OrthoDocs New Zealand | 37 Dublin Street | (06) 242 4000

Orthopaedic services

Revision knee replacement assessment

Pain, swelling, stiffness or concern after knee replacement can have many causes. Assessment is usually detailed and may involve reviewing previous operation notes, implant details, imaging and staged investigations before treatment options are discussed.

In brief

  • Pain after knee replacement does not always mean revision surgery is needed.
  • Operation notes, implant details and previous imaging are helpful.
  • Further tests may be needed before a clear plan can be made.

Common reasons for referral

Persistent or new pain

The pattern, timing and location of pain help guide assessment.

Swelling or stiffness

Ongoing swelling, reduced movement or change in function may need review.

Mechanical concerns

Instability, clicking, alignment concerns or implant wear may require investigation.

What assessment involves

Mr Thompson will discuss your previous surgery, current symptoms, medical history and available records. Examination and imaging review help identify whether symptoms may relate to the implant, surrounding tissues, infection, stiffness or another source.

Further X-rays, blood tests, CT, MRI or other investigations may be considered depending on the clinical question.

Before your appointment

Prior operation notes, implant details, recent imaging and investigation results are especially useful.

Treatment options

Options depend on the likely cause. These may include further investigation, physiotherapy, symptom management through usual care, monitoring, or referral to another service when appropriate.

When surgery or a procedure may be discussed

Revision knee surgery may be discussed when the cause of symptoms is reasonably clear and surgery is considered appropriate. Revision surgery is complex, and the expected benefits, limitations, risks and recovery need careful discussion.

Recovery and next steps

Planning may require previous records, implant information, funding approval and investigation results. The next step is tailored to the findings rather than assumed at the first appointment.

Funding approval and timing depend on the funder, records and investigation results.

Make an appointment enquiry

For non-urgent appointment or referral questions, please contact the clinic.

Patient information

A one-page summary is available for patients and referrers. It is general information only and does not replace personalised advice.