66 years old gentleman underwent bilateral Total Knee Replacement (Right 12 years and left 5 years back ) done elsewhere.
He presented with complaints of instability, pain and difficulty in walking on the right knee. On Clinical examination there was effusion in right knee with instability. Infection markers were found to be normal and synovial fluid examination showed no evidence of infection. X-Ray was suggestive of aseptic loosening of tibia and femur.
We did revision Total Knee Replacement with Rotating Hinge knee. Both the femoral and tibial components were loose with extensive osteolysis of the femur and tibia. There was no clinical evidence of infection. Patient made satisfactory post-operative recovery.