The most commonly injured ligament of the knee is the anterior cruciate ligament or ACL. The risk of injury is greater among those who are involved in high-risk sports like football, basketball, skiing, and soccer. Around half of ACL injuries occur in association with damage to other ligaments, the meniscus (cartilage pad), or other structures. Most of the time, injury to the ACL occurs with pivoting, awkward landings, sidestepping, or difficult cutting movements.
Thousands of people having knee surgery could be wasting their time, researchers claim. A new study suggests that procedures to repair torn cartilage have little more positive effect than a fake operation, and recommends that more people be deterred from having it. The research investigated how best to treat a torn meniscus, the crescent-shaped cartilage that helps stabilise the knee. Many patients in the UK have keyhole surgery either on the NHS or privately to reduce knee pain by tidying up …
The Madras Joint Replacement Center has been at the cutting edge of treatments and procedures that restore movement and mobility to baby boomers, individuals involved in sports injury, as well as those seeking more control and power over their health care and treatment.
The knee is a hinged joint that is held together by four ligaments, one of them being the ACL. This structure runs diagonally in the region of the middle portion of the knee to avoid the lower leg bone (the tibia) from sliding out forward of the thighbone (the thighbone). The ACL also serves to provide rotational stability of the knee.
Arthritis image of knee ligaments
One type of knee surgery is arthroscopy, a common surgical procedure under which a joint is viewed using a tiny camera. This camera looks into the knee through a small lens and projects an image on a TV monitor to allow the orthopedic specialist a clear sense of what is inside the joint space. An arthroscopic knee procedure allows the surgeon to diagnose and treat the knee injury at the same time. More than 4 million knee arthroscopies are performed each year according to the American Orthopedic Society. This is a safe and efficient way to treat the torn ACL.
Almost all arthroscopic knee surgical procedures are done on an outpatient basis. Knee arthroscopy is most frequently used for reconstruction of the torn ACL, trimming away pieces of torn cartilage, removing loose bone fragments or pieces of cartilage, and removing inflamed synovial tissue.
Each knee is individual and knee replacements take this into consideration by having different sizes for you knee. If there is higher than the usual amount of bone loss sometimes extra pieces of metal or bone are added.
Arrival-Your surgery center or hospital facility will contact you with specific details about your appointment. You will be called upon to arrive an hour or two before the procedure and not to eat or drink after midnight the night before.
Anesthesia-Once you’re at the facility where the knee arthroscopic procedure will take place, a fellow of the anesthesia team will see you. Knee arthroscopy or ACL surgery is commonly performed under regional, or general anesthesia. The anesthesia professional will help you decide which method is best for you.
Procedure-The orthopedic specialist will make three small incisions in your knee. A sterile solution will serve to irrigate the knee joint to wash away any cloudy fluid. This helps your surgeon see your knee clearly and in great detail. If surgical treatment is required, your orthopedic surgeon will insert tiny instruments through another incision. These instruments might be trimmers, motorized shavers, and scissors.
The Madras Joint Replacement Center offers world renowned techniques and technologies in joint replacement procedures. It has gained a reputation of pioneering high flexion knee replacements, gender specific knee, Oxinium knee replacements, and Oxford partial knee. Always on the leading edge of technologies and treatments for joint replacements, MJRC also specializes in stem cell knee cartilage regeneration, a growing trend in orthopedic surgery.
ACL tears are repaired by the employment of substitute grafts, normally made of tendon. The graft tissues often involve autograft, meaning it is from the patient. Tendons commonly used are the patellar tendon or the hamstring tendon. During the procedure, the orthopedic specialist will often drill small bone tunnels into the tibia and femur to place the ACL graft in the same situation as the torn ACL. The graft is held under tension and is fixed in place using screws, washers, posts, or staples.
Recovery-Rehabilitation after ACL surgical reconstruction with arthroscopy is much quicker than recovery from traditional open knee surgery. You will need to monitor your orthopedic specialist’s instructions carefully. Be prepared for some swelling, so you’ll need to maintain your knee elevated as much as possible the first two days after the procedure. Ice is usually recommended by the surgeon to take down swelling and help with the pain.
Dressing Care-Once the procedure is over, the doctor will cover your knee with a sterile dressing and you’re to keep the incisions and this dressing clean and dry. Your orthopedic specialist will advise you on bathing and when to change the dressing.
Bearing Weight-After arthroscopic knee surgery to reconstruct the ACL, you’ll probably need crutches or some other assisting device for the first days to prevent excessive swelling and bleeding into the knee. Your surgeon will tell you when it is reasonable to bear weight on your leg and foot.
Driving-Typically, you must wait one to three weeks before driving, depending on your doctor’s orders. The orthopedic specialist will base this action on the knee that is involved, whether your car is an automatic or stick shift, the nature of your procedure, what type of medications you’re taking, and how well you can monitor your knee.
There is nothing quite so life-affirming as having a baby. Having tried for six years to have our second child — which included two soul-destroying cycles of IVF — I conceived and gave birth naturally to our son, Luc Victor, at the age of 41 two years ago. I relished the opportunity to bounce my not insubstantial baby boy on my knee and take him for long walks in the park, savouring those precious first months. Not long afterwards I developed …