CARTILAGE DAMAGE IN THE KNEE

 

WHAT IS THE CARTILAGE IN THE KNEE FOR?

An approx. 5 mm thick layer of cartilage covers the bone in the knee joint. The smooth surface of the cartilage allows the joint to move smoothly. In addition, the cartilage causes an even distribution of pressure and shock loads on the underlying bones. This protects the bone and prevents or reduces overstressing. The cartilage has no nerves and stops growing after puberty. This layer of cartilage accompanies us throughout life.

HOW DOES CARTILAGE DAMAGE COME?

The cartilage undergoes natural aging. In doing so, it loses the ability to store water and the cartilage layer shrinks. The surface of the cartilage becomes brittle and cracks. This brittle surface is more prone to impacts and shear forces. This allows the cartilage to wear out or split off more quickly. Since the cartilage has no pain fibers, we do not feel this change at the beginning. Perhaps a rubbing noise (crepitation) is noticeable under greater stress. In contrast to cartilage, bone has pain fibers. If the bone is exposed, we feel the affected joint with the corresponding pain, explains the orthopaedic in Delhi.

However, the articular cartilage can also be damaged by chronic stress or an accident (trauma).

HOW DO YOU RECOGNIZE CARTILAGE DAMAGE?

With acute cartilage damage, patients complain of blockage of the knee joint, swelling and pain. The extent of the discomfort depends on the size and depth of the cartilage defect and its location.

In the case of chronic cartilage damage, patients report start-up, stress, and inflammatory pain. The knee is swollen, and the mobility of the knee joint is limited. In addition, the patients have an unsteady gait, the knee joint feels unstable and in some cases kinks, says the orthopaedic in Delhi.

HOW IS CARTILAGE DAMAGE DIAGNOSED?

The damage to the articular cartilage can appear superficially with small cracks on the one hand, but on the other hand affect the entire cartilage in the knee. This causes the rough, painful surface of the bone to emerge.

Cartilage damage is divided into four stages:

• Stage / Grade I: Soft cartilage
• Stage / Grade II: Rough surface with cracks
• Stage / Grade III: Deep cracks in the cartilage that go down to the bone
• Stage / Grade IV: Complete consumption of the cartilage with exposed boil; one also speaks of bald bones

In addition to the exact questioning (anamnesis) and well-founded clinical examinations of the knee joint, X-ray and MRI images are necessary. Based on these documents, the appropriate individual therapy can be discussed, says the orthopaedic doctor in Delhi.

WHAT TREATMENTS ARE AVAILABLE FOR CARTILAGE DAMAGE?

The cartilage damage looks different depending on the cause, whether accidental (acute) or wear-related (chronic) and is treated differently accordingly. In the case of acute cartilage damage, for example, we have a clearly defined defect (punch defect) compared to healthy cartilage with sharp edges. This is not the case with chronic cartilage defects. If the cartilage defect is not treated, there is further cartilage wear of the knee joint and, in the further course, knee joint osteoarthritis.

Conservative therapy for cartilage damage is very limited. After puberty, the cartilage loses its self-healing potential, i.e. from this point onwards we have to get by with the cartilage for our entire life. For these reasons, the natural course of cartilage damage leads to deterioration. The cartilage damage gets bigger and deeper over time, which leads to a clinical deterioration with corresponding pain and restrictions in everyday life and during sporting activity. With conservative therapy, cartilage damage cannot be cured, but only alleviated by slowing down the wear and tear of the cartilage. The following conservative therapies are possible:

• physical therapy
• Osteopathy
• Painkiller
• Cartilage Support Agents
• Lubricating syringes: Hyaluronic acid syringes temporarily improve the joint lubrication of the defective joint. This will reduce the inflammation in the joint and, accordingly, the patient will experience less pain. Injections with autologous blood are another option.
• More: Pay attention to your own weight or reduce it, a healthy balanced diet, regular training with guided movements such as swimming or cycling.

The surgical therapy of the cartilage damage depends on the size (extent) and depth of the defect and must be individually adapted. In addition, factors such as the integrity of the exposed bone, cartilage quality on the opposite side of the defect and the age of the cartilage defect play a decisive role, explains the orthopaedic surgeon in Delhi.

Furthermore, the younger the patient, the greater the chances of success of the methods described below for acute cartilage damage. These include:

• Fixation of the bone / cartilage splinter with a mostly dissolvable screw.
• Arthroscopic sealing of superficial cartilage tears.
• Microfracture: First, the cartilage defect is prepared in such a way that a clean, stable cartilage margin is present. Then small holes are made in the exposed bone with the drill or special awls. It is from these holes that blood comes out of the bone, which contains stem cells. Among other things, these stem cells can transform into cartilage and thus protect the exposed bones again. This method is mostly used arthroscopically (joint endoscopy) and is suitable for smaller cartilage defects (<2.5 cm2).
• Transplantation of cartilage-bone cylinders: This technique is also called mosaic plastic or OATS (Osteochondral Autologous Transplantation System). The method is also only used for smaller cartilage defects (<2.5 cm2). With special hollow punches, the body's own cartilage-bone cylinders are taken from an unloaded part of the knee joint and inserted directly into the cartilage defect. This method is used when, in addition to the cartilage defect, the underlying bone is also damaged.
• AMIC: The AMIC technique is used for larger cartilage defects. AMIC stands for autogenous matrix-induced chondrogens, i.e. matrix-induced own cartilage production. The cartilage defect is exposed and cleaned so that stable cartilage edges are present again. This is followed by micro-invoicing as described above.
• Cartilage transplantation: Another option would be to have your own cartilage cells grown in a laboratory from biopsies obtained from the first operation. This method is also called ACT (autologous chondrocyte transplant). After about four weeks of cultivation in a laboratory, the cartilage cells can be inserted into the corresponding defect in a second operation.
• Bone defects: If there are bone defects that are deeper than 4 mm, they must be filled with the body's own bone (e.g. thigh) or donor bones (cancellous plastic).

The above-mentioned surgical techniques are mainly used for acute cartilage defects. In addition to age, the opposite side of the cartilage defect also plays a role. This should not show any major damage, otherwise the rough surface can negatively affect the outcome of the operation. Another option for covering more chronic cartilage defects is knee replacement in Delhi of the injured cartilage.

If the cartilage wear has progressed so far that finally bone rubs on bone (end stage of osteoarthritis), a partial prosthesis (e.g. a sled prosthesis, a kneecap glider replacement) or a knee replacement surgery in Delhi is necessary. A correction of bowlegs / knock knees (so-called corrective osteotomy) is sometimes necessary.

WHAT IS THE AFTER-TREATMENT LIKE?

The follow-up treatment must be individually adapted to the previous operation. If cartilage therapy was carried out, the knee joint had to be relieved with walking sticks for six weeks. In the case of cartilage defects behind the kneecap, mobility is also restricted for six weeks. Patients with resurfacing can immediately put weight on and move the knee joint. To protect the soft tissues, however, walking sticks are recommended for around four weeks. Physiotherapy for several weeks to relieve swelling and strengthening and stretching of the thigh muscles are also important.

Knee Arthroscopy: General Information

What is knee arthroscopy?

Knee arthroscopy in Delhi is a minimally invasive procedure that allows access and treatment of injuries that affect the various structures of the joint. For this, 2 or 3 small incisions of less than one centimeter are made that allow access to the joint.

Most knee surgeries that do not involve the knee replacement in Delhi are performed with a complete or partial approach with knee arthroscopy. It is the technique of choice to deal with many injuries because it allows a better and greater visualization of the joint. In a non-aggressive way, all the points of the knee can be accessed to make a cartilaginous cleaning, small perforations of the bone that has lack of cartilage (microfractures), stabilize the cartilage and apply substances or elements that regenerate cartilage (plasma rich in platelets or stem cells).

Likewise, knee arthroscopy in Delhi is also used to support other open techniques, since it improves the diagnosis and prognosis of the patient's injury, as it is less aggressive.

Surgery can be performed under local, regional or general anesthesia, depending on the injury and the patient himself. The anesthesiologist will decide the best method for the patient, provided he suffers as little as possible, explains the best knee surgeon in Delhi.

Why is it done?

Knee arthroscopy in Delhi is used to resolve knee injuries. Thus, meniscus injuries are one of the most common pathologies and, thanks to arthroscopy, it is possible to preserve most of the menisci, since the resection is not complete but partial. Meniscal sutures and the possibility of transplanting the meniscus with knee arthroscopy are common techniques that allow better protection of the cartilage of the joint.

Another of the most dangerous injuries related to sports is the rupture of the anterior cruciate ligament. If this is injured, it causes instability in the knee that makes it impossible for the patient to practice practically any sport. Continued instability can injure surrounding structures, such as menisci and cartilage. Hence, it is necessary to reconstruct the anterior cruciate ligament with grafts, accessing the joint by arthroscopy, explains the sports injury specialist in west Delhi.

On the other hand, cartilage injuries (chondropathies, arthrosis or osteochondritis) are also very frequent. Preserving cartilage will also preserve the joint, avoiding wear and tear on the knee.

What does it consist of?

The orthopaedic surgeon in Delhi will make the small incisions in the knee to be able to access it. Firstly, you will fill the knee joint with a sterile solution and remove any cloudy fluid. This way you can see the joint clearly and in detail.

The specialist will then insert the arthroscope (a very thin device with a camera at its end) into the knee. This device sends the images to the television monitor, so that the surgeon can see all the structures in detail. Through the other holes the orthopaedic surgeon in Delhi will introduce the surgical material that will allow him to tackle the injury and repair the damaged structures.

It is a procedure that usually does not last more than an hour. After that, the patient will be transferred to a rehabilitation room and will be able to leave the hospital after two hours, more or less.

Preparation for knee arthroscopy

Before surgery, the patient must undergo a complete physical examination so that the orthopaedic in Delhi can assess his health and any abnormality that may interfere with the arthroscopy. Likewise, the patient must inform the surgeon of the medication they are taking, so that they can tell them which ones they should stop taking before the intervention. Some additional preoperative tests will also be performed, such as MRI, EKG, or blood tests.

Care after the intervention

Recovery after arthroscopy in Dwarka is faster than conventional open surgery. However, the advice of the orthopaedic doctor in Delhi must be followed so that the knee recovers correctly.

It is normal for the patient to suffer inflammation in the days after the intervention, so it is recommended that the leg be elevated during those first days after surgery. Also, applying ice will relieve pain and reduce inflammation.

Incisions should also be healed, keeping them clean and dry. The orthopaedic in Delhi will indicate to the patient when they can shower or change the bandage.

On the other hand, shortly after the intervention, the patient should begin rehabilitation exercises with a Physiotherapy specialist, who will establish a program appropriate to the patient and the injury. This will help you restore movement and strengthen your knee muscles.

Alternatives to this treatment

The alternative to knee arthroscopy in West Delhi will be conventional open surgery, which is currently only used in more severe cases, in which a prosthesis must be placed. Any other technique will suppose a greater invasion in the knee and worse postoperative, explains the orthopaedic in Delhi.

Knee Tendinitis: Symptoms and Treatment

Tendinitis is an inflammatory condition that develops in the patellar tendon, due to twists, tears, or tendon damage. Tendons are fibers that connect muscles to bones. Knee tendinitis occurs most often due to overuse of the knee joint.

Patellar tendinitis is known as knee tendinitis. Patellar tendon is an injury that occurs in the tendon that connects the patella to the leg, called a patellar tendon. The patellar tendon works with the muscles at the front of the thigh to extend the knee so you can run, kick and jump.

Knee tendinitis is a common condition in athletes whose sports involve running and jumping. But it is not a unique condition of athletes, people who do not perform deportation can suffer from knee tendinitis.

Knee tendinitis can be a serious condition that needs attention and treatment, as they can eventually worsen tendon damage and require surgery for treatment, says the orthopaedic in Delhi.

Knee Anatomy

The knee is composed of 3 bones. The thigh bone that is the femur, the largest leg bone that is the tibia and patella that slides into a groove at the end of the femur.

Tendons are strong tissues that connect muscles to the bone. Its size and shape vary, there are small tendons in the fingers and large in the legs. The patellar tendon plays an important role in maintaining the label in place and in straightening the knee.

Symptoms of knee tendinitis

Pain is the first symptom of knee tendinitis. Pain can manifest directly on the patellar tendon and manifest in cases such as;

• At first, pain may be present at the start of physical activity or after intense exercise.
• The pain gets worse that interferes with your activities, whether it's sports or everyday activities like climbing stairs or getting up from a chair.
• Pain when bending the knee

In addition, pain may be stiff in the knee, especially when jumping, crouching, sitting, kneeling.

Should I see a specialist?

Sometimes knee pain can improve with self-care measures and over-the-counter anti-inflammatory drugs, but you may need to visit orthopaedic clinic in Delhi if:

• Pain continues or gets worse
• Interferes with the realization of your daily activities
• You have swelling or redness around your knee

Why does knee tendinitis occur?

Knee tendinitis or patellar tendinitis is a common overuse injury caused by constant, repetitive stress on the patellar tendon. Stress causes small tears in the tendon, which as they multiply cause pain and inflammation, explains the sports injury specialist in west Delhi.

Risk factors

Factors that may contribute to the development of knee tendinitis include:

• Physical activity or sports. Running and jumping are the movements most associated with tendinitis
• Tight leg muscles. Tightening the quadriceps and hamstrings can increase tension in the patellar tendon.
• Muscle imbalance. If some muscles are stronger than others, the stronger ones can pull the tendon harder and marry an imbalance. This uneven pull can cause knee tendinitis.

Complications

If no care is received and despite the pain continues to perform activities, it can attract ever larger tears in the patellar tendon. Pain and reduced knee function can persist, if the problem is not addressed, and more serious patellar tendencies can progress, warns the orthopaedic surgeon in Delhi.

Get ready for your appointment

If the pain persists during or after certain activities and does not improve with self-care measures. Your orthopaedic doctor in Delhi may refer you to a sports medicine specialist.

Before you go to your appointment with your orthopaedic in Delhi, you can prepare with:

• List of their symptoms, how they manifest and when they started.
• Medical information such as medications and supplements if you take them.
• Duration and intensity of your sports practice
• Resentful injuries
• Questions you want to ask your doctor

Diagnosis

Knee tendinitis can be diagnosed by reviewing your clinical history, physical knee exam, and performing imaging tests.

During the physical exam, your doctor may apply pressure to your knee to determine where you feel pain and may ask you to perform certain movements against resistance. Knee tendinitis pain is usually felt in the front of the knee under the patella.

Image testing

Some tests that may be suggested to you include:

• Radiography. They can be used to exclude bone problems that can also cause knee pain.
• Ultrasound. They may reveal tears in the patellary tendon.
• Magnetic resonance imaging. Create detailed images that can show changes in the patellar tendon.

Knee tendinitis treatment

It is usually started with non-surgical treatment. There are several treatment options that can help reduce pain and inflammation.

Small tears can be treated with non-surgical treatment. A splint, or brace may be required to provide rest to the tendon and to heal the tendon. But treatment will depend on different factors such as age, level of physical activity, size and type of tendon tear.

Therapy

Physical therapy can help restore function, decrease pain and prevent future injuries.

• Stretching exercises. These types of exercises can reduce muscle spasm and help lengthen the muscle-tendon unit.
• Strengthening exercises. Weak muscles contribute to the tension of the patellar tendon.
• Patellar tendon strap. Apply pressure to the tendon to help distribute strength away from the tendon.

Other treatments

If nonsurgical treatments don't help, your orthopaedic in Delhi may suggest other therapies such as:

• Corticosteroid injections. Corticostoirdes are ultrasound-guided around the patellar tendon and help relieve pain. They are, however, this treatment can have consequences, such as weakening tendons and making them more prone to ruptures.
• Surgery. Surgery may be necessary for repair of tendons that rupture as a result of chronic degeneration and inflammation. Most people with tendon tears may require surgery to reattach the patella tendon. The surgical technique used varies depending on the condition. Some procedures may be performed through minimally invasive surgery, through small incisions around the knee, explains the best knee surgeon in Delhi.

Prevention

To reduce your risk of developing or worsening knee tendinitis, you may:

• Don't play with the pain. As soon as you feel pain, apply self-care methods such as applying ice and rest until your pain is silky, and avoid activities that cause stress on your tendon.
• Strengthen muscles. Strong muscles are better able to handle the tendon that can cause knee tendinitis.
• Improve technique. Make sure you are doing your activities in the right way, consider taking classes to better learn your technique when you are starting a new sport.

Recovery

Full recovery can take half a year to a year, depending on the extent of the injury and the treatment required.

KNEE OSTEOARTHRITIS

Knee prosthesis is the best alternative to improve quality of life in those who suffer from severe pain and have mobility problems. Knee osteoarthritis is one of the most prevalent pathologies that has the most impact on the well-being of adults over the age of 50.

They find it difficult to climb or down stairs, walk or play a sport. The older the symptoms are more severe; pain, creaks and swelling in the knee. Because of this, they lose the ability - to varying degrees - to move freely. On average, at age 65 is when knee braces increase.

For young people, those who play high-impact, rebound sports have increased joint damage, they are also candidates for joint replacement surgery in Delhi due to joint cartilage wear or osteoarthritis.

What is osteoarthritis?

Osteoarthritis is a disease caused by changes in the structure of cartilage, in which their basic components are lost and this leads to dehydration and thinning of joint cartilage. It can affect all joints, although it is most common in hands, spine, hip, knee and ankle.

It is a disease of unknown cause, associated with genetic factors.

There are other less common causes called secondary osteoarthritis, where there is a common basis origin: overweight, prior trauma, metabolic diseases or rheumatism, such as arthritis. In the case of knee osteoarthritis, this joint is part of the mechanical body weight loading system and, for this reason, is more exposed to cartilage wear.

Cartilage is a layer of tissue, softer than bone, that lines the surface of the joints.

Over time, when worn wear, bone ends deform, leading to bone overgrowth and osteophyte formation (so-called "parrot peaks"), bone bumps that cause the joints to rub, causing pain, swelling and loss of mobility.

Symptoms

"Difficulties putting on socks or shoes, sitting on low furniture, knee pain when climbing stairs or slopes are among the most common complaints of initial osteoarthritis. They also tend to have discomfort at night, at rest, when they move during sleep," says orthopaedic in Delhi Dr. Ashoo Consul, expert on hip and knee.

In the face of any pain that tends to repeat itself, even if it is not constant, an evaluation is recommended, because when it is permanent and more intense it can be late for solutions.

Tests and diagnosis

For the diagnosis of knee osteoarthritis, clinical examination or evaluation by the best knee surgeon in Delhi is critical. Depending on this one, the exams are complementary and range from a simple X-ray to an MRI with contrast.

"Diagnosis involves certain treatments, which depend on the stage of osteoarthritis.

If it's initial, you may have conservative medical management. However, if patients have an important degree of joint destruction, with variable degree disability due to pain and deformity, surgery is recommended, to improve their quality of life", notes the orthopaedic surgeon in Delhi.

Treatment

Before knee replacement in Delhi, there are several medical treatment alternatives. However, osteoarthritis is a progressive chronic disease, which has no cure with medication and is irreversible. Conservative measures: Prior to the prosthesis, treatments for moderate osteoarthritis are as follows:

• Anti-inflammatory Drugs: These medications help relieve knee pain and decrease inflammation associated with osteoarthritis.
• Glucosamine and Chondroitin Sulfate: are medicines that act by trying to regenerate the cartilage worn by osteoarthritis
• Templates: The use of silicone gel damping insoles is recommended
• Orthosis: It is a special knee brace that is indicated when the knee is deviated, either very close knees or arched. The treatment that is most accommodating varies on a case-by-case basis, so it is advisable to consult the orthopaedic doctor in Delhi.
• Weight management: Overweight and obesity aggravate osteoarthritis symptoms. This is why it is advisable to visit an orthopaedic in Dwarka, nutritionist or nutritionist, who will evaluate the patient's condition to indicate a balanced diet and achieve their ideal weight.
• Kinesiotherapy: The recommended exercises are of flexibility of low or no impact, which improve muscle tone and mobility of the joint; done three times a week and with professional supervision, can improve a person's quality of life by increasing their abilities. Water activities also increase cardiovascular capacity. Improving quality of life is the best way to slow down the needs of a prosthesis.
• Biological surgery: When the damage is not extensive and the patients are younger. Biological surgery is used in areas that have lost cartilage with mechanical and biological stimuli, such as hyaluronic acid, platelet concentrate, and stem cells. "Biological surgery is generally designed for a single opportunity. Try to restore knee function for more vigorous activities. It's for less serious focal injuries and younger patients," explains surgeon at orthopaedic clinic in Delhi.

Surgery

Once the damage to the knee is more advanced and diffuse, especially in older patients, surgery is indicated as treatment. Arthroplasty or prosthetic surgery is aimed at both calming pain and returning the patient's joint mobility and muscle activity.

Thus, prostheses are indicated when the triggering disease has been aggressive enough, when there is a large pain or alteration of the function of this joint.

A prosthesis is an artificial part designed to replace a natural joint that is damaged and cannot be repaired.

This procedure replaces all damaged cartilage with a new artificial surface. "These new surfaces are usually a combination of noble metals and high-strength plastics. There are different types of surgeries: unicompartmental (partial prostheses) and total prostheses," explains orthopaedic in West Delhi.  

Recovery

"Knee replacement in West Delhi is for more advanced and diffuse damage in older patients. It is a major surgery, so the hospital stay is between three and five days, but patients go home autovalent, walking with the help of a cane and oral analgesia," says orthopedic in Delhi. Recovery from knee replacement surgery is slow and painful and, in most patients, it takes about two months, improving up to a year after surgery.

Meanwhile, unicompartmental or partial prosthetic surgery has the advantage of being a less invasive intervention and with a much faster functional recovery, than the total. Prosthetic knee surgery is endorsed as one of the most beneficial medical procedures in recovering patients' quality of life.

Knee Arthroscopy - What You Need To Know

Arthroscopy in Delhi is a common surgical procedure in which a joint is visualized using a small camera. Arthroscopy gives doctors a clear view of the inside of the knee. This helps them diagnose and treat knee problems.

Technical advances have led to high-definition monitors and high-resolution cameras. These and other improvements have made arthroscopy a very effective tool for treating knee problems. According to Orthopaedic in Delhi, more than 4 million knee arthroscopies are performed worldwide each year.

Description

Arthroscopy is done through small incisions. During the procedure, your orthopaedic surgeon in Delhi inserts the arthroscope (an instrument with a small, pencil-sized camera) into your knee joint. The arthroscope sends the image to a television monitor. On the monitor, your surgeon can see the knee structures in great detail.

Your surgeon can use arthroscopy to feel, repair, or remove injured tissue. To do this, small surgical instruments are inserted through other incisions around your knee.

Preparation for surgery

If you decide to have knee arthroscopy in Delhi, you may need a complete physical exam with your family doctor before surgery. Your doctor will evaluate your health and identify any problems that may interfere with your surgery.

Before surgery, tell your orthopaedic surgeon in West Delhi about any medications or supplements that you take. The doctor will tell you which medications you should stop taking before surgery.

To help plan the procedure, your orthopaedic surgeon in Dwarka may order preoperative exams. These may include blood cell counts or an EKG (electrocardiogram).

Surgery

Almost all arthroscopic knee surgery is performed in outpatient care.

Process

The best knee surgeon in Delhi will make small incisions in your knee. A sterile solution will be used to fill the knee joint and remove any cloudy fluid. This helps your orthopaedic surgeon see your knee clearly and in full detail.

Your surgeon's first task is to properly diagnose your problem. He or she will insert the arthroscope and use the image projected on the screen to guide you. If surgical treatment is necessary, your best knee surgeon in West Delhi will insert tiny instruments through another small incision. These instruments can be scissors, razors, or lasers.

This part of the procedure generally lasts from 30 minutes to just over an hour. How long it lasts depends on the findings and the treatment needed.

Knee arthroscopy in Delhi is most commonly used to:

• Remove or repair broken meniscus cartilage
• Reconstruct a torn anterior cruciate ligament
• Trim broken pieces of articular cartilage
• Remove loose pieces of bone or cartilage
• Remove inflamed synovial tissue

Your surgeon can close the incisions with a suture or steri-strips (small adhesive strips) and cover them with a soft bandage.

You will be transferred to the recovery room and could go home in 1 to 2 hours. Make sure someone is with you to drive you home.

Recovery

Recovery from knee arthroscopy is much faster than traditional open knee surgery. Still, it is important to follow your orthopaedic surgeon's instructions carefully after you return home. You should ask someone to accompany you the first night at your home.

Inflammation

Keep your leg elevated as much as possible for the first few days after surgery. Apply ice according to the recommendations of orthopaedic in West Delhi to relieve inflammation and pain.

Care of compresses

You will leave the hospital with a bandage that will cover your knee. Keep the incisions clean and dry. Your orthopaedic in Dwarka will tell you when you can shower or bathe, and when you should change the dressing.

Your surgeon will see you in the office a few days after surgery to monitor your progress, review the results of the surgery, and begin your postoperative treatment program.

Bear weight

Most patients need crutches or other assistance after arthroscopic surgery. Your orthopaedic doctor in Delhi will tell you when it is safe to support weight on your foot and leg. If you have any questions about bearing weight, call your surgeon.

Driving vehicles

Your orthopaedic doctor in West Delhi will discuss with you when you will be able to drive. This decision is based on several factors, including:

• The involved knee
• If you drive an automatic or manual transmission vehicle
• The nature of the procedure
• Your level of pain
• If you are using narcotic pain medicine
• How much can you control your knee?

Typically, patients can drive 1 to 3 weeks after the procedure.

Medicines

Your orthopaedic doctor in Dwarka will prescribe pain medication to help ease the discomfort after surgery. Your doctor may also recommend medications such as aspirin to decrease the risk of blood clots.

You should exercise your knee regularly for several weeks after surgery. This will restore movement and strengthen your leg and knee muscles.

Therapeutic exercise will play an important role in your recovery. A formal physical therapy program can improve the bottom line.

Final Result

Unless you have a ligament reconstruction, you should be able to return to most of your physical activities after 6 to 8 weeks, or sometimes much earlier. Higher impact activities should be avoided for a longer time. You will need to speak to your doctor before resuming intense physical activities.

If your job involves heavy tasks, it may take longer before you can get back to work. Discuss with your orthopedic in Delhi when it is reasonable and safe for you to return to work.

The result of your surgery will likely be determined by the degree of damage to your knee. For example, if the articular cartilage in your knee has worn down completely, then full recovery may not be possible. You may need to change your lifestyle. This may mean limiting your activities and looking for low-impact exercise alternatives.

Knee Replacement Surgery

The purpose of knee replacement in Delhi is to replace the knee, or the part of the knee with a prosthesis, which is damaged by osteoarthritis. In some cases, it is an implant that will replace the articular surfaces (cartilage) of the tibia, the femur and the patella.

Who is it for?

In general, since implanting a prosthesis is a definitive surgical act, it can be suggested by the orthopaedic in Delhi when the patient's pain cannot be calmed with any other medical or surgical therapeutic method that is normally used in case of osteoarthritis.

Generally, this operation is performed in patients over 65 years of age, in which osteoarthritis affects two or more internal, external and anterior knee compartments. But some young patients may be the subject of an exception, each case is different, and only the doctor can judge the need and benefit of such a surgery.

The surgery

The knee replacement in Delhi is an important surgery. It requires a preparation that includes a complete clinical and radiological balance. If possible, it must be done in an establishment specializing in prosthetic surgery. Normally, the duration of hospitalization exceeds one week. This operation requires general or epidural anaesthesia.

In general, this decision will depend on your general condition and the type of operation that requires the implantation of your prosthesis. The duration of the operation can vary between 50 minutes and 2 hours. Generally, after the operation, it is convenient to stay between 15 and 30 days in a re-education centre, explains the best knee surgeon in Delhi.

The days after the operation and the re-education

You can start slowly walking towards the fourth day, with some crutches that are necessary at the beginning, and then can be abandoned (usually, after a month and a half). The re-education advisable or even essential. The help of the physiotherapist and the surgeon will allow to recover the amplitude of the movements and facilitates the resumption of the march. Normally, the operated person can return to work after 2 and a half months or 3 months.

However, after a surgery of this magnitude, the patient should periodically visit his family doctor (or General practitioners, Rheumatologists, Orthopedists, Traumatologists, Internists, Physiatrists, Rehabilitation Medicine). For this, the consultations to the orthopaedic surgeon in Delhi must also be regular: between 2 and 3 months after the surgery, another after 6 months and another one year later. Next, an annual check is recommended.

The results

Pain and mobility

The knee replacement in Dwarka is often effective in alleviating pain. It suppresses between 80 and 95% of the pain of osteoarthritis. The improvement of mobility depends on the type of prosthesis used, but also on the condition of the patient before the operation. However, generally, there is clear progress.

The scar

Normally, the scar is located on the vertical axis of the leg, in front of the kneecap.

The type of prosthesis

There are different types of prostheses that differ depending on:

• The part of the knee replaced: partial or complete prosthesis (tri-compartmental prostheses)
• The mode of fixation on the knee joint
• The knee stabilization medium used
• The mobility of the prosthesis components: fixed or mobile plateau.

Tri-compartmental prostheses

This type of prosthesis is the most frequent. They can be used in most osteoarthritis, even those that affect a single compartment of the knee. In addition, there are several models and they are used according to the state of deformation of the knee and allow the preservation or not of the cruciate ligaments. The choice of one of these prostheses depends on the state of your knee. Since each case is different, your orthopaedic in west Delhi is the best person to guide you in choosing a model. Tri-compartmental prosthetic models vary depending on 3 factors:

• Knee fixation mode: with cement or without cement
• The stabilization system: The different models allow the two crossed ligaments to be well preserved, one or none.
• The mobility of the fixed or mobile plateau.

The patellofemoral prosthesis

Osteoarthritis of the joint between the patella and the femur. This type of prosthesis is used exceptionally.

Partial or single compartment prostheses

Generally, this type of prosthesis allows an improvement in the mobility of the knee and hip. In addition to an almost complete disappearance of pain. Unlike the other two types of prostheses, these allow only the worn part of the joint to be replaced. However, this type of prosthesis is only used when only one of the knee compartments is affected: the internal, external femoro-tibial compartment or, exceptionally, the joint between the patella and the femur.

In addition, its implantation can only be advised in a patient whose knee deformation is unimportant and has normal cruciate ligaments. Your orthopaedic in Delhi is the best counsellor to explain whether you can benefit from this type of prosthesis.

Recovery and Discharge Time after Knee Arthroscopy

Recovery from arthroscopy knee surgery is much faster than traditional surgery. However, it varies depending on which area has been operated and the method used by the orthopaedic surgeon in Delhi. This involves torn meniscus, cruciate ligaments, synovial membrane, patella misalignment, broken joint cartilage and other pathologies such as Baker's cyst.

Tips to follow

As a rule, the recovery time of a knee arthroscopy in Dwarka depends on how long it takes for the inflammation caused by surgery to disappear. The patient should follow some tips such as:

• Use crutches for eight or ten days.
• Put your knee high using several cushions to cushion, in order to control swelling the days after surgery.
• Not standing for a long period of time, or doing any exercise until your doctor tells you to.
• Take pain relievers to alleviate pain.
• Take anti-inflammatory medication, such as ibuprofen, and get cold in the area.
• Start exercising to boost your area's musculature, when your physiotherapist in Dwarka advises you.

In most cases, the time off for a knee arthroscopy in Dwarka is estimated at one month. From that moment on, the patient can regain his or her normal routine.

The same is not true if the patient has undergone a more complex surgery such as meniscal repair. Here the immediate postoperative is heavier, although the results are very good. After the surgery, the advice of orthopaedic in Delhi should be followed and the knee should not bend more than 60 degrees or carry weight on the operated leg the first month. During that time you have to use crutches, avoiding supporting your foot and having your knee suffer. After 30 days you have to start a progressive rehabilitative treatment, from least to most. Recovery lasts about 3 or 4 months. After this time the patient regains mobility in the joint and can reach its previous sporting level, explains the best knee surgeon in Delhi.

After surgery, some precautions should be taken to prevent wounds from becoming infected. The incisions should be kept clean and dry while the stitches are maintained. It is recommended to cover the operated leg with a plastic, when the patient is going to shower, to protect it from moisture and water. Routine checks are common for the specialist to assess development. Your orthopaedic in Tilak Nagar will also indicate when you can drive again, although it usually will take one to three weeks.

Rehabilitation and exercises

Rehabilitation following a knee arthroscopy in Dwarka seeks full joint recovery, returning tone, strength and mobility. In athletes, this step, prior to full recovery, is very important to get back to their sporting level before the injury. The type of injury marks when rehabilitation needs to begin and how it should be done, says the sports injury specialist in west Delhi.

There are exercises the patient can do at home. The most common ones, which can be done sitting or standing are:

• Contract the quadriceps, pressing the knee and holding for five seconds.
• Raise your legs about 30 cm and keep them stretched with your foot in a flex position (planting dorsiflexion) for a few seconds.

Both require about 10 repetitions. Also, when crutches are no longer used, the orthopaedic in Delhi recommends:

• Carry weight on the knee gradually.
• Perform joint bending and extension exercises.
• Up and down stairs
• Walk

After a knee arthroscopy in Delhi, most people in a month resume their normal activity and work, although in some cases they may need to use crutches. In certain surgerys, recovery lasts for several months.

Partial Knee Replacement

Partial knee replacement in Delhi is an alternative to total knee replacement for some patients with osteoarthritis of the knee when the damage is limited to a particular compartment of the knee. In the past, partial knee replacement was reserved for elderly patients who were involved in few activities, but with implants and improved surgical techniques, more patients are now being considered for partial knee replacement compared to a few years ago. About 5% to 6% of patients with arthritic knees are considered eligible for partial knee replacement, says best knee surgeon in Delhi.

How common is knee osteoarthritis?

It is estimated that up to 30% of the population has knee osteoarthritis. Until age 50, knee osteoarthritis is equally common in men and women. After 50, more women are affected, says orthopaedic in Delhi.

What is osteoarthritis?

Osteoarthritis is the breakdown of connective tissue called articular cartilage within the joint. Articular cartilage prevents rubbing between one bone against another. The cartilage acts as a shock absorber of the impacts on the joint and allows stable and smooth movements within the joint. When the cartilage becomes thinner, the joint may become inflamed and you may feel pain and stiffness in the joint and your range of motion may be limited, says orthopaedic in Najafgarh.

What is a partial knee replacement?

In partial knee replacement in west Delhi, only the damaged part of the knee cartilage is replaced by a prosthesis.

What are the advantages of partial knee replacement over total knee replacement?

Compared with total knee replacement, partial knee replacement preserves better range of motion and function of the knee because it preserves healthy bones and tissues in the knee. For these reasons, patients tend to be more satisfied with partial knee replacement compared to total knee replacement, and they are still candidates for a total knee replacement if they need it in the future. There is also less blood loss during surgery, and the movement of the knee recovers faster with partial knee replacement, says orthopaedic in Tilak Nagar.

Who is a candidate for partial knee replacement?

Patients with medial, lateral, or patellofemoral knee osteoarthritis may be considered for partial knee replacement. "Medial" refers to the internal compartment of the joint, which is the compartment closest to the opposite knee, while "lateral" refers to the outer compartment furthest from the opposite knee. Medial knee osteoarthritis is commonly caused by damage to the cartilages of the knee, known as the meniscus.

Patellofemoral osteoarthritis is osteoarthritis of the joint between the kneecap (patella) and the lower leg bone (femur). This type of knee osteoarthritis is more common than osteoarthritis of the lateral compartment of the knee.

If your knee pain persists despite anti-inflammatory medications and maintaining a healthy weight, you may want to consider a knee replacement, says orthopaedic in Vikaspuri.

Your doctor will ask you to identify the area of ​​pain in your knee, then examine your range of motion and stability of the knee. An X-ray examination of the knee will determine your eligibility for partial knee replacement but the surgeon will not know for sure if you are a good candidate until the surgery has begun. To be a candidate, you must have the anterior cruciate ligament intact, a sufficient range of motion of the knee, limited inflammation, minimal pain at rest, damage to one compartment only, and no calcification of the cartilage or dislocation of the knee.

In the past, partial knee replacement was considered only in patients older than 60 years who were sedentary but lately, more active patients are progressively being considered.

How is the recovery?

You can start moving the knee the day after joint replacement surgery in Delhi. The function of your knee should return quickly and with less pain than with total knee replacement. You will work with a physical therapist to mobilize the knee while you are in the hospital and for 2 to 4 weeks after discharge, which usually occurs in no more than 1 or 2 days after surgery.

You will need medications to prevent the formation of blood clots while you are in the hospital and possibly for a period of time after you are discharged.

If all goes well, you should return to a full activity in about 1 month. Impact or jogging / running exercises may not be recommended because the replacement includes a support surface that can be damaged.

What are the risks?

An infection at the surgery site is possible. Blood clots are a risk, as are injuries to blood vessels or nerves. These complications are quite rare. You may experience some stiffness in the knee joint.

Late complications include infections and failure, detachment, or dislocation of the prosthesis as well as continuous pain.

Knee Replacement Clinic in Delhi

The specialized kneeling services offered by orthopaedic in Delhi is a comprehensive approach to the care and management of knee injuries and diseases. Orthopaedic in West Delhi uses many of the new techniques and technologies in this field. The team of specialists offers cutting-edge experience in the evaluation and treatment of a wide range of diseases and injuries that can occur at any stage of life and that affect both adolescents and the elderly. Our service is among the most experienced in Delhi.

The services include the following:

• Evaluation of diseases and injuries of the knees.
• Conservative treatments to preserve or correct the knee in order to relieve pain and restore mobility, including injection therapy.
• Minimally invasive procedures, arthroscopy in Delhi.
• Latest techniques in sports injury surgeries, including the reconstruction of the ligament complex.
• Advanced care of the knee fracture.
• Knee replacement surgery in Delhi, including complex revision surgery.
• Rehabilitation, advanced therapy.

Our program is unique in its kind in Delhi: it offers vast experience and treatment options available for the evaluation and management of knee problems. Our orthopaedic doctor in Dwarka experience-based care to treat knee problems in people of any age. Whether it's the professional athlete or the weekend warrior, the orthopaedic in Najafgarh can offer you the best knee care in Delhi.

Best knee surgeon in Delhi works with a team to devise a comprehensive and personalized treatment and rehabilitation plan for our patients. In addition to other doctors, the team has nurses, physiotherapists, occupational and recreational therapists and social workers.

• The team of orthopaedic in Janakpuri provides comprehensive care, considering the individual needs of the patient and always for the benefit of the patient.
• Our team of specialists is at the forefront of technology and minimally invasive surgery (including arthroscopic procedures for knee surgery). 
• Orthopaedic in Palam pioneered many of the innovative techniques currently used, emphasizing patient safety and long-term mobility.
• Thanks to its vast experience and research carried out, Orthopaedic in Tilak Nagar can offer alternatives to patients, including innovative ways to minimize the need for invasive procedures as well as prevent joint replacement.

Knee Joint Replacement Surgery (Arthroplasty)

Knee Replacement

IF YOU CONSIDER THAT THE PAIN AND THE DISABILITY OF YOUR KNEE ARE SO IMPORTANT TO ALTER YOUR QUALITY OF LIFE, you may opt for a knee replacement surgery by orthopaedic in Malviya Nagar.

This is a surgery that consists basically of replacing some or all of the damaged parts of the knee with synthetic elements commonly called PROTESIS.

Knee replacement in Delhi is an operation with a high percentage of success, decreases pain and improves the mobility of the joint.

Consequently, the goal of this joint replacement in Delhi is to relieve the pain caused by this disease and improve joint function, however as any surgical procedure is not exempt from risks such as fever, infection, loosening, neurovascular problems, which will be explained with more detail by your knee team doctor.

In addition, medication will be indicated to reduce the risk of thrombosis.

Pre-surgical Exam.

For a correct clinical assessment prior to surgery, a series of complementary studies (electrocardiogram, blood and urine tests, etc.) will be carried out by orthopaedic in Uttam Nagar.

ONCE YOU ARE IN CLINICAL CONDITIONS FOR SURGERY YOU SHOULD VISIT YOUR DOCTOR'S KNEE TO CONFIRM THE DATE YOUR SURGERY.

Preparing the Surgery.

• Authorization of your prepaid or social work.
• Procedures to obtain the requested Prosthesis.
• Make a bed reservation.
• You must sign an informed consent.
• Post-operatory materials: walker, crutches, mediaantiembolica, etc.
• If you are taking any medication you should notify your doctor a few days before surgery.

Surgery

Remember that the day before the operation, after midnight (24 hours), you should not eat or drink anything. This includes water.

On the day of surgery, you must present yourself at the Orthopaedics admissions office, with the studies referring to surgery (analysis, electrocardiogram, x-rays, magnetic resonance, etc.) where you will be informed which room has been assigned and where you will wait for your surgical shift.

Later he will be transferred to the operating rooms of this hospital where he will be received by an anaesthesiologist, who will decide the type of anaesthesia to perform.

After this, he will go to the operating room where the surgical procedure will be carried out.

At the end of it will be transferred to the aesthetic recovery room.

From there, he will be taken according to the clinical history to a room or intermediate therapy or coronary unit, where his family is waiting for him.

Here begins a fundamental stage: post-operative and rehabilitation.

Postoperative

Generally, the post-operative stay is approximately five days, where it will be evaluated by the doctors of the knee team, the first cures of the surgical wound will be made, and it will be visited by physiotherapists of the hospital's rehabilitation service to teach it the care and exercises that you should perform.

Hospital discharge

At the time of hospital discharge you must have the orthopaedic elements requested by your doctor.

Then clinical controls will be performed, with wound healing.

YOU MUST URGENTLY CONTACT THE HOSPITAL GUARD WITH THE FOLLOWING SYMPTOMS:

• INTOLERANT PAIN in the operated limb that does not yield with rest, ice or anti-inflammatory medication.
• FEVER GREATER THAN 38º C
• SECRETION OF LIQUID AND / OR SOME TYPE OF MATERIAL BY THE WOUND
• EDEMA (HINCHAZON) IMPORTANT IN YOUR LEGS
• DIFFICULTY SUBITA TO BREATH, WITH IMPORTANT COURTS
• IMPORTANT PAIN IN THE CHEST

IF YOU PRESENT ANY OTHER SYMPTOM NOT DESCRIBED ABOVE, OR YOU HAVE ANY DOUBT ABOUT MEDICATION AND / OR SURGERY, DO NOT HESITATE TO CONSULT YOUR DOCTOR.

Bring Back Your Mobility With Knee Replacement in Delhi

Who is idle for knee replacement?

Total knee replacement in Delhi is considered for patients whose knee joints have been harmed by either arthritis, injury, or other uncommon damaging disease of the joint. The most well-known purpose behind knee replacement in South Delhi is serious osteoarthritis of the knees.

Notwithstanding the reason for the harm to the joint, the subsequent dynamically expanding agony and firmness and diminishing every day work lead the patient to consider add up to knee replacement in Dwarka. Choices in regards to whether or when to experience knee replacement surgeries are difficult. Patients ought to comprehend the dangers and in addition the advantages previously settling on these choices.

What is knee replacement?

A total knee replacement in Delhi is a surgery whereby the unhealthy knee joint is supplanted with counterfeit material. The knee is a pivot joint which gives movement at the point where the thigh meets the lower leg. The thighbone (or femur) adjoins the huge bone of the lower leg (tibia) at the knee joint. Amid a knee replacement, the end of the femur bone is expelled and supplanted with a metal shell. The end of the lower leg bone (tibia) is likewise expelled and supplanted with a directed plastic piece with a metal stem. Contingent upon the state of the kneecap segment of the knee joint, a plastic "catch" may likewise be included under the kneecap surface. The fake segments of a total knee replacement are alluded to as the prosthesis.

The back cruciate tendon is a tissue that typically balances out each side of the knee joint with the goal that the lower leg can't slide in reverse in connection to the thighbone. In complete knee replacement procedure, this tendon is either held, relinquished, or substituted by a polyethylene post. Every one of these different structures of total knee replacement has its own specific advantages and dangers.

After Surgery Care

A total knee replacement for the most part requires among one and a half to three hours of surgery time. After surgical procedure, patients are taken to a recuperation room, where essential organs are much of the time checked. Whenever stabilized, patients are come back to their hospital room.

Entry of pee can be troublesome in the quick postoperative period, and this condition can be bothered by torment prescriptions. A catheter embedded into the urethra (a Foley catheter) permits free section of pee until the point when the patient turns out to be more portable.

Physical therapy is a critical piece of recovery and requires full support by the patient for ideal result. Patients can start physical therapy 48 hours after the procedure. Some level of torment, uneasiness, and firmness can be normal amid the beginning of active recuperation. Knee immobilizers are utilized with the end goal to balance out the knee while experiencing physical therapy, strolling, and resting. They might be expelled under the direction of the physiotherapist in Dwarka for different parts of physical therapy.

An extraordinary gadget that can help speed recuperation is the constant passive movement (CPM) machine. The CPM machine is first connected to the worked leg. The machine at that point always moves the knee through different degrees of scope of movement for quite a long time while the patient unwinds. This can enhance course and limit the danger of scarring and contracture of the tissues around the knee.

Patients will begin strolling utilizing a walker and bolsters. In the end, patients will figure out how to stroll here and there stairs and grades. Various home activities are given to fortify thigh and lower leg muscles.

When you are home, it is critical to keep the careful region perfect and dry. Your physiotherapy doctor in Dwarka will give you particular showering guidelines. The lines or careful staples will be expelled amid a subsequent office visit.

To help lessen swelling, you might be requested to hoist your leg or apply ice to the knee.

Take pain reliever for soreness as prescribed by your specialist. Ibuprofen or certain other pain drugs may build the possibility of bleeding. Make sure to take just prescribed prescriptions.

Tell your orthopaedic in Dwarka, Delhi to report any of the accompanying:

·         Fever

·         Redness, swelling, bleeding, or other waste from the entry point site

·         Expanded torment around the surgical point site

You may continue your ordinary eating regimen except if your orthopaedic in Delhi exhorts you in different way.

You ought not drive until the point when your orthopaedic in South Delhi instructs you to. Other action confinements may apply. Full recuperation from the medical procedure may take a while.

It is vital that you stay away from falls after your knee substitution medical procedure, in light of the fact that a fall can result in harm to the new joint. Your therapist may prescribe an assistive gadget (stick or walker) to enable you to stroll until the point when your quality and parity move forward.

Making certain alterations to your home may help you amid your recuperation. These changes incorporate, yet are not constrained to, the accompanying:

·         Legitimate handrails along all stairs

·         Security handrails in the shower or shower

·         Shower bench or seat

·         Raised toilet seat

·         Since quite a while ago took care of wipe and shower hose

·         Dressing stick

·         Sock help

·         Since quite a while ago dealt with shoe horn

·         Reaching stick to snatch objects

·         Evacuating free covers and electrical lines that may make you trip

·         Keeping away from stair-moving until suggested by your best orthopaedic in Dwarka

Your best knee surgeon in Delhi may give you extra or exchange directions after the system, contingent upon your specific circumstance.