Knee

Knee Procedures:

  • Total Knee Replacements (Gender specific, Mobile & Fixed)
  • Revision of failed or loose Total knee Replacement
  • Arthroscopic ACL & PCL reconstruction
  • Meniscal repair
  • Menisectomy
  • Medial Patella Femoral Ligament Reconstruction
  • Repair Articular Cartilage Damage  (DeNovo procedure)
  • Platelet Rich Plasma [PRP] Injections
  • Fracture repair & reconstruction
  • Dislocation reconstructions

At any time or at any age musculoskeletal injuries can occur

Injuries:  whether from sports or life activities

  1. Sprains – ligament tears (ACL, PCL, MCL, LCL)
  2. Strains – Muscle\Tendon tears or ruptures (quad, patellar or Achilles tendons)
  3. Fractures – Tibia, femur, fibula, growth plates
  4. Cartilage or meniscus tears

Signs and Symptoms:

  1. Pain – Constant or intermittent
  2. Swelling – immediate or progressing slowly
  3. Instability – giving our or bucking causing loss of balance
  4. Catching, locking or snapping – whether constant or positional

Treatment options:

  1. Conservative:
    1. Medications to reduce pain + Swelling
    2. Physical therapy – to stretch, strengthen & relieve symptoms
    3. Bracing – to help stability or improve joint alignment
    4. Splinting or casting to prevent movement or allow proper healing
    5. Regrowth techniques for small defects in articular cartilage can stimulate new growth
  2. Surgical:
    1. Reconstruct ligaments or repair for return to normal activities or sports
    2. Repair tendons or reattach for better strength and normal function
    3. Repair meniscal tears or remove frayed or torn pieces
    4. Surgical reduce fractures to proper alignment followed by splinting or internal fixation with specialized plates and screws

Osteoarthritis or Rheumatoid Arthritis can be extremely painful and have many possible explanations

Causes:

  1. Overuse which wears out the cushioning within the knee
  2. Old sport or new sport injuries which damage articular cartilage
  3. Genetics or family history of arthritis can be passed on to relatives
  4. Autoimmune disease that effects the normal joint function
  5. Weight and diet can contribute to early arthritic changes

Sign and Symptoms:

  1. Pain with movement or at rest, difficulty sleeping due to pain
  2. Swelling which may be chronic & increase with activity
  3. Loss of function, strength, and motion
  4. Stiffness with pain in the morning after waking or when sitting for long periods of time followed by movement

Joint noise caused by irregular surfaces within the joint

Treatment Options:

  1. Conservative
    1. Medication – which constantly change helping manage pain and swelling
    2. Physical therapy – to reduce inflammation, pain & improve function
    3. Braces or splints for support or unloading joints
    4. Steroid injections for longer relief and at times faster benefits
    5. Lubrication injections with hyloronate cab be beneficial
    6. Supplementation & diet for joint health or weight loss
  2. Surgical
    1. Total knee replacements using the latest technology and parts for joint resurfacing
    2. Partial joint replacement if only 1/3 of the joint is affected
    3. Regrowth techniques for small areas to grow new cartilage
    4. Arthroscopy if damage is small or superficial can reduce pain and symptoms

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