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Knee Ligament Reconstruction Health Feed

Hello Sir, I am 52 years old, grease has finished in my right knee but I don't want to replace it. So, pls suggest me what to do.

Dr. Vishwas Virmani 92% (27772 ratings)
MPT, BPT
Physiotherapist, Noida
Hello Sir, I am 52 years old, grease has finished in my right knee but I don't want to replace it. So, pls suggest me...
•sports taping- stretch the tape from both ends and apply on the affected area •contrast fomentation (hot and cold). •contrast bath---it is a form of treatment in which knee is applied warm water followed by the immediate application of the knee with ice water.
1 person found this helpful
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I had a knee replacement 8 days ago. I have staples in my knee. Can I leave the staples open to the air or do I have to keep them covered with gauze and bandages?

Dr. Deepak Dhole 89% (23 ratings)
Bachelor of Occupational Therapy (BOT)
Physiotherapist, Mumbai
I had a knee replacement 8 days ago. I have staples in my knee. Can I leave the staples open to the air or do I have ...
You can keep it open if it's already been dry. But if it's wet or yellowish coloured liquid is coming out of it then you must keep it covered I hope got an answered.
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Knee Ligament Injuries - Know More About Them!

Dr. Smarajit Patnaik 88% (10 ratings)
MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedic Doctor, Bhubaneswar
Knee Ligament Injuries - Know More About Them!

There are many situations under which people may go through joint or muscle damage. There are other portions that may also go through the side effects of such damage. During the damage, a knee ligament might be overstretched (sprained), or at times even torn. A ligament tear can be incomplete (only a portion of the filaments that make up the tendon are torn) or complete (the tendon is torn totally). Knee tendon wounds can bring about pain, swelling, wounding and lessen the movement of your knee. Your knee joint may feel unsteady and you may walk with a limp.

There are four tendons in the knee that could get damage:

  1. The anterior cruciate ligament (ACL) is one of the two noteworthy tendons in the knee. It connects the thighbone and the shinbone in the knee.
  2. The posterior cruciate ligament (PCL) is the second significant tendon in the knee also connecting the thighbone to the shinbone in the knee.
  3. The lateral collateral ligament (LCL) connects the thighbone to the fibula, the littler bone of the lower leg on the parallel or external side of the knee.
  4. The medial collateral ligament (MCL) additionally connects the thighbone to the shinbone on the medial or inside of the knee.

Side effects can include the following:

  1. A popping sound or feeling at the time of the injury can in some cases be heard if a ligament is entirely torn.
  2. Swelling of your knee. When a tendon is harmed, there might be some bleeding inside your knee joint from the harmed tendon. This can lead to knee swelling. The level of swelling will rely upon the seriousness of the damage. Minor ligament sprains may bring about a little amount of swelling, though totally torn ligaments may cause more damage.
  3. Pain in your knee. Once again, the level of pain depends upon the seriousness of the knee damage.
  4. Your knee might ache even on touching it.
  5. Chondromalacia patella is a condition in which the cartilage under the knee cap becomes softer.
  6. A feeling that your knee is might not be stable or even if you would be able to stand on it. This may make you limp. This too depends upon how serious the damage to the tendon is.
  7. Wounds around your knee can occur at times. It might take some time to heal.

Treatments that can help elevate the pain are as follows:

  1. Rest the knee
  2. Ice your knee to get rid of pain and swelling
  3. Apply compression on your knee
  4. Raise your knee on a pad when you are sitting or resting
  5. Wear a knee brace to balance the knee
  6. Take painkillers as recommended by your specialist
1285 people found this helpful

Arthroscopy - What All Can It Treat?

Dr. Mukesh Laddha 85% (10 ratings)
MBBS, Diploma in Orthopaedics, DNB - Orthopedics/Orthopedic Surgery
Orthopedic Doctor, Nagpur
Arthroscopy - What All Can It Treat?

Arthroscopy has brought about a revolutionary change in the way doctors visualize, diagnose, and then treat problems in knee joints, elbow joints, shoulder joints, ankle joints, and hip joints. For performing Arthroscopy, the doctor makes an incision on the skin of the patient and inserts a slender instrument through the incision. The instrument contains a small lens along with a lighting system to illuminate and magnify structures inside the joint. This instrument is known as an arthroscope, and it also contains a miniature camera.

With the help of the camera, the surgeon can visualize the entire interior chambers of the joint. So, the primary benefit of Arthroscopy lies in the visualization and treatment of various joints through a very small incision. This implies that the doctor does not need to make a large incision or cut open the joint for surgery.

The camera displays all the images on a television screen that helps the surgeon to look for problems such as tears, scars, inflammations, etc., inside the joint. He can see the ligaments, cartilage, stuff under the kneecap, etc., to determine the type and amount of injury. He can proceed to repair or rectify the problem accordingly.

What Is the Benefit of Arthroscopy?

Before Arthroscopy, doctors used to diagnose joint diseases and injuries with the help of physical examination, medical history, X-ray, MRI, and CT scan. However, such diagnosis is usually not as perfect as a diagnosis made by looking through the arthroscope and into the joint cavity.

Joints like shoulder, knee, hip, wrist, etc., may suffer from a number of diseases, apart from injuries. These can damage not only bones, but also ligaments, cartilage, tendons, and muscles. Diagnosing of a fracture can be done through X-rays. However, the diagnosis of cartilage, tendon, or muscle damage is difficult to make without Arthroscopy.

Conditions Affecting Joints in which Arthroscopy Can Be Used:

Some of the most common condition where Arthroscopy can be used are:

Inflammation: Inflammation of the lining of the joint cavity, also known as Synovitis, can affect all joints including shoulder, wrist, elbow, and ankle joint.

Injuries: Injuries beset joints that include all joints. However, there are some typical injuries that beset specific joints. Some of the common injuries are:

  1. Shoulder joints usually suffer from rotator cuff tendon tear, dislocations, and impingement syndrome.

  2. The most common injuries in knee joints are a meniscal tear, anterior cruciate ligament tear, and chondromalacia

  3. For wrist, carpal tunnel syndrome is the most common form of injury usually formed by repeated abuse of the carpal tunnel.

Arthroscopy makes it easy to diagnose and treat each of these injuries.

Problems Treated by Arthroscopy:

Apart from injuries, other problems that can be treated by Arthroscopy are associated with arthritis. In fact, there are several injuries and problems where a combination of standard and arthroscopic surgeries is needed. These include:

  1. Rotator cuff surgery for a shoulder injury.

  2. Repair of torn cartilage in the shoulder or knee.

  3. Reconstruction of anterior cruciate ligament of the knee.

  4. Releasing the carpal tunnel of the wrist.

  5. Repairing torn ligaments.

Although Arthroscopy enables the surgeon to view the cavities of all types of joints, it is primarily used to view and fix six joints that include shoulders, knees, ankles, elbows, wrists, and hip. With new and innovative technologies, more and more complex and smaller joints are being treated with Arthroscopy.

Take Away:

Arthroscopy is very useful in many injuries and joint related problems. However, it is always advisable to consult a doctor before going for this type of surgery as every patient and condition is different from the other.

4427 people found this helpful

Just had knee replacement 4 3/4 weeks ago and was doing excellent. No pain hardly at all. Yesterday I was walking down my stairs and at the 3rd to the last step I felt something rip resulting in a torn patella tendon. Why did this happen? please tell me.

Dr. S. Gomathi 92% (2253 ratings)
BPTh/BPT
Physiotherapist, Bangalore
Just had knee replacement 4 3/4 weeks ago and was doing excellent. No pain hardly at all. Yesterday I was walking dow...
It's due to heavy impaction over the tendon due to uneven weight bearing in the joint, try to do quadriceps strengthening exercises, along with it avoid heavy exercises. Go for graduated weight bearing exercises.
1 person found this helpful
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Everything You Must Know About ACL!

Dr. Akash J Parmar 87% (26 ratings)
MS- Orthopaedics, Mch- Ortho, Fellowship in Joint Replacement
Orthopedic Doctor, Vadodara
Everything You Must Know About ACL!

ACL Injury (meniscal injury) means torn in one of the important ligament of knee joint, joining the upper leg bone and the lower leg bone, eventually tearing and trapping the cushion pads supporting the knee joints. These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc.

An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain. In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms-

Signs and symptoms of the anterior cruciate ligament may include:
1. You are unable to move properly.
2. You experience immense pain while walking up and down stairs.
3. You are unable to engage much in physical activities.
4. Your knee begins to swell gradually.
5. You can sense a loud popping sensation when moving your knee.
6. You experience feelings of instability in running, climbing stairs, waking fast or walking on uneven surface (feel like sudden unlocking of knee joint).

Causes-
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:
1. Sudden arrest in motion
2. An unsteady landing from a jump
3. Direct blows to the knee from tackles
4. Sudden shifts in direction

Treatment-
Treatment of ACL injuries normally involves the following:

1. Immediate medical attention along with intense first aid care

2. Sincere adherence to the R.I.C.E model of self-care -

  • Rest: proper rest for a couple of weeks or months depending upon the severity of the injury
  • Ice: using ice packs to help cool the nerves
  • Compression: ice treatment further helps in compression
  • Elevation: when lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions

3. Success rehabilitative therapy for several weeks

4. Anterior cruciate ligament surgery or reconstruction - In case of complete ACL tear or tear involving more then 50 of ACL fibres and also showing major laxity in knee joint on clinical examination, this procedure is followed.

4234 people found this helpful

How many success is there in knee replacement what are the restrictions after surgery I am 49 (male) can I enjoy my life as before after doing surgery of knees replacement of both knees I am suffering since 3 years now decided to undergo surgery but confused.

Dr. Anuradha Sharma 91% (18612 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
How many success is there in knee replacement
what are the restrictions after surgery I am 49 (male)
can I enjoy my l...
Yes safe before surgery you can try laser physiotherapy treatment will help you and quadriceps exercise.
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Hi doctor, my mom is 58 years old. Her knees are completely out and we consulted a doctor in Chennai and he said knee replacement surgery has to be done. She does not have sugar or bp. However, she is a non-dialysis patient as the creatinine level is 2.2. Is it good to do this surgery?

Heena Bhandari 87% (36 ratings)
Bachelor in physiotherapy.
Physiotherapist, Delhi
Hi doctor, my mom is 58 years old. Her knees are completely out and we consulted a doctor in Chennai and he said knee...
Knee replacement is a common procedure now a days and helping lot of patients with knee problems majorly done in cases with grade 3 osteoarthritis. You can surely opt for it if her condition is debilitating and she is not able to walk. Just go for strengthening and range of motion exercises before and after the surgery.
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Know More About Knee Replacement Surgery!

Dr. B Sarkar 90% (10 ratings)
MBBS, D.ORTHO, MS, Fellowship in Minimally Invasive Surgery
Orthopedic Doctor, Kolkata
Know More About Knee Replacement Surgery!
Infections on the wound can lead to further surgeries. True or false? Take this quiz to know more.
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I am 71 years old two years back. I had knee replacement for my both legs now I am normal please suggest can I use thread mill or jog please help me.

Dr. Sohail Badi 88% (72 ratings)
Diploma In Orthopaedics (D. Ortho)
Orthopedist, Rajkot
I am 71 years old two years back. I had knee replacement for my both legs now I am normal please suggest can I use th...
Its better to have brisk walking rather than treadmill or jog. Though never contradicted, its always better to protect the implant as implant too undergo wear and tear. Thanks!
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