Tag Archive: knee surgeon

Current Concepts in Anterior Cruciate Ligament Repair

Anterior cruciate ligament (ACL) repair is a procedure used to rebuild the ligament in the center portion of the knee. The ACL keeps the tibia (shinbone) in place. When this ligament is torn or damaged, it can cause the knee to buckle during physical activity.

How common is ACL ligament repair?

The ACL is one of the most commonly injured ligaments in the knee. Around 200,000 people ACL Tear2suffer some sort of injury to the ACL, and 100,000 ACL repair surgeries are performed annually. ACL injury incidence is higher in people who participate in high-risk activities, such as skiing, football, basketball, and soccer. It is common to see an injured ACL in combination with injury to the meniscus, collateral ligament, articular cartilage, and/or joint capsule.

What tissue is used to make the repair?

The ACL is often repaired using tissue grafting. The graft taken from the patient’s own body is called an autograft. The most common area for taking tissue is the hamstring tendon (kneecap tendon). When not possible to use the patient’s own tissue, an allograft (cadaver tissue) is used.

Why is ACL repair necessary?

ACL repair is done because the knee becomes unstable after a tear in this ligament. This will increase the chance of a meniscus tear. ACL repair is also used for treating knee problems, such as:

  • Knee pain
  • Knee instability
  • Inability to participate in usual activities

How do I prepare for ACL surgery?

After surgery, you will not be able to bear weight on the knee, so you should prepare your home. Have items you need within reach, and stock up on supplies. You need to arrange to have ACL Graftsomeone drive you home, and should notify the doctor of all blood thinners you are taking, as some of these must be held for several days before the procedure.

What happens when I arrive at the surgery center?

Be sure to arrive at the surgery center 60 minutes before your scheduled procedure. A nurse will go over the risks and benefits of the procedure, and ask you to sign a form of consent. After you change into a gown, the nurse will place an IV catheter in your arm.

How is the ACL repair performed?

After receiving anesthesia, the Gilbert sports medicine surgeon makes small incisions over the knee. The tiny, lighted camera is inserted into the knee so the doctor can visualize the structures (arthroscopic). The surgeon uses the camera and monitor to check the ligaments and repair the

physical therapy1damaged structure using graft tissue. The graft is attached using screws and pins to hold it in place. After all repairs are made, the surgeon closes the incisions with sutures, and covers the area with a dressing.

What happens after surgery?

You will need time and effort if you wish to fully recover. You must follow a rehabilitation program for 4-6 months, and your ability to return to full activity depends on how well you follow this program.

What is the success rate of surgical ACL reconstruction?

Patients who have surgical reconstruction of the ACL have a success rate of 82-95%, according to clinical studies. Only 8% of patients experience graft failure or recurrent instability.

The Latest Advancements in Knee Replacement for Active Boomers

The majority of patients coming in for knee replacement surgery are in their 50s, according to Steven Haas who is heading the Knee Surgery and Attending Orthopedic Surgeon Department at the Hospital for Special Surgery based in New York City. If these statistics are compared with those of 20 years ago, there has been a rapid shift in demand for knee replacement surgery, especially for people in their 50s.

Why the sudden interest and growth of demand for the surgical procedure? The points responsible for this are new and innovative technologies that are being used now, especially in implant design and far more improved surgical techniques that are being used by orthopedic surgeons to meet with the growing demand for knee replacements. In addition, the growing number of baby boomers reaching older age has increased the numbers in need of the procedure.

The Latest in Knee Replacement Surgery

Only recently, the orthopedic community announced the arrival of the newest advancement for the surgery, i.e. a knee replacement implant that can last the patient as much as 30 years instead of the standard 10-15. Moreover, the implant has also been cleared by the FDA which means that those looking for ways to make their implants last longer, can opt for this.

VERILAST technology is used for making the implant that will make it possible for patients to possibly outgrow the implant, rather than the other way round. In addition to this, the implants are thought to be much more functional than the earlier versions, as is proved by a series of tests that researchers underwent before giving that verdict.

Adoption of Better Surgical Procedures and Techniques

Orthopedic surgeons have also changed their way of performing surgical procedures, by introducing techniques such as minimally invasive surgery, which helps in decreasing trauma to the patient, as much as possible, which in turn leads to a faster recovery.

Another development is the usage of small surgical instruments for performing the procedure, where the goal is to cut as little as possible, which will minimize the collateral damage and trauma that came with previous surgical procedures that were extremely invasive in nature.

Better Recovery Rate Due To Minimal Invasive Surgical Procedures

The entire point of such a surgery is not to make the cut big enough to fit the instruments, but rather, to use smaller instruments during the procedure that would best fit the cut made. This is the reason why, smaller incisions are used to get access to the knee area after providing local anesthetic to the patient.

One point in favor of the minimal invasive procedure is that, no need is felt to cut the quadriceps tendon or flip the kneecap upside down in order to gain access to the area, which was required in the case of previous surgical techniques. This has also improved the recovery rate far more significantly and at a much faster rate, than old surgical techniques, so now patients are up and about after only 6 weeks of having the procedure done as compared to 3 months.

OSPI offers expert knee replacement doctors in Gilbert, Chandler and Mesa AZ who specialize in the latest technologies including computer navigation, minimally invasive and even outpatient procedures. Call OSPI today to receive treatment with the top orthopedic doctors in the entire East Valley!

What Are The Benefits Of A Knee Replacement Surgery?

Our knees carry a lot of weight and stress, which is something we cannot ignore. Over time, it’s normal for the hardworking appendage to feel some decay and fail due to over-usage and exertion, but the problems developing as a result of it, can prove to be quite painful if they reach their chronic stage.

It’s at this stage when a Gilbert orthopedic surgeon might recommend knee replacement surgery. It’s normal for patients to feel nervous or worried about the implications of undergoing surgery, but in many cases, this is the only way to relieve the pain.

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To gain a better understanding of the entire procedure, take a look at the information given below that will alleviate some of the worry regarding knee replacement surgery that you might have if the procedure has been recommended.

Different Levels of Knee Damage Will Require Different Types of Knee Replacement Surgery

Broadly speaking, there are two categories or types of knee replacement surgeries, i.e. total and partial. The surgeon will first evaluate the damage done to your knee and then determine the type of surgery that will be needed to fix it.

Total Replacement Surgery: Also known as Arthroplasty, this type of surgery involves replacement of all the knee compartments.

Partial Replacement Surgery: Otherwise known as Unicondylar Knee Replacement, nothing other than the affected parts is replaced.

Both the types of knee replacement surgeries offer more or less of the same benefits, although success of the surgery still largely depends on the extent of damage to be repaired, the rehabilitation process, and the right precautions taken after the surgery.

Knee Replacement Surgery Benefits Outlined

A Reduction in Knee Pain

Unicompartmental knee replacementYou will feel a stark contrast and improvement in pain after undergoing the surgery. Not only that, the range of motion of the operated knee will be more comfortable and you will gain independence to go about your daily activities with more ease.

A Significant Improvement on Motion

You must know that the artificial knee will in no way be good as the original one, but the range of motion that was limited before the surgery will be improved greatly. Your limited mobility and inability to perform daily duties will be dramatically reduced as well.

The Rectification of Deformity

The best benefit that comes from undergoing a knee replacement surgery is deformity elimination. In addition to being a benefit, this is also a very good reason to opt for the surgery, as after it, you won’t be exposed to the side effects of long term pain medication treatments.

Out of all the benefits of undergoing knee replacement surgery, the one that appeals the most to patients suffering from knee damage is receiving another chance to enjoy life and other activities that were an important part before the pain. This in turn, will improve overall quality of life, although patients who opt for the surgery will have to take more care of their new knee.

The top knee replacement doctors in Arizona at OSPI are experts in both total and partial knee replacement. Most insurance is accepted at the practice, which serves patients in the East Valley including Mesa, Gilbert, Chandler, Queen Creek, Casa Grande, Eloy, Maricopa and surrounding areas.

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