Whereas non-surgical treatments are usually attempted for initial treatment of knee pain, there are conditions where knee surgery becomes the suggested or essential treatment. The surgical treatment is done using trauma Implants and special Orthopedic Instruments. Discussed below are various kinds of knee surgery and the conditions that are best treated with each kind of surgery.
Arthroscopy for trimming a torn meniscus
Meniscectomy is the official name of the surgery that includes the removal of a part of the meniscus cartilage from the knee joint. The meniscus is a shock-absorbing wedge of cartilage that sits between the bone ends to deliver support as well as cushioning. Smaller meniscus tears can often be trimmed to relieve the signs of a torn meniscus.
A meniscus repair is a surgical procedure performed to repair the broken meniscus. The meniscus repair can restore the anatomy of the knee and provides better-prolonged relief to the patient when successful. However, the meniscus repair is a more critical surgery. The recovery is longer, but due to the limited blood supply to the meniscus, it may not be always possible.
The kneecap moves up and down the end of the thigh bone in a cartilage groove. The kneecap may be pulled to the surface of this groove, or can even dislocate from the groove, causing pain with bending of the knee joint. A lateral release is done to loosen the ligaments that pull the kneecap toward the surface of the groove. Lateral release utilized to be normally done for persons with vague signs of knee pain. In recent years, orthopedic surgeons are rather more careful in deciding which patients might be suitable.
A plica is a remnant of tissue that is left over from fetal development. In early development, your knee was divided into different compartments. The dividers of the compartments are slowly lost over time; however, some remnant remains. When this remnant tissue is more prominent, it’s known as a plica. When the plica is irritated, it’s known as plica syndrome. A plica resection is done to remove this irritated tissue.
Meniscus transplantation consists of putting the meniscus from a donor patient into a person who had removed his/her meniscus. The perfect patient for a meniscus transplant is somebody who had their meniscus removed and later starts to develop knee pain. Meniscus treatment isn’t performed for an acute meniscus tear, rather it’s done when removal of the whole meniscus has caused persistent pain in the knee.
The anterior cruciate ligament, or ACL, is one of 4 major knee ligaments. The ACL is crucial to knee stability, and persons who injure their ACL usually complain of signs of their knee giving out from under them. So, several patients who sustain an ACL tear choose to have surgical treatment for this injury. ACL injuries are usually related to sports activities, where they mostly occur. However, ACL injuries can also affect persons with normal everyday activities.
Microfracture is a surgical procedure performed to address parts of cartilage damage inside the knee
Joint. Microfracture causes a healing response so that new cartilage is made wherever there was a gap in cartilage. The issues with microfracture include that this only works for small parts of damage (not widespread loss of cartilage) and healing cartilage isn’t the same as normal joint cartilage.
Patellar/quadriceps tendon repair
The patellar tendon and quadriceps tendon on the front of the knee may be injured, causing a loss of leg strength. When the tendon is torn, patients have a hard time straightening the knee joint. Treatment of a quadriceps tendon or patellar tendon rupture is nearly always a surgical repair. The surgical repair is done with the help of orthopedic instruments. Without surgical repair, not only can straightening the knee be tough, but even normal walking is occasionally challenging.
Partial knee replacement
A partial knee replacement is a choice for some kinds of knee arthritis. When the cartilage loss is restricted to a small part of the knee joint, it can be possible to replace just the worn-out part of the joint. However, in cases where the arthritis is more widespread, a total knee replacement will be required to perform. Partial knee replacements are becoming a lot more common as robotic-assisted surgery is becoming more prevalent. The knee joint is normally divided into three compartments, and each of these three compartments (lateral, medial, and patellofemoral) may be replaced with a partial knee replacement.
Knee replacement surgery
When a knee replacement is done, the cartilage and bone on the end of the thigh bone (femur) and top of the shin bone (tibia) are removed. This is done using precise instruments to make surfaces that can accommodate the implant absolutely. A plastic and metal knee replacement implant is then positioned in to function as a new knee joint. Depending on the cartilage under the kneecap surface can also be replaced. Knee replacement surgery is very successful, with around 90 percent of patients reporting good long-term outcomes.
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