- Anatomy
- Conditions
- Procedures
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.
OMNIBotics Robotic-Assisted Total Knee Replacement
OMNIBotics is a robotic-assisted system used by orthopedic knee surgeons to plan and perform total knee replacement with the utmost precision. In this procedure, the worn out or damaged surface of the knee joint is removed and replaced with an artificial implant. Robotic instruments are used by the orthopedic surgeon under computer guidance to ensure the procedure is carried out precisely to plan.
Robotic Assisted Partial Knee Surgery
Robotic-assisted partial knee surgery is an innovative alternative to the conventional surgical procedure to treat degenerative knee diseases such as osteoarthritis. It is performed using robotic-arm technology that allows your surgeon to precisely perform the surgery through small incisions.
Complex Total Knee Replacement
Complex total knee replacement procedure is usually indicated for major knee deformity, severe arthritis, knee ligaments weakness and bone loss due to fracture or arthritis.
Revision Knee Replacement
Revision knee replacement surgery involves replacing a part or all your previous knee prosthesis with a new prosthesis. Although total knee replacement surgery is successful, sometimes the procedure can fail due to various reasons and may require a second revision surgery.
Subchondroplasty
Subchondroplasty is a minimally invasive procedure that is performed to specifically repair chronic BMLs by filling them with a bone substitute material. The bone substitute is then slowly resorbed and replaced with healthy bone, repairing the bone defect. Subchondroplasty also resolves the associated edema. Subchondroplasty may be performed alone or along with other arthroscopic procedures.
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.
Outpatient Total Knee Replacement
Total knee replacement is the surgical treatment for knee arthritis, where the damaged knee is removed and replaced with an artificial knee implant. Traditionally performed as an inpatient procedure, total knee replacement surgery is now being conducted on an outpatient basis, allowing you to go home on the same day of the surgery.
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.
Computer Navigation for Total Knee Replacement
Computer navigation provides your surgeon with real-time 3-D images of your mapped knee and the surgical instruments during surgery. The data for the images is provided by infrared sensors fixed to the bones of the knee and surgical instruments. Their position is tracked by an infrared camera placed above the surgical table, which is connected to a computer. The computer then generates real-time images with the help of the appropriate software to guide your surgeon to precisely resurface and cut the bones of the knee, and fix the implant precisely and accurately according to the preoperative surgical plan.
Unicompartmental/Partial Knee Replacement
Unicompartmental knee replacement is a minimally invasive surgery in which only the damaged compartment of the knee is replaced with an implant. It is also called a partial knee replacement.
Minimally Invasive Knee Joint Replacement
Total knee replacement is a very successful surgical treatment for knee arthritis. Over the years, minimally invasive knee replacement surgical techniques have been developed to lessen tissue trauma and improve patient outcomes. This minimally invasive approach involves much smaller incisions than the usual 10-12 inch incisions used in the traditional knee replacement and spares the quadriceps muscle and tendon, which control bending of the knee, from being cut to access the knee joint.
Outpatient Unicondylar Knee Replacement
A unicondylar knee replacement, also known as unicompartmental or partial knee replacement, is a procedure to replace a portion of the damaged knee joint with a prosthetic implant to relieve pain and improve function of the knee joint. Traditionally performed as an inpatient procedure, advances in technology have allowed this procedure to be performed in a minimally invasive manner on an outpatient basis allowing patients to go home the same day of the surgery
Knee Replacement with OrthAlign Technology
The knee joint consists of three bones: the femur (thighbone), the tibia (shinbone) and the patella (kneecap). The articular surfaces of the bones are covered by smooth cartilage. Ligaments and tendons hold the bones of the joint together. The wearing of the cartilage surfaces results in pain and inflammation and is referred to as arthritis.
Short-Stay and Fast-Track Knee Replacement
Short-stay and fast-track knee replacement is a minimally invasive surgical procedure in which the worn-out or damaged surfaces of the knee joint are removed and replaced with prostheses. It is a multidisciplinary approach for knee treatment in which patients are mobilized as early as possible to achieve a faster and better recovery without compromising quality. The main goal of this treatment method is to reduce the necessity of hospitalization to not more than 3 days while maintaining very high patient satisfaction and few complications.
Tricompartmental Knee Replacement
Tricompartmental 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 artificial parts.
What is New in Knee Replacement
If you are considering knee replacement surgery, there are new developments under study which can help enhance the quality of life. These include:
- Use of cementless parts that allow new bone to grow into a porous prosthesis and hold the parts in place, creating a biologic fixation
Patellofemoral Knee Replacement
Traditionally, arthritis in only one compartment of the knee is treated by partial knee replacement surgery. Patellofemoral knee replacement is a minimally invasive surgical option performed in the patellofemoral compartment only, preserving the knee parts not damaged by arthritis as well as the stabilizing anterior and posterior cruciate ligaments (ACL and PCL).
Partial Medial Knee Replacement
Partial medial knee replacement is a surgery to replace only the medial part of your damaged knee. It is also called unicompartmental knee replacement.
Quadriceps Tendon Repair
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. Use of medications such as steroids and some antibiotics also weakens the quadriceps tendon.
Meniscectomy
Meniscectomy is a surgical procedure indicated in individuals with torn meniscus where the conservative treatments are a failure to relieve the pain and other symptoms. Meniscectomy is recommended based on the ability of meniscus to heal, patient’s age, health status, and activity level.
Viscosupplementation
Viscosupplementation refers to the injection of a hyaluronan preparation into the joint. Hyaluronan is a natural substance present in the joint fluid that assists in lubrication. It allows the smooth movement of the cartilage-covered articulating surfaces of the joint.
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.
Knee Fracture Surgery
Knee fracture surgery is a surgical procedure performed to correct the cracked or broken bones in or around the knee to restore normal anatomical function, stability, and motion.
Partial Knee Resurfacing
Partial knee replacement is an alternative to total knee replacement in patients with arthritis on only one side of the knee. Partial knee replacement is a surgical procedure which involves resurfacing and replacement of only the diseased surface of the joint instead of the entire joint.
Physical Examination of the Knee
A complete physical examination of the knee is performed when you present to your doctor with a knee complaint. Both of your knees are examined and the results of the injured knee are compared to those of the healthy knee.
Knee Implants
Knee implants are artificial devices that form the essential parts of the knee during a knee replacement surgery. The knee implants vary by size, shape, and material. Implants are made of biocompatible materials that are accepted by the body without producing any rejection response. Implants can be made of metal alloys, ceramic or plastic, and can be joined to the bone. The metals used include stainless steel, titanium, and cobalt chrome; whereas, the plastic used is polyethylene.
Pre-op and Post-op Knee Guidelines
Planning for your knee surgery prepares you for the operation and helps to ensure a smooth surgery and easier recovery. Here are certain pre-operative and post-operative guidelines which will help you prepare for knee surgery.
Am I a Candidate for Knee Surgery?
Arthritis of the knee can cause pain and stiffness, making regular activities such as walking and bending difficult. As arthritis progresses, conservative treatments tend to lose their efficacy and more definitive treatment should be considered. Knee replacement surgery involves replacing worn or damaged joints with implants to reduce pain and improve movement. It provides excellent results for many and is usually performed on those above 60 but may also benefit young patients with certain conditions.
Non-Surgical Knee Treatments
The knee is a complex joint which 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. All these conditions require appropriate treatment, may be surgical or non-surgical to restore to normal activities. The non-operative orthopedic treatment options include non-pharmacological and pharmacological interventions. They are aimed at providing symptomatic relief and improving the quality of life of the patients. They can be used as a treatment option to treat certain conditions or to decrease pain as well as promoting functioning and quality of life after the surgical treatment.
Nonoperative Treatments for ACL Injuries
Nonoperative treatments may be recommended if your child has a minor ACL injury, is still growing and does not wish to immediately return to sports.