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What does the CT scan report show about my sister's knee's condition after her knee replacement surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My sister is 50 years old. She had undergone knee replacement surgery 10 months before in the government hospital. She is not walking fully, she just moves slowly without any support for the last month. But she had a big wound and leaking water in the surgery area. Our local doctors recommended for CT scan. Herewith I have attached that report for your kind reference.

Kindly give your valuable opinion.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

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Hi,

Welcome to icliniq.com.

Give me a while and I will get back to you, after checking the reports (attachment removed to protect patient's identity), you have sent to me.

Thanks and regards.

Patient's Query

Hello doctor,

She is a diabetic patient. A knee replacement was done last year. She has been having this issue since this year. Now she is walking slightly without any support but a watery substance leaking from the wound area. Herewith I attached the CT image, x-ray image, and blood test report. She took a tablet for one month and there are no improvements. So our local doctors recommended a CT scan and now new medicine and vein injection have been given as per the doctor's suggestion. Is it anything serious? Is any revision surgery needed?

Please answer me.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Well-diabetic patients are prone to get an infection after total knee replacement. And I strongly feel after seeing the CT (computed tomography) scan, that it is an infection but I am sure about the implant loosening because the picture taken is not appropriate. Anyways, could you please send me your doctor's prescription? I want to see what medicine are they giving and what is their further course of action. Also, if you can further tell me that have they sent any fluid from there for culture and further examination?

Thanks and regards.

Treatment plan

Thanks for reply Well diabetic patients are prone to get infection after TKR. And I strongly feel after seeing the CT scan, that its infection but I am sure about the implant loosening because the picture taken is not appropriate. Anyways, could you please send me your doctor prescription? I want to see what medicine are they giving and what is their further course of action. Also, if you can further tell me that have they send any fluid from there for culture and further examination?
Answered by Dr. Anuj Gupta
Medically reviewed by iCliniq medical review team
Published At September 11, 2023
Reviewed At April 25, 2025

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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