KNEECARES - The Superspeciality Knee Clinic

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 i...

  Patellofemoral Joint Replacement Patellofemoral joint replacement , a specific category within the realm of partial knee replacements (commonly referred to as unicompartmental knee replacements), serves as a surgical solution tailored to individuals grappling with knee arthritis that is localized to the patellofemoral compartment, situated in the anterior aspect of the knee. This specialized procedure is designed to provide targeted relief and restoration for patients facing this specific form of knee arthritis, enhancing their overall quality of life and mobility. Anatomy of the Patellofemoral Joint The diagnosis of patellofemoral arthritis is established when a significant loss of cartilage is observed on the joint surfaces of both the patella and the trochlea. The trochlea is the groove on the femur, serving as the track for patella movement during knee flexion and extension. Several underlying factors contribute to the development of patellofemoral arthritis, including patell...

  Advancements in Arthroscopy Surgery Arthroscopy surgery has revolutionized the field of orthopedics, offering patients a less invasive and more efficient way to diagnose and treat various joint conditions. Over the years, advancements in arthroscopy techniques and technology have further enhanced the effectiveness and safety of these procedures. In this article, we will explore some of the latest advancements in arthroscopy surgery and how they have contributed to improving patient outcomes 1. High-Definition Imaging One of the key advancements in arthroscopy surgery is the use of high-definition imaging systems. These systems provide surgeons with a clear and detailed view of the joint, allowing for more accurate diagnosis and precise surgical interventions. With improved visualization, surgeons can identify and address problems with greater precision, resulting in better outcomes for patients. 2. Minimally Invasive Techniques Arthroscopy surgery is known for its minimally inva...

  Recovery From  Knee Replacement Recovering from knee replacement surgery can be a challenging and lengthy process. However, there are various activities that can help you regain strength and mobility in your knee. One such activity is cycling, which offers numerous benefits for individuals who have undergone knee replacement surgery. Cycling After Knee Surgery When it comes to physical activity after knee replacement surgery, cycling is often recommended by healthcare professionals. Cycling is a low-impact exercise that puts minimal stress on the knee joint while providing an effective cardiovascular workout. It allows you to strengthen the muscles around the knee and improve overall range of motion. However, before you start cycling after knee surgery, there are some important factors to consider. It is essential to follow proper guidelines and take necessary precautions to ensure a safe and successful recovery. Expert Insights To get a better understanding of cycling afte...

  What is partial knee replacement surgery? Partial knee replacement , also known as unicompartmental knee arthroplasty, is a surgical procedure that involves replacing only the damaged or affected part of the knee joint. Unlike total knee replacement, which involves replacing the entire knee joint, PKR focuses on preserving the healthy structures of the knee. PKR is typically recommended for patients with knee osteoarthritis that primarily affects one compartment of the knee. It is a less invasive procedure compared to TKR, resulting in smaller incisions, less blood loss, and faster recovery times. Additionally, PKR offers a more natural knee movement and better overall knee function. Dr. Amit Meena explains, "Patients with unicompartmental knee arthritis experience cartilage degeneration in just one section of the knee. When nonsurgical treatments prove ineffective in managing symptoms, surgeons’ step in to remove damaged cartilage and bone solely from the affected area while pr...