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over time a knee replacement may show signs of wear and tear when this happens your doctor can offer revision surgery it replaces the worn out Parts with new ones to begin you are put to sleep the surgeon makes an incision in your knee to docHub the joint your patella the kneecap is moved aside so the surgeon can look for problems with your bones and soft tissues loose or worn knee implants are taken out and your bones are prepared for the new implants if your bones are badly damaged your surgeon will strengthen them next the new implants are put into your knee then the new joint is tested to make sure the parts fit together perfectly your new knee will support your weight and glide smoothly as you walk finally your incision is closed and bandaged