Specialist Practice
Complex & Revision Joint Replacement
Revision surgery replaces a hip or knee replacement that has worn out, loosened, become unstable or infected. It is technically demanding work requiring specialist experience, planning and theatre support. The National Joint Registry records more than 260 hip and knee revision procedures under Paddy Subramanian's care.
Why a replacement may need revising
Joint replacements are highly durable, but a small proportion fail over time through wear of the bearing surfaces, loosening from the bone, instability or dislocation, peri-prosthetic fracture, or infection. Persistent pain, a new limp, swelling or a feeling of instability should always be assessed.
Assessment and planning
Every revision begins with a thorough work-up: serial x-rays, CT where needed, blood markers and joint aspiration to rule out infection. Paddy Subramanian plans each case individually, with the implants, bone graft and augments prepared in advance so that surgery is as predictable as possible.
Recovery from revision surgery
Revision recovery is slower than a first-time replacement and depends on the reason for failure and the reconstruction performed. Some patients need a period of protected weight-bearing. You will be supported by a specialist physiotherapy programme and reviewed closely throughout the first year.
Dr Subramanian has been approachable, professional and allowed me to consider what is a major surgery with confidence. All my questions were answered and I felt involved in the decision making. I am now back on my feet with a neat scar. I would recommend him highly to anyone.
Verified Patient
Hip Replacement, Doctify (August 2026)
Patient Testimonials
Back to the life you had before the pain.
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