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Knee Cartilage Restoration

Knee cartilage restoration is a surgical technique to repair damaged articular cartilage in the knee joint by stimulating new growth of cartilage or by transplanting cartilage into areas with defects in order to relieve pain and restore normal function to the knee.

Articular cartilage damage can occur from normal wear and tear of the knee joints, increasing age, injury, or other disease conditions. When cartilage is damaged, it can cause severe pain, inflammation, stiffness, and decreased range of motion of the knee.

Knee Arthroscopy

Knee arthroscopy is a common surgical procedure performed using an arthroscope, a viewing instrument, to diagnose or treat a knee problem. It is a relatively safe procedure and you will usually be discharged from the hospital on the same day of surgery.

The knee joint is one of the most complex joints of the body. The lower end of the thighbone (femur) meets the upper end of the shinbone (tibia) at the knee joint. A small bone called the patella (kneecap) rests on a groove on the front of the femoral end. Another bone of the lower leg (fibula) forms a joint with the shinbone.

Meniscal Surgery

Meniscal surgery is a surgical procedure employed for the treatment of torn or damaged meniscal tissues in the knee. It is mostly performed as a minimally invasive keyhole procedure.

A torn meniscus causes pain, swelling, stiffness, catching or locking sensation in your knee, making you unable to move your knee through its complete range of motion.

Knee Ligament Reconstruction

Knee ligament reconstruction is a surgical procedure to repair or replace damaged ligaments of the knee joint. The surgery can be performed using minimally invasive techniques.

Physical therapy will be recommended for the restoration of normal knee motion and muscle strength after surgery. You will be required to use crutches and a knee brace for 6 to 8 weeks with minimal or no weight-bearing during this time.

Patellofemoral Stabilization

Patellofemoral stabilization is a broad term that refers to surgeries employed for stabilization (prevention of dislocation) of the patella for the treatment of patellofemoral instability.

Patellofemoral instability means that the patella (kneecap) moves out of its normal pattern of alignment. This malalignment can damage the underlying soft structures such as muscles and ligaments that hold the knee in place. Patellofemoral instability causes pain when standing up from a sitting position and a feeling that the knee may buckle or give way.

Knee Surgery

Knee surgery is a surgical procedure for the treatment of a knee injury or condition. The procedure involves repairing diseased or damaged structures of the knee joint in order to eliminate pain and restore normal function.

The knee is a complex joint made up of different structures - bones, tendons, ligaments, and muscles. They all work together to maintain the knee’s normal function and provide stability to the knee during movement. Any damage to these structures may warrant a knee surgery.

Patellofemoral Realignment

Patellofemoral realignment is a surgical procedure performed to treat symptomatic patellofemoral instability that does not respond to nonsurgical treatment measures.

The knee can be divided into three compartments: patellofemoral, medial, and lateral compartment. The patellofemoral compartment is the compartment in the front of the knee between the kneecap (patella) and the thigh bone (femur). The medial compartment is the area on the inside portion of the knee, and the lateral compartment is the area on the outside portion of the knee joint.

Arthroscopic Debridement

Arthroscopic debridement or a clean-up is a surgical procedure performed using an arthroscope. In this procedure, the cartilage or the bone that is damaged is removed using surgical instruments and the edges of the articular cartilage that are rough will be smoothened. A washout or joint lavage is done using a special tool to spray jets of fluid to wash and suck out to remove the remaining debris around the joint. After lavage, any remaining loose bodies or fragments are removed.

Mosaicplasty

Weight-bearing joints, such as the knee, may develop defects in the articular cartilage (spongy tissue that lines and cushions joints during movement) due to stress, trauma or degenerative disease. This can lead to pain, swelling or locking at the joint. Mosaicplasty is a surgical technique to repair the defect by transplanting healthy bone and cartilage from non-weight bearing areas of the knee. It is indicated to treat small cartilage defects of less than 2 cm in young active adults less than 45 years of age.

Prior Meniscectomy

Meniscectomy involves the total or partial removal of the damaged or torn meniscus. It is indicated for horizontal and flap tears, and moderate to large tears at the outer edge of the meniscus. The procedure is performed under regional or general anesthesia, using arthroscopy or open surgery. Open surgery requires a large incision on the knee joint to access the problem, while arthroscopy is a minimally invasive approach performed by inserting an arthroscope (narrow lighted tube with a camera attached) and miniature surgical instruments through 2 to 3 small incisions.

Total Knee Replacement

Total knee replacement, also called total knee arthroplasty, is a surgical procedure in which the worn out or damaged surfaces of the knee joint are removed and replaced with an artificial prosthesis.

Total knee replacement surgery is commonly indicated for severe osteoarthritis of the knee. Osteoarthritis is a type of arthritis. It is the most common form of knee arthritis in which the joint cartilage gradually wears away, and often affects the elderly.

Quadriceps Tendon Repair

Quadriceps tendon is a thick tissue located at the top of the kneecap. The quadriceps tendon works together with the quadriceps muscles to allow us to straighten our leg. The quadriceps muscles are the muscles located in front of the thigh.

Quadriceps tendon rupture most commonly occurs in middle-aged people who participate in sports which involve jumping and running. Quadriceps tear occurs by a fall, direct blow to the leg and when you land on your leg awkwardly from a jump. Other causes include tendonitis (inflammation of quadriceps tendon), diseases such as rheumatoid arthritis, diabetes mellitus, and infection which weakens the quadriceps tendon.

Chondroplasty

Chondroplasty is a surgical procedure to repair and reshape damaged cartilage in a joint. The procedure involves smoothing degenerative cartilage and trimming any unstable flaps of cartilage.

Chondroplasty may be recommended if you have mild to moderate cartilage wear or a cartilage injury in your joint, rather than widespread or irreparable cartilage damage. Typically, damaged cartilage does not heal on its own as it does not have a proper blood supply. Medical intervention is necessary to correct the condition. Chondroplasty prepares the joint for further cartilage restorative procedures.

Proximal Tibial Osteotomy

Proximal tibial osteotomy, also called a high tibial osteotomy, is a surgical procedure to cut and re-align the upper part of the tibia or shinbone. The procedure is performed to correct bowed legs, where the legs curve outward and place an excessive load on the inside of the knee, leading to cartilage loss and arthritis in this region.

High Tibial Osteotomy

High tibial osteotomy is a surgical procedure performed to relieve pressure on the damaged site of an arthritic knee joint. It is usually performed in arthritic conditions affecting only one side of your knee and the aim is to take pressure off the damaged area and shift it to the other side of your knee with healthy cartilage. During the surgery, your surgeon will remove or add a wedge of bone either below or above the knee joint depending on the site of arthritic damage.

Patellar Tendon Repair

Patellar tendon repair is the surgery performed to reattach the torn tendon to the kneecap and to restore normal function in the affected leg.

Patella tendon rupture is the rupture of the tendon that connects the patella (kneecap) to the top portion of the tibia (shinbone). The patellar tendon works together with the quadriceps muscle and the quadriceps tendon to allow your knee to straighten out.

Signature Knees

Signature knee is a unique knee replacement procedure that is tailored to suit your individual anatomy. The technique utilizes magnetic resonance imaging (MRI) technology to create 3D images of your knee joint, which enables your doctor to efficiently plan your knee replacement surgery. The signature system also helps design and creates patient-specific femoral and tibial positioning guides that will be used during the knee replacement surgery to ensure a perfect fit of the knee implant.

Cartilage Microfracture

Cartilage microfracture is a surgical procedure performed to replace the worn-out articular cartilage with new cartilage.

It is usually performed to treat small areas of cartilage damage usually caused by sports or traumatic injuries. It is not indicated if you have advanced arthritis of the knee.

Partial Transphyseal Surgery

Partial transphyseal surgery is an arthroscopically assisted operative procedure to reconstruct the anterior cruciate ligament (ACL) in the knee of a child or adolescent with growth plates or physis (areas near the ends of long bones where growth is still occurring). Reconstruction of the ACL is performed using a soft tissue graft which is passed through tunnels drilled into the shinbone (tibia) and thighbone (femur) and secured to these bones. Partial transphyseal surgery is performed to minimize injury to the physis which could potentially affect growth and result in deformity.

Nonsurgical Knee Treatments

The knee is a complex joint that consists of bone, cartilage, ligaments, and tendons that make joint movements easy and at the same time it is more susceptible to various kinds of injuries. Knee problems may arise if any of these structures get injured by overuse or suddenly during sports activities. Injuries to the knee can be caused by degenerative diseases such as arthritis, traumatic injuries, and sports injuries. These conditions may affect the bones joints and impair the mobility as well as the quality of life of the patients.