Total Knee Revision and Reconstruction

If your knee replacement is no longer working the way it should, you may begin to notice increasing pain, swelling, stiffness or instability. When an artificial knee joint wears out, loosens or fails, everyday activities can become difficult again. At Novant Health, our experienced orthopedic surgeons provide advanced total knee revision and reconstruction procedures to relieve discomfort, restore stability and help you move with confidence.

We take time to understand your symptoms, activity level and goals. Knee revision surgery is more complex than an initial knee replacement, and careful planning is essential. Our team is committed to guiding you through every step of the process with clear communication and personalized care.

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Why a knee replacement may need revision

Artificial knee joints are designed to last many years, but they do not last forever. Over time, normal wear and tear can affect how the prosthesis functions. In some cases, the implant may loosen from the bone, become unstable or develop alignment problems. Infection, stiffness or fracture around the implant can also make revision necessary.

When this happens, replacing part or all of the original prosthesis can help restore function and reduce pain. Early evaluation is important so we can identify the cause of your symptoms and recommend the most appropriate treatment.

Evaluation and treatment planning

Before recommending revision surgery, your orthopedic specialist will complete a thorough evaluation. This may include a physical exam, imaging studies such as X-rays or advanced scans, and lab testing if infection is suspected. Understanding why the original knee replacement is not performing as expected allows us to create a surgical plan tailored to your specific needs.

Some patients require replacement of only certain components of the implant, while others benefit from a full revision of the knee prosthesis. Because revision procedures can involve bone loss or soft tissue changes, specialized implants and techniques are often used to rebuild and stabilize the joint.

Total knee revision surgery

During total knee revision surgery, your surgeon carefully removes the original implant and any damaged tissue. The joint is then reconstructed using new prosthetic components designed to provide stability and proper alignment. In some cases, bone grafting or specialized augments may be needed to support the new implant.

Revision surgery typically takes longer than primary knee replacement and may require a short hospital stay. Our surgical teams use advanced techniques and technology to promote accuracy, reduce complications and support healing.

Recovery and rehabilitation

Recovery after knee revision surgery may be longer than after your first knee replacement, but a structured rehabilitation plan plays a key role in your progress.

Early recovery: You will begin gentle movement and physical therapy soon after surgery to improve circulation and protect the joint.
Strengthening phase: Therapy focuses on rebuilding strength, flexibility and balance.
Return to daily activities: Most patients gradually resume normal routines over several months, depending on overall health and surgical complexity.

Your care team will monitor your healing closely and adjust your rehabilitation plan as needed. Our goal is to support steady improvement while protecting your new joint.

Total Knee Revision and Reconstruction

Why a knee replacement may need revision

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