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At our surgical facility, we are proud to offer the highest level of care and expertise when it comes to surgeries. Our team use the latest techniques and equipment to ensure optimal outcomes for our patients. With years of experience and a deep understanding of the intricate structures of the human limbs, we are confident in our ability to diagnose and treat even the most complex conditions.
Total knee replacement, also called total knee arthroplasty, is a surgery in which a broken or arthritic knee joint is replaced with a prosthesis, which is an artificial knee implant. This treatment is done on people whose knee joint has been severely damaged by arthritis, an injury, or another degenerative condition. The goal is to relieve pain, improve mobility, and restore function.
Robotic total knee replacement is a type of advanced surgery that uses robotic-assisted technology to make the process more precise and accurate. It is a change from traditional total knee replacement surgery. The main difference is that the orthopaedic surgeon uses a robotic system to help with certain parts of the process.
A surgery called a “partial knee replacement,” which is also called a “unicompartmental knee replacement,” is used to treat certain kinds of knee pain or damage to the joint. Total knee replacement (TKR) replaces the whole knee joint. Unicondylar knee replacement, on the other hand, only replaces one of the knee’s three parts: the medial or lateral compartment.
Knee preservation surgery is a group of surgeries used to treat different knee problems and injuries. The main goal of knee preservation surgery is to save the original knee joint and delay or avoid the need for a total knee replacement. Most of the time, these treatments are thought of for younger, more active people with serious knee problems but still healthy joint surfaces and structures.
A knee injury to the anterior cruciate ligament (ACL) is common and serious because it affects how stable and well the knee joint works. The ACL is one of the major tendons in the knee. Its main job is to keep the knee stable by keeping the shinbone from moving too far forward in relation to the thighbone. It is also a very important part of rotary stability. For a full tear you need surgery which is done through an arthroscopy. During this operation the patient's own hamstring tendon, patellar tendon, etc. is often used to replace the damaged ACL. After surgery most people go through a full therapy programme to get their strength, range of motion and balance back.
A PCL tear is an injury to one of the four important ligaments in the knee, the Posterior Cruciate Ligament. The PCL links the thighbone (femur) to the shinbone (tibia) at the back of the knee. Its main job is to stop the tibia from moving too far backward in relation to the femur. When there are total tears or a lot of instability, surgery may be a good idea, especially for athletes or other people who put a lot of physical stress on their bodies.
A collateral ligament injury is an injury to one of the two major ligaments on the sides of the knee joint. These ligaments are called collateral ligaments. There are two ligaments on the outside of the knee: Medial Collateral Ligament (MCL): It keeps the inside of the knee stable and keeps it from turning inward. Lateral Collateral Ligament (LCL): This ligament keeps the outside of the knee stable and keeps it from moving outward.
How you handle an injury to a collateral ligament depends on how bad it is:
Grade 1: Mild injury. Most of the time, RICE (rest, ice, compression, and elevation) and a knee brace or supporting tape may be enough to help the injury heal.
Grade 2: Partial break. For a more serious sprain, you may need to wear a knee brace and limit your weight-bearing for a while, as well as go to physical therapy.
Grade 3: Complete break. If the tear is bad, you may need to stay still for longer, and then you'll need physical treatment. In some cases, surgery may be needed to fix a torn ligament, especially if the knee keeps giving out.
These are very bad injuries that damage many of the knee's tendons. Most of the time, these injuries are caused by high-energy traumas, like car crashes, sports collisions, or falls from a high place. Most of the time, surgery is needed, especially when multiple tendons are completely torn or there is a lot of instability. Most knee surgeries involve ligament repair, in which the damaged ligaments are replaced with grafts made from the patient's own tendons or donor tissue.
When one or both of the C-shaped soft tissues between the femur and tibia in the knee are hurt, this is called a meniscus injury. These protect the knee, spread weight, and keep it stable.
The treatment for a torn meniscus relies on the type of injury, where it happened, how bad it is, how old the patient is, how active they are, and how healthy their knee is.
Rest, ice, compression, and elevation (RICE) may be enough for small tears or fractures to the outer meniscus if the blood flow is good. Physical therapy strengthens the muscles around the knee and makes it work better.
Meniscus Repair: If a tear of a certain type and size happens on the outside of the knee where there is enough blood flow, surgery may be an option. Meniscus breaks are fixed with stitches. It protects the meniscus's ability to absorb shock.
Partial meniscectomy: If the tear in the meniscus is in an area that doesn't get enough blood flow or can't be fixed, it can be taken out. During this surgery, the torn meniscus is cut or taken out.
Patellar instability also called repeated patella dislocation is when the kneecap (patella) moves out of its groove over and over again. The medial patellofemoral ligament (MPFL) can get stretched or torn, which can cause the kneecap (patella) to move out of place.
The main ways to treat a dislocated kneecap are:
Treatment that is safe: Rest, physical treatment, and bracing help strengthen the muscles around the knee, improve the way the patellar moves, and keep the knee stable. Activities that make misalignment worse should be avoided or changed.
Patellar balancing brace: A special brace can help keep the patella in place and reduce the chance of it coming out of place when you're moving around.
Surgery: If less invasive treatments don't work or if there are big concerns about the body or the ligaments, surgery may be suggested. Surgery might fix ligaments, move the kneecap, or fix structural problems to make the knee more stable.
This surgery is to rebuild or fix the medial patellofemoral ligament (MPFL) which holds the patella in place on the inside of the knee.
Tibial tubercle osteotomy: A tibial tubercle osteotomy can help patellar tracking in serious cases of knee misalignment.
Shoulder replacement, also known as shoulder arthroplasty is a complex surgery that replaces the injured shoulder joint surface with artificial parts. For severe shoulder joint discomfort and impairment caused by osteoarthritis, rheumatoid arthritis, severe fractures, avascular necrosis or irreversible rotator cuff tears, this operation is advised. Shoulder replacement has two major types: Total and reverse shoulder replacements
Total knee replacement, also known as total knee arthroplasty, is a surgical procedure performed to replace a damaged or severely arthritic knee joint with an artificial joint, called prosthesis. The procedure is typically recommended when conservative treatments, such as medication, physical therapy, and assistive devices, have failed to alleviate pain and improve knee function.
During a total knee replacement surgery, the orthopedic surgeon removes the damaged portions of the knee joint, including the ends of the thigh bone (femur) and shin bone (tibia), as well as the backside of the kneecap (patella). These bone surfaces are then resurfaced with metal implants, while a plastic spacer is inserted between the metal components to allow for smooth movement.
Robotic-assisted total knee replacement (TKR) is a relatively newer approach to performing the surgery, utilizing advanced technology to assist the surgeon during the procedure. While there are potential benefits associated with robotic TKR, it’s important to understand that both robotic and conventional TKR methods have been successful in improving patient outcomes and have similar clinical outcomes.
After surgery, patients typically undergo a period of rehabilitation, including physical therapy, to regain strength, flexibility, and mobility in the knee joint. With successful rehabilitation, many individuals experience significant pain relief and an improvement in their ability to perform daily activities. Patient is able to walk with support from day 1 post-op but for complete pain relief it may take up to 3 months post-surgery.
Initially, you may be advised to avoid activities that involve excessive bending or twisting of the knee joint. This includes activities like squatting, kneeling, crossing the legs, climbing stairs, etc. Over time, as your knee heals and gains flexibility, these activities may be gradually reintroduced under the guidance of your healthcare provider. Strenuous activities and high-impact exercises should be avoided, especially in the early stages of recovery. Activities like running, jumping, contact sports, and heavy lifting may stress the new knee joint. Low-impact exercises, such as walking, swimming, and cycling, are generally encouraged as they promote joint flexibility and strengthen the surrounding muscles.
Pain medications and blood thinners may be prescribed to manage pain and prevent blood clots. It’s important to follow your doctor’s instructions regarding medication dosage and timing.
The longevity of a total knee replacement (TKR) can vary depending on several factors, including the patient’s age, activity level, overall health, and the type of implant used. While TKR implants are designed to be long-lasting, they may wear down over time due to normal wear and tear, leading to the need for a revision surgery. The majority of TKR implants are expected to last for 15 to 20 years or even longer.
Knee arthroscopy is a minimally invasive surgical procedure that utilizes a small camera called an arthroscope to visualize and treat various knee conditions. The surgeon makes small incisions in the knee and inserts the arthroscope to view the joint and perform necessary repairs or treatments. Some of the common knee arthroscopy surgeries include:
ACL Reconstruction: This procedure involves the replacement of a torn anterior cruciate ligament (ACL) with a graft. The graft can be taken from your own tissue (autograft) or a donor tissue (allograft). The surgeon uses arthroscopic techniques to remove the damaged ACL and insert the graft to reconstruct the ligament.
Meniscus Repair or Meniscectomy: The meniscus is a C-shaped cartilage in the knee joint that acts as a shock absorber. Arthroscopy can be used to repair a torn meniscus by suturing the torn edges together or removing the damaged portion (meniscectomy) if it is irreparable.
Cartilage Repair: Arthroscopic techniques can be employed for the treatment of certain cartilage injuries in the knee. Procedures such as microfracture, osteochondral autograft transfer (OATs), or autologous chondrocyte implantation (ACI) may be performed to stimulate new cartilage growth or transplant healthy cartilage cells into the damaged area.
Synovectomy: In cases of chronic inflammation or conditions like rheumatoid arthritis, arthroscopy can be used to remove inflamed synovial tissue (synovectomy) from the knee joint.
Patellar Realignment: This surgery is performed to correct patellar (kneecap) instability or malalignment. It involves repositioning or realigning the patella to improve stability and reduce pain.
Loose Body Removal: Arthroscopy can be used to remove loose fragments of bone or cartilage within the knee joint that may cause pain, catching, or locking of the joint.
These are just a few examples of knee arthroscopy surgeries. The specific procedure performed will depend on the individual’s condition and the findings during the arthroscopic examination. The surgeon will determine the most appropriate surgical approach based on the patient’s symptoms, imaging results, and physical examination.
ACL stands for Anterior Cruciate Ligament. It is one of the four major ligaments in the knee joint that helps provide stability and support during movement. The ACL is located in the center of the knee and connects the femur (thigh bone) to the tibia (shin bone). Its primary function is to prevent excessive forward movement of the tibia in relation to the femur and control rotational movements of the knee.
Injuries to the ACL are relatively common, especially in sports that involve sudden stops, changes in direction, or jumping. ACL injuries often occur during activities that put stress on the knee, such as pivoting, landing awkwardly, or direct impact to the knee. These injuries can range from a partial tear to a complete rupture of the ligament.
Whether or not you need surgery for an ACL tear depends on several factors, including the severity of the injury, your activity level, and your overall goals and preferences
In general, complete tears of the ACL (where the ligament is completely torn) often require surgical intervention, especially for individuals who have an active lifestyle that involve pivoting, cutting, or jumping. ACL reconstruction surgery is commonly recommended in these cases to restore knee stability, reduce the risk of further damage to the knee joint, and enable a return to pre injury activities.
On the other hand, partial tears or cases where the ACL is not completely torn may be treated non-surgically, depending on the individual circumstances. Conservative management options for partial tears may include rest, physical therapy, strengthening exercises, and the use of knee braces. Non-surgical treatment may be considered for individuals with lower activity levels, older age, or those who do not participate in sports or activities that place significant stress on the knee.
When there is suspicion for a multi-ligament knee injury, four main ligament areas of the knee must be assessed for possible injury. Within these areas, there can be several bundles or structures that need to be reconstructed.
The four main ligament areas of the knee that need assessment include: anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), posterolateral knee and medial knee (MCL). Although most complex knee injuries are thought to occur due to a knee dislocation, in actuality, a complete knee dislocation is very rare. Thus, an evaluation of a knee injury that , which involves at least two ligaments being torn, is considered a complex knee injury. Almost all complex knee injuries involve either the anterior cruciate ligament (ACL) and/or posterior cruciate ligament (PCL). Combined with this may be a knee ligament injury involving the medial knee structures (commonly called the MCL). In addition, the posterolateral corner structures of the knee must be completely evaluated.
Here is a general timeline that may give you an idea of the different stages of recovery:
Initial Recovery (0-2 weeks): During the first couple of weeks, you will focus on managing pain and swelling, regaining range of motion in your knee, and beginning gentle exercises to strengthen the surrounding muscles. You will need crutches and knee braces initially to support and protect the surgical site.
Rehabilitation (2-6 weeks): Physical therapy becomes a crucial part of your recovery during this phase. You will continue to work on increasing range of motion, improving muscle strength and control, and gradually progressing to weight-bearing exercises. Your physical therapist will guide you through a customized rehabilitation program.
Functional Recovery (6-12 weeks): At this stage, you will start focusing on more complex exercises to restore balance, stability, and functional movements. Your physical therapist will help you reintegrate activities such as walking, jogging, and light impact exercises. You may also begin sports-specific training if you participate in high-demand activities.
Return to Sport (6-9+ months): The timing for returning to sports or high-impact activities varies depending on individual factors and the guidance of your healthcare team. Typically, it takes several months of progressive training and rehabilitation to regain the strength, stability, and confidence required for sports participation. Your surgeon or physical therapist will assess your readiness and guide you through a gradual return-to-sport program.
It’s important to note that each person’s recovery timeline can be different, and there may be individual variations based on factors such as healing rate, rehabilitation progress, and adherence to the rehabilitation program.
The longevity of a total knee replacement (TKR) can vary depending on several factors, including the patient’s age, activity level, overall health, and the type of implant used. While TKR implants are designed to be long-lasting, they may wear down over time due to normal wear and tear, leading to the need for a revision surgery. The majority of TKR implants are expected to last for 15 to 20 years or even longer.
We believe in focusing on the person as much as the clinical condition.
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