Neurosurgeon
Neurosurgeon
KNEE | LAS VEGAS
Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada
Total and partial knee replacements are durable implants but can fail over time or develop complications requiring revision surgery. Understanding the reason for failure guides the appropriate revision strategy.
Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas performs knee revision surgery including complex reconstructions referred from other surgeons.
Knee revision surgery is recommended when a failed knee replacement cannot be managed non-operatively and when symptoms significantly impair quality of life. Dr. Lee performs comprehensive diagnostic workup before planning revision.
Knee revision surgery varies widely in complexity from isolated polyethylene exchange to complete reconstruction with stems, augments, and bone grafting. Dr. Andrew Lee performs knee revision cases at Southern Hills Hospital in Las Vegas.
The surgical approach depends on the failure mechanism identified. Failed components are carefully removed with instruments designed to minimize bone loss. Bone defects are addressed with augments or bone graft. New components are selected with stems to achieve stable fixation in the remaining bone.
Revision for infection is staged. Stage one removes all infected hardware and places an antibiotic-loaded cement spacer. After a course of intravenous antibiotics, stage two reimplants the definitive revision components when infection has been
eradicated.
Recovery following knee revision is longer than primary replacement. Weight bearing status depends on the extent of reconstruction. Physical therapy is tailored to the specific revision performed.
Most patients require three to six months for meaningful functional recovery.
Pain relief following successful knee revision is typically meaningful, though functional outcomes may be more variable than primary replacement.
Regular follow-up with Dr. Lee following revision surgery monitors implant stability and guides rehabilitation.
No bathtub, swimming, or hot tub until cleared by Dr. Lee.
Follow wound care instructions carefully. Monitor for signs of infection. Contact Nevada Spine Clinic immediately for wound concerns. Blood clot prevention medication is prescribed. Take all medications as directed.
Activity restrictions are individualized to the revision performed. Dr. Lee reviews specific guidelines at discharge.
Contact Nevada Spine Clinic or go to the emergency room for sudden severe knee pain, calf swelling, fever, or wound changes.
No bathtub, swimming, or hot tub until cleared by Dr. Lee.
Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas
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