ORTHOPAEDICS

The knee, a complex joint that consists of three bones:

• the femur (thighbone)
• the tibia (shinbone)
• the patella (kneecap)

The knee is classified as a synovial joint, which is known for its remarkable range of motion. They are characterized by a covering of smooth hyaline cartilage on the bone ends, and a synovial membrane, a sac filled with lubricating fluid, lining the space between the bones. This unique structure provides added cushioning, ensuring that synovial joints can move with minimal friction.

Knee Replacement Indications

The most common condition leading to knee replacement is arthritis, including:

• Osteoarthritis: A degenerative joint disease affecting middle-aged and older adults, leading to the breakdown of joint cartilage and adjacent bone.
• Rheumatoid Arthritis: An inflammatory condition causing synovial membrane inflammation and excessive synovial fluid, resulting in pain and stiffness.
• Traumatic Arthritis: Arthritis caused by injury, which can damage knee cartilage.

The primary goal of knee replacement surgery is to resurface the damaged parts of the knee joint and provide relief from knee pain.

Scope of Services:

Our Orthopaedics Department offers a wide array of services, including:

Knee Replacement:

Single Knee Replacement:

Single Knee replacement surgery is a medical procedure designed to relieve pain and enhance the quality of life for individuals afflicted with severe knee arthritis. It is usually recommended when non-surgical treatments, such as altering physical activities, anti-inflammatory medications, and knee joint injections, including biological therapy, have proven ineffective in alleviating arthritic symptoms.

Bilateral Knee Replacement: A specialized procedure where both knees are replaced simultaneously. It’s particularly beneficial for patients with severe arthritis in both knees.

Revision Knee Replacement: A complex procedure needed when a previously implanted knee prosthesis requires replacement or repair due to factors like wear and tear, loosening, or infection. It demands meticulous pre-operative planning and a range of implant accessories.

Ceramic Total Knee Replacement (Ceramic TKR):A unique form of knee replacement using ceramic materials for enhanced durability, reduced wear, and a longer-lasting solution.

Customized 3D Knee: Personalized knee implants created with 3D printing technology. It ensures a tailored fit to the patient’s specific anatomy.

Joint Regeneration: The process of restoring damaged or degenerated joint tissues, such as cartilage and bone, to enhance joint function and alleviate pain. This approach applies to various joints, including knees, hips, shoulders, and more.

Alternatives to Knee Replacement Surgery: Non-surgical options tailored to the patient’s condition and preferences, including physical therapy, medications, lifestyle modifications, and injections, such as viscosupplementation (injection of hyaluronic acid into the affected joints)

Knee Reconstruction:

ACL Reconstruction:

ACL (Anterior Cruciate Ligament) reconstruction addresses torn or damaged ACLs in the knee, commonly caused by sports activities, leading to knee instability and reduced mobility.

During ACL reconstruction, surgeons typically replace the torn ACL with a graft, sourced from the patient or a donor. The graft anchors in the knee through incisions, providing stability. Rehabilitation and physical therapy are vital for regaining strength, mobility, and function following ACL reconstruction.

The aim is to restore shoulder stability and function, enabling patients to regain strength and mobility

PCL Reconstruction:

PCL (Posterior Cruciate Ligament) reconstruction is a surgical procedure to repair knee PCL injuries, which are less common and usually caused by high-impact trauma, like accidents or sports incidents.

In PCL reconstruction, surgeons repair or replace the damaged ligament to restore knee joint stability and function. Surgical techniques and graft choices vary based on the injury’s severity. Post-operative rehabilitation, including physical therapy and a gradual return to normal activities, is crucial for full knee recovery.