Revision total knee replacement

♦ Understanding the reason for failure of the original knee replacement is crucial prior to revision♦ The surgery should be a revision and not a repeat of the failed arthroplasty♦ There are eight reasons for failure of original knee replacements which should each be approached individually♦ Unexplained pain relating to a knee replacement requires further investigation before revision surgery can occur♦ Successful revision surgery is performed in three steps – preparation of a tibial surface, the knee in flexion and the knee in extension