Doctor in Center For Joint Preservation Surgery
Knee Pain Treatment
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Ankle Pain Treatment
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Knee Injury Treatment
Hip Pain Treatment
Ankle Injury Treatment
Ligament Reconstruction Surgery
Joint Pain Treatment
Spine Mobilization Disorders
Treatment of Rheumatic Complaints
Knee Braces For Osteoarthritis Treatment
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Patient Review Highlights
Rakesh Manohar Angane
Very nice and encouraging.
Our knee is one of the most important parts of our body which helps us to walk, run and do many other physical activities in which we indulge everyday. But it is also very much vulnerable to damage. People who suffer from Arthritis or other knee problems need to undergo different kinds of surgery to come back to normal lifestyle. If your doctor has recommended you to undergo a knee osteotomy then make sure you read this article to know what it is, the advantages and disadvantages it has.
Knee Osteotomy is a medical procedure which involves the cutting of the bone to correct the alignment of the knee and thus consequently improving its overall function. Another major aim of the procedure is to reduce the chronic arthritis which is caused due to knee pain. Knee osteotomy at times eliminates the need for a knee replacement and that is very crucial for many patients especially for the elderly.
Knee osteotomy is a very advantageous procedure for those patients who suffer from unilateral knee arthritis which means that the damage has been only on one side of the knee joint. The surgery helps to divert the weight from the damaged area of the knee to the healthy side of it so that the knee can function once again without much further damage.
The two major types of knee osteotomy includes - high tibial osteotomy and femoral osteotomy. Both the surgery have their own set of features and advantages depending on the patient's needs and condition.
Advantages of Knee Osteotomy - Knee osteotomy surely has a particular set of advantages because of which doctors recommend the surgery. Here are the most important advantages of the same.
● In the process of osteotomy, the actual knee joint including ligaments, is wellpreserved.
● Better than knee replacements in many of the cases in which doctors have to completely remove the knee to help the person suffering.
● Knee osteotomy allows patients to return to high intensive physical activities without any problem which is not possible in a knee replacement case. So as you can see that knee osteotomy is preferably much better than replacement if the person who is suffering wants to get back to high intensity tasks after surgery.
Drawbacks of Knee Osteotomy - Knee osteotomy also has a certain set of disadvantages associated to it. Let us have a look at them as well:
● Osteotomy requires more healing time
● One needs to use crutches for a couple of weeks during the healing period
On the whole an osteotomy which is joint preserving is however more beneficial in the long run as compared to replacing ones joint.
The anterior cruciate ligament (acl) is a rope like connective tissue that gives support and stability to the knee, along with other related tissues. If you do not repair it, you can still perform many functions, and carry on with your life with little difficulty. However, a surgery to correct the ligament tear is recommended if you do not want the injury to impede your sporting activities and want a 100% normal knee.
The acl reconstruction surgery can be performed in two ways, the arthroscopic method with incisions in the front and the new one which is more cosmetic and has lesser complications. Both of which you will find detailed below.
The latter is a wiser and more popular decision, and you will require a suitable surgeon well versed in the newer technique to perform the operation.
Acl reconstruction surgery involves the following steps-
- The surgeon, after examination, makes sure whether you actually need to be operated on if you have approached in the early stages, a repair may be possible. This avoids the need for reconstructing a new ligament altogether.
- For an acl reconstruction the tissue, which will be inserted afresh in your body is extracted and prepared, either from your own body or from a donor’s body.
- A camera is affixed onto the surgical instrument, which makes your knee interiors visible to the surgeon during the operation.
- Anaesthesia is administered to you, and new tissue is inserted in place by passing it through a tunnel in your bone in a pioneering new technique, the tissue is derived from the back of your knee instead of the fron. This leaves minimal scars in your physical appearance on the front of your knee. This procedure is also not very invasive.
Surgeons are increasingly favouring acl reconstruction nowadays. The reasons for that are-
- It helps patients who cannot do without their acls, like those engaged in competitive sports like football or mountain climbing.
- It can help repair the chronic weakness of the knee and help people who have locomotive difficulties.
- One can repair several ligaments including your acl if they are damaged at once, following an accident or fall.
- To minimise tissue damage from surgery, the minimally invasive arthroscopic method is the way to go acl surgery including repairs are gaining in popularity, and those mentioned above are some of the reasons. The doctor will recommend this in case you have an injury like a vehicle crash, sports accident, or related trauma to the knee and surrounding regions.
Make sure you know your requirements and seek out a physician accordingly!
Repairing shoulder tendons through a telescope! When doctors talk about shoulder tendon repair, often they may be refering to rotator cuff surgery. The rotator cuff is a set of tendons and muscles that together form the cuff above the shoulder joint. The rotator cuff is responsible for stabilizing & keeping the arm within the joint, at the same time enabling the joint to move freely without any hindrance.
Thus it is responsible for maintaining strength of the shoulder. The tendons can become damaged due to injury or even overuse. When this occurs, the rotator cuff can be repaired with the help of surgery. Generally, a rotator cuff surgery makes use of an incision.
A shoulder arthroscopy, on the other hand, makes use of smaller incisions and repair is done with the help of a telescope.
• When going for an open repair, the surgical incision is made and the deltoid gently moves out of the way making room to perform the surgery. Rarely an open repair method may prescribed for complex and larger tears or if any associated procedures are to be performed.
• In the case of the arthroscopy procedure, the small camera referred to as an arthroscope is put inside the small key hole incision that has already been made. The arthroscope, which connects to a video monitor, enables the surgeon to view the complete interior region of the shoulder. Further, few more incisions are made in order to allow insertion of various other instruments. During this surgical procedure, the damaged tissues are removed, or they are repaired depending on the damage levels. All of this is done with the help of an arthroscope.
Repairing the rotator cuff:
• In order to do so, the tendons need to be re-affixed to the bone.
• Small rivets referred to as suture anchors help to refasten the tendon and the bone. The suture is usually made of a special strong material that holds the repair for a long duration.
• The sutures are responsible for tying the tendon to the bone.
Why is this surgery recommended?
The physician recommends a rotator cuff tear or tendon surgery when the patient experiences pain while sleeping at night or faces difficulty carrying out daily physical activities, or when it has shown little improvement over the months in spite of exercising. This procedure is also recommended for people who lift heavy weights or are involved in sports activities. Moreover, the risks associated with this procedure are few and common to all surgical procedures.
A rotator cuff surgery performed arthroscopically has a very high success rate as it is performed under magnification. The procedure is far more precise than an open surgical procedure. Any associated injuries within the shoulder can be tackled simutaneously thus leaving very little room for errors. The recovery is therefore complete and faster due its minimally invasive nature.
Common Sports Injury And How To Prevent Them?
Sports injuries are very common when athletes are in the field playing a particular sport. But there are certain injuries which are really common and can affect a person when they are playing. So this article will deal with the most common sports injury and how you can treat them the right way without causing any further damage.
Most Common Sports Injuries - Here are some of the most common sports injuries which can be seen:
You must have surely heard about many of these sports injuries and have also probably faced them. These injuries are not life threatening but they can cause severe discomfort and hamper normal activities for a certain time. So let us have a look at the best way to treat them.
How to Prevent the Most Common Sports Injuries?
Here are the best ways in which sports injuries can be treated to make sure you get back on normal track.
1. Ankle sprain - Ankle sprains are one of the most common sports injuries which can be seen among athletes. It can be easily treated and does not involve any extensive care. You will need to regularly exercise to maintain flexibility and strength. You can talk with your doctor to ask for different leg exercises which will help you prevent it.
2. Groin pull - Groin pulls cause more discomfort than ankle sprain. You will need to frequently treat the groin with ice, compression and ample amount of rest to recover from the pull. Not giving enough rest to the groin can cause even more damage to the area. Constant stress and pressure on the groin will not help you recover from a groin pull.
3. Hamstring strain - Hamstring strains take a lot of time to recover in most of the cases, usually about 4-5 weeks at least. It is caused when the muscles in the back of your thighs receive damage. Different physiotherapy methods and important exercises help to recover from such a situation. But in some cases operation needs to be conducted to heal the hamstring.
4. Shin splints - Shin splints are experienced while running extensively. Shin splints can be easily recovered from with the help of ice packs, compression and over-the-counter medicines which helps to get rid of the discomfort and pain.
5. Knee injury - Knee injuries can be really serious in many cases. Depending on the intensity and area which has received the injury, a person is recommended treatment. ACL Injury and Patellofemoral syndrome are some of the most common kinds of injury which can be related to knee injuries. In most of the cases, the individual suffering from it receives surgery to recover.
So here are the different information about how one can prevent and recover from various sports injuries. Always visit a doctor in case of any injury you have received regardless of the kind and intensity of it.
The ligaments in our legs provide support and help us to carry out our regular activities in a very favourable manner. But when these ligaments are damaged, it becomes difficult to do them. Your knee can become weak and unstable when the elastic and flexible connective tissues receive damage due to different reasons.
Mostly these type of injuries occurs while playing any kind of sport or doing an physically intensive work. When the ligaments are injured, you will not be able to move, twist or place your legs as you want. Undergoing a surgery is the last option in these scenarios if the patient wants a stable and full recovery.
Why do You Need Knee Ligament Reconstruction?
Knee Ligament repair is very much important when a person has received any kind of damage to their ligament because of any accident or intensive injury. When a person receives a torn knee, as we mentioned before, he or she will be unable to carry out normal activities. The kneecap may give away and fail to provide support. The surgery to correct this ligament requires a full replacement of the ligament with a healthy tendon.
If one approaches a specialist in these conditions in the early stage, then repairs of these ligaments can be done to restore them back to normal. However, if these are neglected and one approaches the doctor late, then one may require ligament reconstruction.
If the Knee ligament reconstruction is not conducted within a given span of time, it can really cause serious problems to they normal lifestyle of the individual. In this process, a tendon from the persons kneecap is grafted in position to hold the knee together. The graft of the tendon may be of the same person or from a donor.
Benefits - Once the knee reconstruction process has been done, the person will be able to come back to his daily activities once again. But the recovery from postoperative period will take about 3-4 weeks. The knee will take some time to regain and hold back the strength once again. Recovering from an injured knee helps you to regain your physical abilities once again and enables you to carry out your activities in the long run. Your overall physical posture and strength is regained as well.
It is best advised to get the procedure done with a surgeon specialised in the procedure since these are intricate and specialised surgeries which require precise management. If the treatment is not carried out in a precise and complete manner, then the procedures are likely to fail. In presence of a ligament injury, the surgeons skill at assessment and executing the surgery plays a very important role in deciding the management. Performing the surgery with minimally invasive means like arthroscopy helps in faster and better recovery.
When there is a fracture of the bone, the affected site may be plastered for the fracture to heal. In some cases, this may not be enough to mend the bones and surgery may be required along with bone grafting to rectify the condition. A new form of therapy, involving a less invasive procedure has been developed. It involves culturing the stem cells and using the same to mend and regenerate parts of the bone.
What does the treatment involve?
In this process, one cultures cells from the patient’s body. The cells are extracted from the bone marrow. These cells are cultured in the lab and injected back to the affected region of the body. Research has shown that after the injection, the treatment takes anywhere between 7 to 8 weeks to repair the fracture completely.
Since stem cells are being harvested from the patient and not from a third-party, the treatment does not have any ethical constraints. However, more studies are being conducted to prove without a doubt that the same does not cause any damage to the body of the patient in the long run.
It is likely that this procedure will replace rudimentary surgical techniques, such as bone harvesting, in the future. It is far less invasive and does not result in extreme pain or prolonged hospitalization.
The future of the treatment:
While stem cell culture has been around for a few years now, the use of the same procedure to treat fractures is The Latest Technology. It is in its early stages, which is why such a form of treatment is not offered by all hospitals across the globe and very selective surgeons having experience of the procedure would perform it.
Additional research and studies are being conducted to further confirm the efficacy of the treatment. Research has revealed that stem cell insertion in the bone can be used to regrow defects and heal non-unions of a bone. In some cases, repeated stem cell insertion may be required. The bone that grows as a result is as strong as the other bones in the body.
If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.
Types of Arthritis
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture. Major symptoms Arthritis pain may occur all of a sudden but develops slowly.
In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile. Periodic inflammation is a common symptom of arthritis of the knee. You may have formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being active for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, and irreversible damage to the joint.
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. Appropriate physiotherapy may help in some patients NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:
- Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
- Corticosteroids are used for reducing inflammation.
- Certain DMARDs or disease-modifying antirheumatic drugs are used.
- Certain injections that are used for helping with knee arthritis.
Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints. Corticosteroid injections also soothe inflammation and pain. PRP (Platelet Rich Plasma) BMAC (Bone Marrow Aspirate Concentrate) You may also require a surgery for dealing with knee arthritis when other modes of treatment fail.
The most common surgeries are as follows:
- Joint Preservation Surgeries: Arthroscopy, where a keyhole incision is made in the knee for treating the damaged parts.
- Ligament repairs & reconstruction
- Cartilage repair
- Meniscus repair & transplantation
- Osteotomy, where the knee bones are modified for optimising the function of and damaged knees. This avoids replacement of any part of the knee with an artificial prosthesis like a joint replacement.
- Joint Replacement Surgeries: Uni knee replacement/Total joint replacement where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.
What is Articular Cartilage Injury?
Cartilage is an important structural unit of the body. It is present in places like the joints, the spine, the end of ribs, in the bronchial tubes, and the ear and the nose. Cartilages are firm, but flexible tissues. There are many types of cartilages found in the body. Among them articular cartilages are the ones that are present on the surface of the bones. As the name suggests articular cartilages exist to render articulation to the bones and retain their lubrication. Complexities arise when these cartilages are damaged, behind which many causes can play an active role. For example, a sport injury can damage the cartilages around the knees. Other causes include the twisting of the Anterior cruciate ligament and a progressive knee injury. Articular Cartilage Injury can also be an isolated event.
Since there are no blood vessels in the cartilages, it takes quite long for them to heal. Symptoms Pain and inflammation of the knee Locking of the knee Generation of noises when the knee is moved
The best treatment option for damaged cartilages is RICE therapy if the injury is not too severe. rice can be broken down into Rest, Ice, Compression and Elevation.
- Rest: One needs to rest the affected area in order to prevent further injury. However, Rest does not indicate complete immobility. One needs to put as much strain as is within one’s capacity.
- Ice: Ice must be applied on the affected area every 15 minutes following injury for at least 48 hours. Ice works as a vasoconstrictor, as well as a pain reliever.
- Compression: The next step is wrapping a bandage around the affected area. But it is to be remembered that the compression must not be too tight. Compression reduces inflammation and it also safeguards the joint from injury. Professional help might be sought to properly bandage the area.
- Elevation: After the area has been bound well, the leg has to be raised to prevent the fluid from accumulating in the affected area. The leg must remain in that position for as long as the doctor recommends.
- Ibuprofen or pain killers might be prescribed to the patient.
For severe cases, interventional methods like osteochondritis dissecans surgery might be attempted. The objective of this surgery is to attach the detached fragment. Another surgery that works to restore the damaged cartilage is marrow stem cell transplant whereby the stem cell is implanted in the cartilage defect. Multiple arthroscopic modalities of treatment are now available for cartilage repair which are customised according to the specific condition.
Osteochondritis dissecans of Talus, more commonly known as OCD Talus, is a condition affecting the ankle. In it, a portion of the joint bone gets separated from the joint due to faulty blood supply. In some cases, the bone may remain in place and gradually repair itself over time. However, most of the times, the bone splinter falls into the joint, hindering mobility and causing great pain.
Symptoms of OCD Talus
Here is a look at some of the symptoms and signs which you are likely to encounter if you suffer from OCD Talus.
- The ankle joint will be swollen and sore.
- While trying to move the joint, it may get locked or caught up, preventing the full range of motion.
- You may feel a cracking or popping sound when the joint is in motion. This sound is known as crepitus.
- A general weakness of the ankle joint is also a marked symptom in most cases.
- Fluid deposits may be formed at the joint affected, causing even more inflammation and discomfort. This is known as an effusion.
- The condition will be painful and the pain increases with physical activities such as walking or exercise.
Treatment options for OCD Talus patients
While there are many different treatment methods for the condition, some are more effective than the others. At the initial stages of the disorder, the doctor may-
- advise you to rest the ankle and thus give the splintered bones time to heal.
- advise you to take a break from sports if you are involved in such activities.
- prescribe non-steroidal pain medications to deal with the discomfort resulting from the condition.
- suggest wearing braces or other artificial devices to immobilize the joint temporarily. The patients may need to use crutches in such cases.
The treatment methods mentioned above usually work for children and young adults. However, people of advanced ages may suffer from additional complications. Surgery is a viable option and it can help patients in two ways. It can restore normal blood flow, which may be suppressed due to the bone splinter, and it can also repair the ankle joint.
OCD Talus affects a very limited number of people. Osteochondritis dissecans is more common in knees and elbow joints. Almost 75 percent of OCD cases affect the knee joint. However, if your ankles are affected, it may be just as severe and can greatly affect your ability to move properly. In case you have a concern or query you can always consult an expert & get answers to your questions!
Orthopaedic stem cell treatment is an advanced branch of medicine, which can only be performed by a handful of physicians across the planet. If you are considering the surgery and the treatment, you should first know the important factors that can have an impact on the same.
Outlined below are 5 things you should know about the treatment before you schedule the surgery.
- Source of the stem cell: The source from which the stem cells have been extracted play a huge part in determining how successful the surgery would be. In case of orthopaedic stem cell treatment, the best place to extract the cells from is the bone marrow. However, in some cases, these cells may be taken from fatty regions of the body and not the bone marrow. This will eventually have an impact on the outcome of the surgery. Bone marrow cells are much more proficient at repairing damages of the bones than stem cells from any other source.
- The technique for extracting stem cells: A procedure called the bone marrow aspiration or BMA is used to harvest the stem cells from the bone marrow. However, there is a correct way of doing it and a not so correct way of doing it. For instance, the stem cells need to be harvested using special needles and from several high density spots inside the bone.
- Placing the stem cells in the right spot: Just extracting the stem cell properly is not enough. It also needs to be injected at the right place through the correct procedure. The surgeon will use advanced machineries to conduct the surgery, which are essential for the success of the treatment. These could include the use of c-arm fluoroscope, other one is called the ultrasound or may be even an arthroscope.
- The correct dosage: This is a gray area, as knowledge needs to be further refined about the precise dosage required for the treatment. Specialised instruments and digital centrifugation systems help in acquiring and concentrating the necessary amounts of stem cells for the procedure.
- Understanding that the treatment works: Since stem cell treatment of any kind is a fairly new concept, most people feel that it may not work as advertised. However, if you go to a reliable facility where such surgeries are performed, you will get to know that not only does the treatment work but there have been several patients whose quality of life has improved greatly. Joint preservation surgery is the field which specialises in management of various conditions by these procedures.
In case you have a concern or query you can always consult an expert & get answers to your questions!