Knee replacement surgery is a joint replacement procedure performed by orthopedic surgeons to resurface a knee damaged by arthritis or injury. During knee replacement, a surgeon cuts away damaged bone and cartilage from the thighbone, shinbone, and kneecap and replaces it with a metal or plastic implant to recreate the surface of the joint.
Artificial knee implants consist of three components:
- The tibial component is a flat metal platform that attaches to the top of the tibia bone. This provides a surface for the femoral component to glide on.
- The femoral component is a curved piece made of metal alloy or very hard plastic that caps the end of the femur bone. Its smooth surface mimics the rounded end of the femur and the underside glides on the tibial component.
- A plastic spacer is inserted between the tibial and femoral components to provide a smooth gliding surface. The patellar component is a dome-shaped disk that caps the back of the kneecap.
During this orthopedic surgery, the damaged cartilage and bone are removed with small cutting guides to shape the bone precisely for the implant. The femoral and tibial components are tested to achieve optimal fit and positioning. After the joint is aligned and stabilized, the surgical incision is closed with stitches or staples.
The joint replacement procedure takes 1-2 hours under general or spinal anesthesia. Most patients are able to walk with support the day after surgery. Post-surgical hospital stay is typically 1-3 days followed by progressive physical therapy. With a dedication to rehabilitation, most people experience dramatically reduced pain, renewed mobility, and better quality of life.
Knee replacement is generally very effective at relieving arthritis pain and restoring function. Implants can last 15-20 years in most patients. Candidates for knee replacement include:
- Those with chronic, debilitating knee arthritis pain
- People whose arthritis pain persists despite nonsurgical treatment
- Patients with significant loss of cartilage and damage to knee bones
- Those with severe stiffness, swelling, or deformity in the joint
Talk to your orthopedic surgeon to determine if you are a good candidate for knee replacement surgery. Though a major procedure, the vast majority of patients gain substantial pain relief and renewed vigor to participate in daily activities. With advanced techniques and rigorous quality standards, our surgeons achieve excellent outcomes so you can get back on your feet and enjoy life again!
Dr. Manmohan Singh
Total Knee and Hip Replacement
Total knee and hip replacement are surgical procedures designed to replace a damaged or worn-out joint with an artificial joint, known as a prosthesis. These procedures are typically recommended for patients who have severe joint pain or stiffness that has not responded to conservative treatments, such as medication or physical therapy. During the surgery, the damaged joint is removed and replaced with a prosthesis made of metal, plastic, or ceramic components that mimic the function of a healthy joint. Total knee and hip replacement surgeries are typically performed under general anesthesia and require a hospital stay of several days, followed by a period of rehabilitation to regain strength and mobility. These procedures can greatly improve quality of life for patients with severe joint pain or mobility issues, but like any surgery, they carry risks and potential complications, such as infection, blood clots, or implant failure. It is important for patients to discuss their options and risks with their healthcare provider to determine if total knee or hip replacement is the best option for them.
Minimal Invasive Joint Replacement
Minimal invasive joint replacement is a surgical technique that involves smaller incisions and less tissue damage than traditional joint replacement surgery. This technique is commonly used for hip and knee replacements, and it offers several benefits for patients, including shorter hospital stays, faster recovery times, and less pain and scarring.
During a minimal invasive joint replacement, the surgeon uses specialized instruments and techniques to make smaller incisions and maneuver around muscles and other tissues, rather than cutting through them. This approach can reduce postoperative pain and stiffness and lead to a quicker return to normal activities.
However, not all patients are candidates for minimal invasive joint replacement, as the procedure may not be suitable for individuals with severe joint damage or certain medical conditions. It is important for patients to discuss their options with their orthopaedic surgeon to determine the best approach for their individual needs.
Overall, minimal invasive joint replacement is a promising technique for improving patient outcomes and reducing recovery times for joint replacement surgery. As with any surgical procedure, there are risks involved, and patients should carefully weigh the benefits and risks before making a decision.
Primary & Revision Joint Replacement
Primary joint replacement is a surgical procedure that involves replacing a damaged joint with an artificial joint. This procedure is typically performed for patients with severe joint pain or disability caused by conditions such as osteoarthritis, rheumatoid arthritis, or trauma.
Revision joint replacement, on the other hand, is a procedure performed to replace an artificial joint that has become worn or damaged over time, or has failed due to other reasons such as infection or instability. This procedure is typically more complex than primary joint replacement, as it involves removing the existing implant and addressing any bone loss or damage that may have occurred.
Both primary and revision joint replacement procedures can greatly improve a patient’s quality of life by reducing pain, improving mobility, and restoring function to the affected joint. However, revision joint replacement is typically a more complicated procedure with a longer recovery time and a higher risk of complications than primary joint replacement.
Patients considering joint replacement surgery should work closely with their orthopedic surgeon to determine the best course of treatment for their individual needs. Factors such as the extent of joint damage, patient age and health, and the presence of other medical conditions may influence the decision to undergo primary or revision joint replacement surgery.
Complex Trauma
Complex trauma refers to the experience of multiple or prolonged traumatic events, often in the context of interpersonal violence, abuse, or neglect. These events can have long-lasting effects on a person’s physical and mental health, as well as their social and emotional functioning.
Symptoms of complex trauma may include depression, anxiety, flashbacks, dissociation, self-harm, substance abuse, and difficulty forming and maintaining healthy relationships. Treatment for complex trauma typically involves a combination of therapeutic approaches, such as cognitive-behavioral therapy, trauma-focused therapy, and medication management.
It is important for individuals who have experienced complex trauma to seek professional help from a qualified mental health provider. With appropriate treatment and support, individuals can learn to cope with the effects of trauma and work towards recovery and healing.
Deformity
Deformity in children can refer to any condition in which a child’s body part or function is abnormal or different from what is typically expected for their age and developmental stage. Common causes of deformity in children include congenital disorders, genetic conditions, injuries, and developmental or neurological disorders.
Deformities can impact a child’s physical health, as well as their social and emotional well-being. For example, a child with a limb deformity may have difficulty performing daily tasks or participating in physical activities with peers, leading to feelings of isolation or low self-esteem.
Treatment for deformity in children may include surgery, physical therapy, bracing, or other interventions aimed at improving mobility, function, and quality of life. Early detection and treatment can be important in preventing long-term complications and improving outcomes for children with deformities.
It is important for parents and caregivers to work closely with their child’s healthcare provider to monitor their development and address any concerns or issues that may arise. With appropriate care and support, children with deformity can lead happy and fulfilling lives.
Management of Osteoporosis, Rheumatoid Arthritis, Backache, Neck Pain
Management of osteoporosis, rheumatoid arthritis, backache, and neck pain typically involves a combination of medications, lifestyle modifications, and other interventions aimed at reducing pain and inflammation, improving mobility, and preventing further bone loss or joint damage.
For osteoporosis, treatment may include medications such as bisphosphonates, hormone replacement therapy, and calcium and vitamin D supplements to improve bone density and reduce the risk of fractures. Lifestyle modifications such as weight-bearing exercise, smoking cessation, and reducing alcohol consumption may also be recommended.
In the case of rheumatoid arthritis, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and biologic agents may be prescribed to reduce inflammation and slow the progression of joint damage. Physical therapy, exercise, and assistive devices may also be helpful in managing symptoms and improving joint function.
For backache and neck pain, treatment may include pain medications, physical therapy, chiropractic care, acupuncture, and massage therapy. Lifestyle modifications such as weight management, regular exercise, and proper posture may also be recommended to prevent further injury and manage pain.
It is important for individuals with these conditions to work closely with their healthcare provider to develop a comprehensive treatment plan tailored to their individual needs and goals. Regular follow-up appointments and monitoring can help ensure that treatment remains effective and appropriate over time.
Sports Injuries
Sports injuries can occur during any type of physical activity or exercise, ranging from recreational sports to professional athletics. Common sports injuries include sprains, strains, fractures, dislocations, and concussions.
The management of sports injuries typically involves a combination of rest, physical therapy, and pain management. Depending on the type and severity of the injury, other interventions such as surgery or casting may also be necessary.
Preventing sports injuries is also an important part of managing them. This includes proper warm-up and cool-down activities, using appropriate protective gear, maintaining proper form and technique during exercise or activity, and gradually increasing intensity and duration of exercise.
In addition to physical interventions, psychological support may also be beneficial in managing sports injuries. Athletes may experience feelings of frustration, disappointment, or anxiety related to their injury and the impact it has on their sport or activity. Counseling or support groups can provide a safe space for athletes to discuss their feelings and receive support.
It is important for individuals with sports injuries to seek professional medical care and follow their healthcare provider’s recommendations for treatment and recovery. With appropriate management, most sports injuries can be effectively treated, and athletes can return to their activities with a reduced risk of further injury.
Rheumatology & Immunology
Rheumatology is a subspecialty of internal medicine that focuses on the diagnosis and management of autoimmune and inflammatory diseases affecting the joints, muscles, and bones. Examples of rheumatic diseases include rheumatoid arthritis, lupus, gout, and osteoarthritis.
Immunology is the study of the immune system, including its functions, disorders, and interactions with other systems in the body. It encompasses a wide range of diseases and conditions, including allergies, immunodeficiencies, autoimmune disorders, and cancer immunology.
Rheumatology and immunology often overlap, as many rheumatic diseases involve the immune system and its interactions with the body’s tissues and organs. Diagnosis and management of rheumatic diseases often involve assessing the immune system’s function and identifying any underlying immune disorders.
Treatment for rheumatic and immunologic disorders may include a combination of medications, physical therapy, and lifestyle modifications aimed at reducing inflammation, pain, and improving mobility. In some cases, biologic therapies or immunomodulatory drugs may be used to target specific components of the immune system.
It is important for individuals with rheumatic or immunologic disorders to work closely with their healthcare provider to develop a comprehensive treatment plan tailored to their individual needs and goals. Regular monitoring and follow-up can help ensure that treatment remains effective and appropriate over time.
Congenital Deformities
Congenital deformities are physical abnormalities that occur during fetal development or are present at birth. These deformities can affect various parts of the body, including the limbs, spine, heart, and brain.
Examples of congenital deformities include clubfoot, cleft lip or palate, spina bifida, and congenital heart defects. Some congenital deformities may be genetic or inherited, while others may be caused by environmental factors or a combination of genetic and environmental factors.
The management of congenital deformities typically involves a multidisciplinary approach that may include surgery, physical therapy, and ongoing medical care. In some cases, assistive devices or mobility aids may be necessary to help individuals with congenital deformities achieve their functional goals.
Early intervention is important in the management of congenital deformities, as many can be identified and treated before birth or in the early stages of infancy. Close monitoring and follow-up throughout childhood and into adulthood can help ensure that individuals with congenital deformities receive appropriate care and support to maximize their potential and improve their quality of life.
Fractures & Poly Trauma
Fractures and polytrauma refer to injuries that involve multiple body systems and/or multiple fractures. These injuries can be caused by various events, including falls, motor vehicle accidents, and sports injuries.
The management of fractures and polytrauma typically involves a multidisciplinary team approach, including orthopedic surgeons, trauma surgeons, physical therapists, and rehabilitation specialists. Treatment may include surgical intervention, pain management, immobilization, and physical therapy aimed at restoring mobility and function.
In cases of polytrauma, the management of associated injuries, such as traumatic brain injury or spinal cord injury, may also be necessary. This may involve specialized care in a trauma center or intensive care unit.
Early intervention and appropriate management of fractures and polytrauma are important to help minimize complications and improve outcomes. Close monitoring and follow-up throughout the recovery process can help ensure that individuals with these injuries receive the care and support they need to achieve the best possible outcomes.
