INTRODUCTION: Revision total knee replacements are very common now a days. Most common causes include early total knee replacement and increased life expectancy. Proper pre-operative planning and assessment are crucial for the appropriate management of revision cases. CASE REPORT: An 83-year-old gentleman came with a history of right knee pain and instability for past 1 year. He underwent bilateral TKR 20 years back, after which he underwent two revisions for his right knee 5 and 10 years following the first surgery. Intraoperatively, femoral and tibial components were found stable, and only poly wear was noted with hinge breakage and cement mantle interposition
hence, only hinge revision was done. CONCLUSION: Not all cases of revision need complete component replacement. Addressing intraoperative findings and appropriate management prevents complications.