Knee

Patella Injuries

The patellar tendon works with the muscles in the front of your thigh, the quadriceps, to straighten your leg. Although anyone can injure the patellar tendon, tears are more common among middle-aged people who play running or jumping sports. A complete tear of the patellar tendon is a disabling injury. It usually requires the surgery to regain full knee function.

If you have been diagnosed with a patellar tendon tear, it is recommended to see an orthopaedic surgeon for treatment. The type of treatment you require will depend on several things such as the type and size of tear you have, your activity level and your age. Very small, partial tears respond well to nonsurgical treatment. However, most people require surgery to regain the most function in their leg. Surgical repair reattaches the torn tendon to the kneecap.

ACL Injury

One of the most common knee injuries is an anterior cruciate ligament (ACL) sprain or tear. Athletes who participate in high demand sports like soccer, football, and basketball are more likely to injure their ACL, which may require surgery to regain full function of the knee. This will depend on several factors, such as the severity of the injury and the activity level.

Treatment for an ACL tear will vary depending upon the patient’s individual needs. For example, the young athlete involved in agility sports will most likely require surgery to safely return to sports. The less active, usually older, individual may be able to return to a quieter lifestyle without surgery.
A torn ACL will not heal without surgery. But nonsurgical treatment may be effective for patients who are elderly or have a very low activity level. If the overall stability of the knee is intact, your doctor may recommend simple, nonsurgical options.

Most ACL tears cannot be sutured (stitched) back together. To surgically repair the ACL and restore knee stability, the ligament must be reconstructed. Your doctor will replace your torn ligament with a tissue graft. This graft acts as a scaffolding for a new ligament to grow on.

Arthroscopy

Knee arthroscopy is a minimally invasive procedure that is a reliable way to diagnose and correct knee problems.

During the procedure, your surgeon will make a very small incision and insert a tiny camera, called an arthroscope, into the patient’s knee. This allows him or her to view the inside of the joint on a screen. The surgeon can then investigate a problem with the knee and, if necessary, correct the issue using small instruments within the arthroscope.

There are limited risks to the procedure and the outlook is good for most patients. Your recovery time and prognosis will depend on the severity of the knee problem and the complexity of the required procedure.

The primary benefit is that you can have a pain-free life with full knee mobility after getting the procedure.

Total Knee Replacement

Knee replacement is surgery for people with severe knee damage. When a patient has a total knee replacement, the surgeon removes damaged cartilage and bone from the surface of your knee joint and replaces them with a man-made surface of metal and plastic.

During the knee replacement procedure, the entire joint is replaced with an artificial prosthesis. The end of the femur is replaced with a metal shell, while the end of the tibia is fitted with a plastic cup and metal stem that fit into the shell. The posterior cruciate ligament and kneecap may be replaced if needed or may be left in place. This procedure can take up to three hours to perform and usually provides immediate pain relief and a return to regular activities.

Knee replacement can relieve pain and allow you to be more active. Your doctor may recommend it if you have knee pain and medicine and other treatments are not helping you anymore.