surgical consumables, blood management, physiotherapy and follow-up care, which can vary depending on the complexity of the revision
Insurance Coverage for Revision Knee Replacement
Revision knee replacement may be covered by health insurance when medically necessary, subject to the policy's terms, exclusions, waiting periods, implant limits and pre-authorization requirements. Coverage can vary depending on the reason for revision and whether infection treatment, specialized implants or staged procedures are included in the approved coverage.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
Dr. Sai Kishan Sirasala, Consultant Orthopaedic Surgeon at Lux Hospitals, Hyderabad, can evaluate patients with a painful, unstable or failed previous knee replacement and determine an appropriate revision treatment approach based on clinical findings, previous surgical history and imaging. During the consultation, the doctor may assess: Symptoms after the previous knee replacement, including persistent pain, swelling, stiffness, instability, reduced movement or difficulty walking and performing daily activities History of the primary knee replacement, including the date of surgery, implant type, previous complications, infections, falls or other events that may have contributed to implant failure X-rays and other imaging to evaluate implant position, loosening, bone loss, alignment, fractures and changes around the artificial knee Possible infection around the knee replacement through clinical assessment and appropriate blood or joint-fluid investigations when indicated Condition of the surrounding bone, ligaments and soft tissues to determine the level of constraint and type of revision components that may be required Extent of bone loss and whether bone grafting, augments, stems or other reconstructive techniques may be necessary during revision surgery Whether revision can be performed in a single operation or whether staged treatment may be appropriate, particularly when infection is suspected or confirmed Expected rehabilitation, weight-bearing considerations, physiotherapy requirements and follow-up after revision knee replacement
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