Surgical Treatment
- Knee Arthroscopy
Knee Arthroscopy is a common surgical procedure performed using an arthroscope, a viewing instrument, to diagnose or treat a knee problem. It is a relatively safe procedure and most of the patients are discharged from the hospital on the same day of surgery.
- Total Knee
Replacement
Total knee replacement, also called total knee arthroplasty, is a surgical procedure in which the worn out or damaged surfaces of the knee joint are removed and replaced with artificial parts.
- Knee Osteotomy
Knee osteotomy is a surgical procedure in which the upper shinbone (tibia) or lower thighbone (femur) is cut and realigned. It is usually performed in arthritic conditions affecting only one side of your knee and the aim is to take pressure off the damaged area and shift it to the other side of your knee with healthy cartilage.
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Unicompartmental Knee Replacement
Unicompartmental knee replacement is a minimally invasive surgery in which only the damaged compartment of the knee is replaced with an implant. It is also called a partial knee replacement.
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Patellofemoral Knee Replacement
Patellofemoral knee replacement is a minimally invasive surgical option that preserves the knee parts not damaged by arthritis as well as the stabilizing anterior and posterior cruciate ligaments, ACL and PCL. The smaller implants used with a partial knee replacement surgery are customized to your anatomy based upon CT scans of your knee.
- Patellar
Tendon Repair
Patella tendon rupture is the rupture of the tendon that connects the patella (knee cap) to the top portion of the tibia (shin bone). The patellar tendon works together with the quadriceps muscle and the quadriceps tendon to allow your knee to straighten out.
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Arthroscopic Reconstruction of the Knee for Ligament Injuries
Arthroscopic reconstruction of the knee ligament is a minimally invasive surgery performed through a few tiny incisions. An arthroscope is inserted into the knee joint through one of the small incisions to provide clear images of the surgical area (inside the knee) to the surgeon on a television monitor.
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Revision Knee Replacement
Revision knee replacement surgery involves replacing part or all your previous knee prosthesis with a new prosthesis. Although total knee replacement surgery is successful, sometimes the procedure can fail due to various reasons and may require a second revision surgery.
- ACL
Reconstruction
The anterior cruciate ligament is one of the major stabilizing ligaments in the knee. It is a strong rope- like structure located in the center of the knee running from the femur to the tibia. When this ligament tears unfortunately, it does not heal and often leads to the feeling of instability in the knee.
- Patellar
Tendon Repair
Patella tendon rupture is the rupture of the tendon that connects the patella (knee cap) to the top portion of the tibia (shin bone). The patellar tendon works together with the quadriceps muscle and the quadriceps tendon to allow your knee to straighten out.
- Meniscal Surgery
A meniscus tear is the most common knee injury in athletes, especially those involved in contact sports. A sudden bend or twist in your knee can cause the meniscus to tear. This is a traumatic meniscal tear. Elderly people are more prone to degenerative meniscal tears as the cartilage wears out and weakens with age.
Non-surgical Treatments
- Pharmacological
Non-steroidal anti-inflammatory drugs
Weak and strong opioids
Disease modifying anti-rheumatic drugs and biological agents -
Viscosupplementation
Viscosupplementation refers to the injection of a hyaluronan preparation into the joint. Hyaluronan is a natural substance present in the joint fluid that assists in lubrication. It allows smooth movement of the cartilage covered articulating surfaces of the joint.
- Cortisone
Injection
Cortisone is a corticosteroid released by the adrenal gland in response to stress and is a potent anti-inflammatory agent.
- Physical
Therapy
Physiotherapy or physical therapy is an exercise program that helps you to improve movement, relieve pain, encourage blood flow for faster healing, and restore your physical function and fitness level. It can be prescribed as an individual treatment program or combined with other treatments.