KNEECARES - The Superspeciality Knee Clinic

  Multi-Ligament Knee Injury A complex knee injury is a situation where multiple ligaments in the knee have been damaged. The knee contains several major ligaments, including the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). When two or more of these ligaments are injured simultaneously, it's often associated with knee dislocations. Multi-ligament injuries are relatively uncommon and typically occur due to severe accidents, traumatic sporting falls, or high-impact events. Treating complex knee injuries and performing multi-ligament knee surgery is a highly intricate process. To achieve the best results, it's essential to consult with a knee specialist who specializes in complex knee surgeries. Description of Complex Knee Surgery In cases of two-ligament knee injuries, with the exception of combined ACL and MCL injuries, a combined surgical reconstruction is typically recommen

  Why did my ACL Reconstruction surgery fail? Why might an ACL reconstruction surgery fail? While it's true that only about 10% of grafts fail, understanding the reasons is crucial. The most frequent cause is technical issues during the initial surgery. The precision required in ACL reconstruction is well-known, and surgeons with more experience tend to achieve better outcomes. Misplaced graft reconstruction tunnels, whether too posterior on the tibia or too anterior on the femur, are still common culprits for failure. Another prevalent reason is untreated secondary instabilities. These could involve injuries to the posterolateral corner, meniscal root detachment, or the absence of the posterior horn of the medial meniscus. These factors, along with others like an unnoticed PCL injury, medial knee issues, or alignment problems in patients with arthritis, contribute to ACL reconstruction failures. Consequently, a comprehensive evaluation of secondary knee restraints and the

Meniscus Injury Overview The knee's medial and lateral menisci are vital shock absorbers that safeguard the cartilage and prevent the onset of osteoarthritis. They also contribute significantly to knee stability, making them a fundamental part of knee anatomy. Loss of the menisci can lead to early osteoarthritis and knee instability, particularly when combined with ligament reconstruction. Menisci consist of fibrocartilage and have a meager blood supply. Consequently, meniscal tears along the edges, especially on the inner side of the knee, typically have a low likelihood of spontaneous healing. Surgical intervention is often necessary to address meniscal tears, particularly when they are closer to the joint lining, known as meniscocapsular separations. DESCRIPTION OF MENISCUS SURGERY. In general, Dr. Amit Meena will always try to preserve the meniscal tissues to prevent further development of osteoarthritis, especially if there is a concurrent ACL reco

  Patella Dislocation Patients who have a tracking problem in the patellofemoral joint - the patella does not stay in the groove on the femur - are vulnerable to a spectrum of conditions. These include subluxations, in which the patella slips partially but not completely comes out of the trochlea, as well as dislocations, a traumatic injury in which soft tissues are damaged as the patella completely “jumps” the track and then comes forcibly back into place. Because the bone always dislocates outward, the ligament on the inside - the  medial patellofemoral ligament  (MPFL) tears or stretches. People who experience a first-time patella dislocation frequently do so while participating in sports, causing the knee to suddenly buckle and they fall. “Because ACL tears often happen in the same way, and because they are much more common than patella dislocations, it is important to rule out an ACL tear. Physical signs of dislocation include significant swelling of the knee and an “apprehen

  Overview of LCL Pathology In patients who have a complete lateral, or fibular collateral ligament (LCL), tear and noticeable side-to-side instability with activities, a lateral collateral ligament surgery is recommended. The term fibular collateral ligament (FCL) is more anatomically correct, but is more commonly referred to as lateral collateral ligament (LCL). LCL surgery is very effective in restoring side-to-side stability to the knee and preventing varus gapping. During a clinical exam and varus stress radiographs, we will be able to confirm whether or not there is a complete LCL tear. It is important to note that an MRI scan can be inaccurate – especially in cases of a chronic situation where the LCL heals improperly – that is why it is important to properly analyze the pathology. Treatment for LCL Injury The treatment approach for an LCL (Lateral Collateral Ligament) injury depends on its severity. In less severe cases, the RICE method (Rest, Ice, Compression, an

  Tips for Avoiding Twisting After a Knee Replacement After undergoing knee replacement surgery, it is crucial to engage in specific exercises that promote strength, flexibility, and stability in your new knee joint. These exercises will not only help you regain your mobility but also protect your knee from unwanted twisting and potential injury. In this article, we will explore various  knee replacement exercises  that you can incorporate into your daily routine. Prevent knee injury Protecting your new knee from twisting is essential to prevent potential injuries and ensure a successful recovery. By following a few simple tips and precautions, you can minimize the risk of complications and maintain the longevity of your knee replacement. Let's take a closer look at some effective strategies to avoid twisting after a knee replacement. Knee replacement precautions During the recovery period after knee replacement surgery, it is vital to take certain precautions and avoid activities