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Lack of proper mobility due to stiffness and significant pain can be due to a number of bone and joint problems. Osteoarthritis, arthritis, rheumatoid arthritis, as well as injuries, trauma and inflammation of the knees are only some of the reasons why a patient may be experiencing joint pain. Apart from rest and medication, various surgical procedures may be considered as an option for particularly severe cases. Partial knee replacement surgery is one such option. So, here are the five questions that you must ask an orthopaedic specialist about partial knee replacement surgery.
- What is partial knee replacement surgery: This kind of surgery usually seeks only to replace the damaged part of the knee where the movements of the patient get restricted to a great degree. With the help of this surgery, the orthopaedic surgeon can replace the medial or inner part of the knee; or the lateral or outer part of the knee. When the surgeon conducts a surgery to replace the entire knee, this is called knee replacement.
- How to prepare for the procedure: The doctor will advise you to stay away from any medication and dietary supplements that may hinder the work of the anaesthesia that will be administered before the surgery. Before the surgery, the orthopaedic specialist will understand your medical history.
- What is the procedure: The surgical procedure for partial knee replacement surgery usually involves keeping the knee in a bent position so that all the joint surfaces are well exposed. The surgeon will start by making an incision that is about six to ten inches in length, before removing the knee cap in order to remove the joint surfaces that have faced damage. Once this has been done, the surgeon will attach artificial joint pieces and close the knee. Then, the doctor will bend and rotate to test for balance and proper functioning of the knee. This procedure usually takes close to two hours.
- How long does recovery take: The recovery process usually takes about three to four weeks following the surgery.
- What to do after the surgery: Pain medication will help the patient in coping with the initial discomfort and after effects of the surgery. Right after the surgery, the patient will be shown exercises before he or she is put onto a graduated walking program where walking indoors and then outdoors will be practiced. The patient will be required to take on physiotherapy for four to six months following this procedure so as to recover in a better manner and have a better functioning knee.
Get a complete check-up done in case you are facing persistent knee problems.
My leg is not straightening after I get a knee injury & there is pain beneath my knee caps & at back side of my knee.
Hi Sir, I'm Santosh 28 yrs, I feel always tingling sensation in hands & legs below the knee. Please suggest me what should I do.
Hi Doctor, both my legs, from knee to toes pains allot while sleeping. Also my left knee produces crackling sound when I straighten it after bending. I am 20 year old female.
Dear sir, I am 24 years old, I am suffering from knee pain. As whenever I sit for a long time, then to lift up my leg it is very painful.
How to reduce knee pain? Please tell me solution. I was injured 6 months ago. Suddenly again pain back last 15 days.
I am suffering with rheumatoid arthritis since 25 years. I already done my both hip replacement surgery. Now I am facing eye problems .in left iritis is formed .so please advise me on this issue .I visited ophthalmologist in Hyderabad. He prescribed some medicines. Now I am using that medicines.
Hi, am 18 years old male, I have been having insomnia, but I tried all remedies-exercise, honey,milk, curd,banana but no, Please give me any advise of no side effects sleeping pills?
I have developed ganglion cyst on my left hand at the age of 16 I used to have much pain and I was on counter pain killer medicines slowly it disappeared. But now the pain it came back and I am unable to bear up pain. Please suggest any home remedies.
My wife Anita Tiwari age 49 yrs, is suffering from pain in knees, waist and finger. Fingers got twisted and swelling. Please advice. The blood test done through Lybrate.
I am suffering from knee joints pain I am taking x_ray digno osteo arthritis please give me sagation and treatment.
My grandfather has knee pain in joint from last one year. Right knee's condition is bad and left is ok ok Can you please suggest me some physical exercise and yoga for his pain He does yoga daily and don't want to take any English medicine and want himself to be ok with doing some yoga and want to have ayurvedic treatment His age is 64 and weight is 82 kg.
I am 24 years old. I am having pain in my right knee wen accidentally my laptop fell on my knee hardly. Its been nearly 3wks & the pain s still der. please suggest me some medication and als can you tel me wat might b the reason. Thank you.
I am suffering from knee joint problem. I feel difficulty when I stand after sitting on ground. My x ray report shows no bone fracture. What sd I do.
I am a regular gymer. I have pain in my knees and ankle joint while jumping. May be its either related to air condition (cooling side effect) or legs workouts. What can I do to resolve it. Is glucosamine and msm works for improve joint health. thank you.
Knee replacement is a procedure where the weight carrying surface of knee joint is replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.
Knee replacement is mainly of two main types:
- Total knee replacement where both the sides of knee joints are replaced
- Partial knee replacement where only single side of the joint is replaced
In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage, and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.
In total knee replacement, four steps are performed:
- Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
- Replacement with metal components, which help as a recreated surface of the joint
- Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
- Insertion of a medical-grade plastic spacer amid the metal components. This creates an effortless gliding surface.
After general or spinal anesthesia, an incision of 8-12inches is made in the front part of the knee. The joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin, as well as knee cap, is attached to the artificial joint with either cement or a special material.
After Effects of the Procedure
After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.
There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.
Presently, over 90% of total knee replacements function well for 20 to 22 years of surgery. Hence, knee problem is no problem at all!
The Rehabilitation After Total Knee Replacement:
- Full weight-bearing walking, knee bending, exercise next day after surgery
- Commode use, sitting on chair 2nd day
- 3rd day: Stair climbing, start cross leg sitting
- 2 weeks: Suture removal and walking to outdoors
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. The post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, the patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, the patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping. If you wish to discuss about any specific problem, you can consult a Orthopedist.
I am 49 year old software person and last two week I am suffering from left knee pain and right heel pai, we have not to use any allopathic medicines. So please suggest some ointment and oral pills as soon as possible. Vijay.
Suffering knee pain past 3 months. Majority testing was done except MRI but no changes please advise.
The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.
Importance of ACL-
The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.
What leads to an injury to the ACL?
Here are a few actions that may result in a ligament tear.
Sudden stopping while running or slowing down from a fast speed
Sudden change in direction
Uncontrolled jumping from a height
Direct hitting with an object or person
What happens when the ACL is torn?
If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.
Treatment of ACL Injury-
Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.
Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.
- Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery. If you wish to discuss about any specific problem, you can consult a orthopedist and ask a free question.