One of the four powerful bands of fibrous tissue known as ligaments that hold the knee together and provide support is the ACL. Your thigh (femur) and shin (tibia) bones meet diagonally within your knee, where the ACL is located. Most of the time when you turn, twist, or pivot, your ACL helps to stabilise your knee. Sadly, the knee ligament is the one that gets hurt the most. One of the most frequent and serious sports injuries is an ACL tear.
When the ACL is torn:
- 70% of people who have an ACL tear feel or hear a pop.
- Your knee will often swell immediately.
- You might feel unsteady in your leg. Your shin can advance beyond its normal range, which is why (called loss of anterior stability). Additionally, quadriceps soreness and edoema might prevent the muscle from functioning effectively.
- You can have very little range of motion. Your leg will hurt as you try to straighten it.
- Anaesthesia will be provided to you generally. This implies that you won't be conscious during the procedure.
- Two to Three keyhole small incision are made. These are for tiny arthroscopic tools like cameras and lights that allow surgery to be performed on your knee without having to open it up.
- A sterile saline solution is flushed down the inside of your knee.
- The surgeon removes the remaining torn ACL while using cameras and small equipment.
- The femur has one socket or tunnel drilled into it. Your shinbone has another socket/tunnel drilled into it.
- In both tunnels, a substitute tendon (referred to as a graft) is inserted and fastened with screws or suspension devices. Your patellar, hamstring, or quad tendons are extracted for the transplant during autograft surgery.
- At this stage, any additional ligament or meniscus damage may be corrected.
- Depending on the extent of your knee issues, the procedure takes roughly two hours.
- The patient returns home in one or two days.
- Soon after, physical therapy begins.
Arthroscopic PCL reconstruction surgery is a type of surgical procedure that is used to reconstruct the posterior cruciate ligament (PCL) in the knee. This type of surgery is typically performed using an arthroscope, which is a small, thin camera that is inserted into the knee joint through a small keyhole incision. The surgeon can then view the inside of the knee on a screen and use specialized surgical instruments to repair or reconstruct the damaged PCL.
Symptoms of a PCL tear can include pain and swelling in the knee joint, a feeling of instability or "giving way" in the knee, and difficulty walking or bearing weight on the affected leg. In severe cases, a PCL tear may also cause the knee to feel "loose" or "wobbly." Some people with a PCL tear may also experience bruising or a "popping" sensation in the knee at the time of the injury. It is important to see a doctor if you think you may have a PCL tear, as an untreated PCL tear can lead to long-term instability and damage to the knee joint.
PCL injuries are typically diagnosed by a doctor through a physical examination and imaging tests. During the physical examination, the doctor will check for swelling, tenderness, and instability in the knee joint, as well as any other signs of a PCL injury. The doctor may also ask the patient to perform certain movements or exercises to assess the knee's range of motion and stability.
Imaging tests, such as an X-ray or MRI, can also be helpful in diagnosing a PCL injury. These tests can provide detailed images of the knee joint and can help the doctor to determine the extent of the injury and whether the PCL has been torn or damaged. Based on the results of the physical examination and imaging tests, the doctor can determine the best course of treatment for the PCL injury.
Arthroscopic meniscal repair is a surgical procedure that is used to repair a tear in the meniscus, a C-shaped piece of cartilage in the knee joint that acts as a cushion between the thigh bone and the shin bone. The meniscus can become damaged or torn due to injury or wear and tear, and this can cause pain, swelling, and difficulty moving the joint.
During arthroscopic meniscal repair, a surgeon makes small keyhole incisions around the knee and inserts a thin instrument called an arthroscope into the joint. The arthroscope is equipped with a small camera, which allows the surgeon to view the inside of the knee on a monitor. Using special instruments, the surgeon can then repair the tear by sewing the edges of the meniscus together or by removing a damaged portion of the meniscus.
Arthroscopic meniscal repair is a minimally invasive procedure, which means that it is less invasive and requires smaller incisions than traditional open surgery. This can result in a faster recovery and fewer complications.
Between 4 and 6 weeks after surgery, the majority of patients are able to return to their normal routines.
Like with any operation, your surgeon will be able to advise you on the ideal recuperation period for you.
A meniscus tear itself may not necessarily lead to the need for a knee replacement. However, if the tear is severe and cannot be repaired, it may result in ongoing knee pain and instability, which can lead to the need for further treatment. In some cases, this may include a knee replacement.
The meniscus is a C-shaped piece of cartilage in the knee that helps to absorb shock and stabilize the joint. A tear in the meniscus can occur as a result of a sudden injury, such as a twist or a direct impact, or it can develop over time due to wear and tear.
If you have a meniscus tear, your treatment will depend on the severity of the tear and your overall health. In some cases, a meniscus tear can be treated with conservative measures, such as physical therapy and medications. In other cases, surgery may be needed to repair or remove the damaged tissue.
It is important to follow your doctor's recommendations for treatment and to take steps to protect your knee, such as using proper body mechanics and avoiding high-impact activities. This can help reduce the risk of further injury and may help to prevent the need for a knee replacement in the future.
There are several reasons why a total meniscus replacement may be necessary. The meniscus is a small, C-shaped piece of cartilage located in the knee joint that helps to cushion and stabilize the joint. It can become damaged or torn due to injury or disease, leading to pain and difficulty with movement.
In some cases, a meniscal tear can be repaired through suture or other techniques. However, if the tear is too large or the meniscal tissue has been lost due to injury or disease, a total meniscus replacement may be necessary. This is because the meniscus plays an important role in the proper functioning of the knee joint, and replacing it can help to alleviate pain and restore mobility.
Total meniscus replacement is a surgical procedure in which the damaged meniscus is removed and a man-made substitute is sewn or attached in its place. The procedure is typically performed using an arthroscope, a thin, flexible tube with a small camera on the end, which is inserted into the joint through a small incision in the skin. The arthroscope allows the surgeon to see inside the joint and perform the procedure using small instruments inserted through additional incisions.
There are several different types of implants that can be used in a total meniscus replacement procedure. These implants are designed to mimic the structure and function of the natural meniscus, and may be made of a variety of materials, including:
- Synthetic polymers: These implants are made of man-made materials such as polyethylene or polyurethane, which are durable and resistant to wear.
- Biologic implants: These implants are made from biological tissues, such as porcine (pig) or bovine (cow) meniscal tissue. They are designed to mimic the structure and function of the natural meniscus, and may be used to repair or replace damaged or lost meniscal tissue.
- Hybrid implants: These implants are made from a combination of synthetic polymers and biologic tissues, and are designed to offer the benefits of both types of materials.
The specific type of implant used in a total meniscus replacement procedure will depend on the individual patient's needs and the surgeon's preference. It is important to discuss the various options with a qualified healthcare professional in order to determine the best choice for you.
Arthroscopic stiff knee release is a surgical procedure in which a small camera, called an arthroscope, is inserted into the knee joint through a small keyhole incision. The arthroscope allows the surgeon to view the inside of the joint and identify any areas of stiffness or damage. The surgeon can then use small instruments inserted through additional small incisions to release the stiff tissue and smooth out any rough surfaces within the joint. This procedure is typically performed to treat stiffness in the knee that cannot be resolved with non-surgical treatment options, such as physical therapy or medications. It is often used to treat conditions such as osteoarthritis, rheumatoid arthritis, and meniscal tears.
The main symptom of a stiff knee is difficulty moving the joint through its full range of motion. This can cause difficulty with activities such as walking, climbing stairs, or getting in and out of a car. Other symptoms of a stiff knee may include:
- Pain: Stiffness in the knee may be accompanied by pain, particularly when attempting to move the joint.
- Swelling: The knee may become swollen or inflamed due to stiffness.
- Crunching or grinding sensation: Some people may feel a crunching or grinding sensation when moving the joint.
If you are experiencing any of these symptoms, it is important to consult a healthcare professional for a proper diagnosis and treatment plan.
The length of time it takes to return to your regular activities after an arthroscopic stiff knee release will depend on the specific procedure which was performed and your individual recovery. In general, you can expect to take a few weeks off from work and other activities while you recover. Your surgeon will provide specific guidelines for your recovery, including when you can return to work and when you can resume your regular activities.
It is important to follow your surgeon's instructions and start on graded physical activity during the first few weeks after the procedure. Avoid activities that put too much strain on your knee, such as running or jumping. Gradually increase your activity level as your knee strength and mobility improve. You may also need to attend physical therapy to help improve your range of motion and strengthen the muscles around your knee.
If you have any concerns about your recovery or when you can return to your regular activities, it is important to contact your surgeon for guidance.