Complex, Revision & Difficult Knee Surgery

Ortho PrecisionORTHOPRECISION
Knee Treatments

A knee replacement that hurts, feels wrong, or has failed?

When a knee replacement does not feel right, there is often a technical reason — and a targeted fix, sometimes short of a full redo.

  • Often a specific, fixable reason
  • Options short of a full redo
  • Difficult and unique cases welcomed
Get a second opinion
A knee replacement that hurts, feels wrong, or has failed?
FRACS · FAOrthA · MSurgSpecialist orthopaedic surgeon
Australian trainedAdelaide-based specialist
Robotic & personalised3D pre-operative planning
5 Adelaide hospitalsConsulting & operating
Free 2-minute knee quiz

Do I need a knee replacement?

Take Dr Yas’ five-point self-check to see whether it is worth having your knee assessed — anonymous, no referral needed, and your result links straight to the next step.

Take the knee quiz General information, not a diagnosis
In short

A knee replacement that remains painful, feels unstable or has worn or loosened can usually be assessed and explained. Sometimes the answer is a targeted fix — occasionally keyhole — rather than a complete redo; sometimes a revision is needed. Dr Yas also manages complex and unusual knees, including combined and difficult-anatomy cases.

Reviewed by Dr Yas Edirisinghe · June 2026
01

When a replacement does not feel right

Most people do well after a knee replacement, but some are left with pain, stiffness, instability or a sense that something is wrong. That is worth taking seriously — there is often a specific, identifiable reason.

A careful assessment of your history, examination and imaging is the first step to understanding what is happening.

Read about getting a second opinion
When a replacement does not feel right
02

Options short of a full redo

Importantly, the answer to a painful replacement is not always a complete revision. Depending on the cause, there may be a more targeted solution — sometimes a keyhole procedure — that addresses the specific problem and gets you moving again.

Where a revision is genuinely needed, Dr Yas will explain why and what it involves.

Complex and unique cases
03

Complex and unique cases

Dr Yas manages complex knees — including bicompartmental solutions, combined ligament and replacement procedures, and significant deformity. These are exactly the cases that benefit from individual planning rather than a standard approach.

04

Difficult anatomy and higher body weight

Difficult anatomy — including for patients with a higher body weight — is assessed individually rather than turned away. With careful planning and robotic technology, surgery can often be carried out safely.

Read about higher-body-weight knee surgery
In summary

Key takeaways

A painful or failed replacement usually has an identifiable cause.
The fix is not always a full redo — sometimes it is targeted or keyhole.
Complex, combined and difficult-anatomy knees are assessed individually.
A second opinion is a sensible next step.
Questions

Common questions

Not necessarily. Persistent pain has many causes, and some are addressed without a full revision. The first step is a careful assessment to find out why.
Get started

Request a consultation

Send a few details and the rooms will be in touch within one business day.

Individual assessmentHistory, examination and your imaging reviewed with you.
A clear planThe options for your specific knee, explained in plain language.
No obligationA GP referral helps but is not required to enquire.

Request a consultation

Send a few details and the rooms will respond. A GP referral helps but is not required to enquire.

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The Four Pillars

Explore the four pillars

Pillar 01 · Personalised & Robotic Surgery

Want surgery designed for your anatomy, not the average?

Joint-preserving partial replacement where suitable, personalised total replacement with kinematic alignment and robotic precision, and direct anterior hip surgery — matched to your joint, not a standard mould.

Personalised & Robotic Surgery
Pillar 02 · Second Opinion

Had a replacement that still doesn’t feel right?

When a replacement hasn’t worked out there is often a specific reason — and a specific solution. An independent review: examination, imaging reviewed, and a written summary of your options.

Second Opinion
Pillar 03 · Individual Assessment

Been told you’re too young, too heavy, or to just wait?

Dr Yas reviews each patient case by case and recommends the operation that fits the joint — not the other way around. Higher-BMI patients considered on their individual merits, not declined on weight alone.

Individual Assessment
Pillar 04 · Revision & Reconstruction

Been told nothing more can be done?

Specialist revision hip & knee surgery, partial-to-total conversion with modern bone-preserving technique, and complex reconstruction after trauma — including limb-preserving surgery — considered case-by-case.

Revision & Reconstruction

Request a consultation or a second opinion on your knee.

A GP referral helps but is not required to enquire. Dr Yas\u2019 rooms respond within one business day.

08 7081 4100
ORTHOPRECISION
08 7081 4100 Ashford · Elizabeth Vale · North Adelaide
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Dr Yas Edirisinghe — specialist orthopaedic surgeon. FRACS, FAOrthA, MSurg. AHPRA registration MED0001219741.

This page provides general information about orthopaedic surgery and is not medical advice. All surgery carries risks, and outcomes vary between individuals. Any decision to proceed is made with your surgeon after an individual assessment. A GP referral is recommended for a specialist appointment.

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