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Arthroscopy is a popularly used minimally invasive surgical technique to diagnose and treat a host of knee problems that can occur due to various reasons. Knee arthroscopy is a surgical procedure that allows Orthopedic surgeon to view the concerned knee joint by making a very small incision and inserting a tiny fiber optic telescope called the arthroscope into your knee to view the inside of the joint on a screen. The surgeon can then investigate a problem with the knee and, if necessary, correct the issue using small instruments within the Arthroscope.
The procedure is more often used in patients where the issue does not require joint replacement surgery. Patients who have experienced sudden knee injuries or have twisted their knee perhaps while playing some sport that may have caused misalignment of the bones; the best treatment is generally arthroscopy. There are limited risks to the procedure and the outlook is good for most patients. Your recovery time and prognosis will depend on the severity of the knee problem and the complexity of the required procedure.
Arthroscopic surgery can diagnose and treat knee injuries, including:
After proper consultation with the doctor and on the basis of medical history, and investigations including MRI proper planning is done.
Anaesthesia is given which may be General, Spinal or Local depending upon the condition and requirement.
The surgeon will begin by making a few small incisions in your knee. Sterile salt water or saline, will then pump in to expand your knee. This makes it easier for the surgeon to see inside the joint. The arthroscope enters one of the cuts and the surgeon will look around in your joint using the attached camera. The surgeon can see the images produced by the camera on the monitor in the operating room.
When the surgeon locates the problem in your knee, they may then insert small tools into the incisions to correct the issue. After the surgery, the surgeon drains the saline from your joint and closes your cuts with stitches.
Outcomes are generally good if performed by an experienced orthopedic surgeon, with very less probability of development of complications.
Depending on the diagnosis of the patient’s condition and subjective to his case, extent of damage, knee arthroplasty or an alternative suitable treatment will be advised by the surgeon.
Also Known as arthroplasty, is one of the most commonly performed surgeries with excellent outcomes and patient satisfaction if performed by a skilled and experienced Joint replacement surgeon
The objective of a Knee Replacement Surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments. There are several causes that can lead to issues in the knee joints. Arthritis is a degenerative joint disease that is one of the most common ailments that affect your knees. causes the breakdown of joint cartilage and adjacent bone in the knees causing pain and discomfort to the individual. Similarly, in Rheumatoid Arthritis, inflammation of the synovial membrane results in excessive synovial fluid which can lead to pain and stiffness.
Knee joint replacement is a procedure that involves replacing an injured or affected knee with an artificial joint, or prosthesis that is mostly made of Inert Metal alloys, Ceramic, and polymers. During the surgery, the damaged cartilage and bone is removed from your joint and replaced with a prosthetic component that take over the shape and movement of a natural joint. The three core areas involved in the knee joint replacement are:
Subject to the extent of damage in your knee joint, total knee replacement or Unicompartmental (partial) knee replacement surgery will be advised to you.
Because a partial knee replacement is done through a smaller incision, patients usually spend less time in the hospital and return to normal activities sooner than total knee replacement patients. Knee is divided into three major compartments:
Advanced osteoarthritis that is limited to a single compartment may be treated with a unicompartmental knee replacement. Medial compartment of the knee joint degeneration is the most common deformity of arthritis. During this procedure, the damaged compartment is replaced with metal and plastic.
It is very important to do proper case analysis before advising the Partial or Unicompartmental Knee Replacement (UKA),
Any of the factors if not fitting then the case shouldn’t be considered for UKA
Total Knee Replacement (TKR) Surgery is one of the most commonly performed Surgical treatment around the World with very good outcomes if performed by a skilled and experienced orthopedic surgeon.
The purpose of the surgical procedure is to achieve pain free movement again, with full functionality of the joint, correct deformity and to recreate a stable joint with a full range of motion.
Total Knee replacement is most commonly done:
Total knee arthroplasty is chosen when the patient has serious complaints and functional limitations. Surgery takes some 40-60 minutes and involves placement of three-part prosthesis.
The three-part prosthesis:
The perfect prosthesis doesn’t exist every prosthesis must be different and the most appropriate size and shape is chosen on a patient by patient basis and therefore it is always good to use technological aids like Robotic Assisted Knee replacement to avoid any human error in measurement and make the procedure more precise and controlled with maximum success.
There are three basic steps to a knee replacement procedure.
Once the procedure is completed, your progress will be monitored and post-surgery care will be administered. With advanced medical procedures today, recovery is quicker and in many cases hospital stay is minimized.
The highly advanced Robotic arm assisted Surgical System is a technologically advanced knee surgery platform which adds an extra layer of pre-surgical planning and improved accuracy for partial and total knee replacement procedures.
This surgery employs robotic-arm assisted technology that provides the orthopedic and joint replacement surgeon with a personalized surgical plan based on the patient’s unique anatomy. A 3D model of the knee joint will be used to pre-plan and assist the surgeon in performing a partial knee replacement. Using all of this vital information the surgeon can then determine the correct size and position of the implant, which is critical to knee alignment and stability. This is a state of art technology which enables the surgeon to replace only the damaged part of the knee to absolute perfection.
This highly advanced joint replacement surgery has is a revolution in the field of Orthopedics. In earlier conventional knee replacement procedures, the surgeon had to open up a large area of the knee joint. Moreover, there is no technical assistance and the best surgical approach is developed on approximate measurements of similarly shaped knees that operated before so chances of Human error in measurements always exist. There is also higher probability of blood loss and excess bone cutting in these procedures surrounding soft tissues are more likely to be damaged resulting in prolonged healing period, pain and discomfort to the patient.
In Robotic Arm-Assisted Knee Surgery there is a combination of surgeon’s skills and technology, exact measurements and mapping bring in almost 100% precision in prosthesis placement, which is of paramount importance in longevity (life) of the prosthesis. This minimally invasive surgery involves smaller incision, less blood loss and bone damage as well as faster recovery. It is always said that less is the damage to surrounding damage, better is the surgery and its outcomes. Here in Robotic Arm Assisted Knee surgery, Patients treated can experience full movement and have a very natural feel of the knee joint, as all the ligaments are preserved. Bone is just resurfaced to remove the damaged part only and placement of implant, patellar bone is preserved, surrounding muscles and soft tissues are very well respected. This high level of precision brings more perfection and helps the surgeon to achieve desired outcomes in a better way.