Complex Total Knee Replacement Surgery in North Wales by Dr Amir Azam, Consultant Orthopaedic Surgeon
Some knee conditions require more than standard knee replacement. Severe deformities, prior surgeries, or extensive bone loss may make the procedure more challenging. As a Consultant Orthopaedic Surgeon (MBBS, MS Orth, MRCS, FRCS Orth) specialising in complex total knee replacements in North Wales, I provide advanced surgical solutions tailored to each patient’s unique anatomy.
What Is Complex Total Knee Replacement?
Complex knee replacement is designed for patients whose knee anatomy or previous surgeries make standard implants insufficient. It often involves custom or semi-constrained implants, advanced planning and additional bone reconstruction techniques to achieve stable, long-lasting results.
Who May Need Complex Knee Replacement?
You may require a complex knee replacement if you have:
- Severe knee deformities due to longstanding arthritis or injury
- Significant bone loss from fractures, infection or previous surgeries
- Failed ligament repairs leading to instability
- A history of multiple knee operations
- Complex medical conditions requiring tailored anaesthesia and rehabilitation
Why Choose a Consultant Orthopaedic Surgeon in North Wales?
Complex knee replacements demand specialist experience. My approach includes:
- Pre-operative 3D imaging and templating to plan implant positioning
- Access to advanced implant systems including constrained or hinged prostheses
- Bone grafting or augments to rebuild lost bone stock
- Close coordination with anaesthetists and rehabilitation teams to optimise recovery
The Procedure
Depending on your knee’s condition, complex surgery may involve:
- Removal of old implants if present
- Realignment of bones to correct deformities
- Use of extended stems, augments or customised implants
- Reconstruction of soft tissues for stability
Recovery and Rehabilitation
While recovery timelines vary, most patients follow a structured pathway:
- Hospital stay: 3–5 days
- Walking aids: 6–8 weeks
- Full recovery: 6–12 months or more depending on complexity
Dedicated physiotherapy and a carefully monitored rehabilitation plan are key to optimal outcomes.
Benefits and Risks
Benefits:
- Pain relief in previously difficult or unsalvageable knees
- Restoration of alignment and stability
- Improved walking ability and daily function
Risks:
- Higher risk compared to standard replacements
- Increased operative time and blood loss
- Possible need for further surgery
With meticulous planning and advanced surgical skills, risks can be reduced and outcomes improved.
FAQs: Complex Total Knee Replacement
Q1: How is a complex knee replacement different from a standard one?
It involves more advanced planning, specialised implants and sometimes bone grafting to address deformity or bone loss.
Q2: Will my recovery take longer?
Often yes, but with a personalised plan and regular physiotherapy, outcomes are excellent.
Q3: Are custom implants used?
Yes, in selected cases patient-specific or semi-constrained implants are chosen for best results.
Hi, I am a Consultant Orthopaedic Surgeon in North Wales, United Kingdom.
I help people regain their mobility and live pain-free lives through advanced hip and knee surgery. As a Consultant Orthopaedic Surgeon, I specialize in hip replacement, knee replacement, and revision surgery (re-do surgery for failed hip and knee replacements), offering both NHS (National Health Service) and private practice expertise.
I am also registered with leading private medical insurers, including AXA Health, BUPA, Vitality Health, WPA, Aviva, Cigna, Allianz Partners, and Healix Health Services Ltd, enabling seamless access to private orthopaedic care for insured patients.
For appointments or any other enquiries, please email secretary@dramirazam.com.
Dr Amir Azam
Consultant Orthopaedic Surgeon
MBBS, MS (Orth), MRCS, FRCS (Orth)
