77 years old lady operated case of bilateral total knee replacement done elsewhere in 2004. Since 2016 she was having pain in right knee with difficulty in walking and bearing weight. On examination there was joint effusion, tenderness and instability. Preoperative X-Ray was showing aseptic loosening of tibial component.
We ruled out infection and planned for revision total knee replacement using hinge knee prosthesis. Intraoperatively the femur was also loose and there were huge bone defects both in the tibia and femur. Patient underwent revision total knee replacement with hinge knee prosthesis with augments to overcome the bone defects. Now patient is comfortable and walking with support.
66 years old gentleman underwent bilateral Total Knee Replacement (Right 12 years and left 5 years back ) done elsewhere. He presented with complaints of instability, pain and difficulty in walking on the right knee. On Clinical examination there was effusion in right knee with instability. Infection markers were found to be normal and synovial fluid examination showed no evidence of infection. X-Ray was suggestive of aseptic loosening of tibia and femur.
We did revision Total Knee Replacement with Rotating Hinge knee. Both the femoral and tibial components were loose with extensive osteolysis of the femur and tibia. There was no clinical evidence of infection. Patient made satisfactory post-operative recovery.