When John met with Dr. Adigweme, they found that the replacement surgery on his left knee had been unsuccessful. The implant was loose and unstable, resulting in substantial pain. It turns out that the original surgeon did not conduct the procedure from the front of the knee, but instead from the side. This meant that the original doctor was likely unable to adequately visualize the placement of the prosthetic knee.
The major reasons for revision surgery are infection, implant loosening, and instability. These complications are rare; however, they can become debilitating. Oftentimes, if the symptoms are significant enough, revision surgery is needed. During revision surgery, some or all the implants are removed and replaced. The surgery is more complex than the original knee replacement and often requires the expertise of a surgeon fellowship-trained in joint replacements.
After replacing the right knee and obtaining an excellent result, John and Dr. Adigweme decided to move forward with the more complex revision of the left knee. Instead of using the original lateral approach incision, the revision surgery was performed from the front. Dr. Adigweme says, “I believe going from the front is the most reliable. That’s what 99% of surgeons do and that’s for a good reason.” There are thousands of peer-reviewed research articles proving the overwhelming success rate of a knee replacement from the front. There are no articles to show that the lateral approach is safe and effective. Patients should be interested in evidence-based medicine, per Dr. Adigweme.
Dr. Adigweme was very pleased with the results of both procedures. He says, “Within six to 12 weeks after his revision surgery, John was already almost as good as he was on the other side.”