The medical field offers a wide array of treatment options for reconstructive procedures, some more common than others. One of the most common and successful is orthopedic (M.D.) and posterior (front) knee replacement surgery. While this is often the first choice of physicians, more are beginning to explore the possibility of anterior knee replacement as an option.
The traditional method of knee reconstruction in Brisbane involves either a direct reconstruction procedure using bones from the humerus or the Ligamentum / cruciate ligament or a minor procedure using bones from the superior, exterior, and posterior aspect of the femur. With the advent of metal implants in the knee joint and advanced surgical techniques, de rodillarization has become the more favorable procedure. Basically, during an arthroscopic procedure using a metal instrument (wire cutter) called a de-rodile instrument (DR), tissue is removed in thin layers in the direction of the anterior commisure. In this procedure, the doctor removes the majority of the bone and tissue from the posterior aspect of the femur or the Ligamentum / cruciate ligament without replacing it.
Patients typically experience less pain and better knee function after this procedure. For patients with minor knee fractures, the procedure may be combined with hip replacement for superior functionality. This type of procedure helps patients recover their function and normal daily activities. Often, patients may use a crutches after recovery to reduce pain and return to everyday activities.
A surgical procedure called Total knee Arthroplasty (Tka), also referred to as the anterior cruciate ligament surgery, involves removal of the anterior cruciate ligament, which supports the weight of the thigh bone. Sometimes, with Tka, the muscles supporting the thigh bone weaken due to aging or disease, and the loss of structure at the location of the Tka produces an imbalance in the forces between the thigh bone and the muscles. The surgeons used techniques such as sagging skin flaps, sutures, and a tourniquet when performing this technique.
Patients are advised to wear a brace or splint while walking to help prevent de-functification of the knee. An open approach to this therapy is more beneficial because it can improve blood flow to the knee. This is especially important for osteoarthritis, where deposits of calcium and other elements cause friction in the knee. The MD will perform specific exercises that are intended to decrease blood flow to the anterior cruciate ligament and increase flexibility in the muscles. The objective is to reduce pain and return knee motion to normal.
Restoration of the patellar tendon is necessary to correct mechanical deficiencies in the knee. To do this, the MD will make incisions along the front edge of the tibia and insert flexible steel rods through the middle of the tendon. Once in place, a mechanical device, such as a rod handle, is placed in the socket that helps to pull the tendon backward and increase knee flexion. After stretching the tendon back to the proper joint angle, a mechanical device is used to pull the tendon fully back into its original place, and the area is closed with a bandage. This process of tendon restoration is known as scapho-assisted tensioning or tibial attachment miscalculans.
A total knee arthroplasty is a minimally invasive technique that also involves sagging skin flaps and sutures. Similar to the patellar tendon restoration, a minimal amount of muscle contractions are required to pull the femur back into place. A steel bar is inserted through the femoral groove, and the surgeon uses verbal or manual techniques to guide the arm in its direction of motion. After achieving the desired angle, the surgical anchor is clipped onto the underside of the tibial plateau and the procedure is fully completed. This minimally invasive procedure is performed on an outpatient basis, and most patients are able to return to work and sports shortly after the arthroscopic knee surgery.
For many patients, the benefits from this minimally invasive procedure are greater than the pain reduction from complete knee replacement. A reputable orthopedic surgery facility offers a range of minimally invasive treatment options for patients who are looking for answers to their health questions. Whether you are suffering from patellar subluxation, total knee arthroplasty, patellar rotation error, knee cap stability or any other knee ailment, an MD may be able to help. For more information on what an MD specializes in, contact your doctor today.
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