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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Knee Replacement Surgery Done, Still Problem Remains, Other Knee, Back Developing Problem, X-ray Done

yes have you heard of a knee replacement coming loose due to the cement not working, i had a knee replacement 4 years ago and after a year of telling the doctor something something is wrong, they said it was loose, they went in to replace the current one and the replacement just pop out per the doctor and assistants, the new knee replacement done one year ago is also having problems now and is severly affecting my other knee and back due to haveing to limb all the time. i am afraid to go in for another surgery but when the doctor did an xray last month he stated the new replacement looks like it might be loose also
Wed, 3 Jul 2013
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Orthopaedic Surgeon 's  Response
Hello.
Thanks for writing to us.
After a knee replacement surgery, the cement of the knee joint may not work sometimes making the joint loose and unstable. This needs a direct examination to the extent of loosening and further management.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Praveen Tayal ,
drtayal72@gmail.com
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.
Generally, loosening of the components after total knee replacement could be due to two causes
* Aseptic loosening (without infection) - this usually will not occur so early, as in your case within 2-3 years
* Septic loosening ( due to infection) - this can occur as early as 6 months after the surgery. And I suspect this in your case.
Strictly speaking , any early loosening of the implants should be adequately evaluated for the cause. If a revision knee replacement is performed, then it is going to fail inevitably (as in your case).
So i suggest you to approach a surgeon who has got good experience in "revision total knee replacements" and follow his advice accordingly .
Hope this helps
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Have Knee Replacement Surgery Done, Still Problem Remains, Other Knee, Back Developing Problem, X-ray Done

Hello. Thanks for writing to us. After a knee replacement surgery, the cement of the knee joint may not work sometimes making the joint loose and unstable. This needs a direct examination to the extent of loosening and further management. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal , drtayal72@gmail.com