Advanced Knee Pain Treatment | Non-surgical Treatment for Knee              est.xml" />

Knee Joint

Knee Joint Injuries & Treatment

Knee Treatment Services

Services offered in Expert Joint Care Clinic are:

  1. Arthroscopic reconstruction of ligaments (ACL, PCL)
  2. Repair and reconstruction of LCL, PLC, MCL and ALL
  3. Arthroscopic repair of ACL and PCL bony avulsions (where ligament comes off bone with a small chip of bone)
  4. Complex meniscus repair including repair for root tears
  5. Cartilage repair and regenerative procedures like ACI (Autologous chondrocyte implantation)
  6. Bony realignment procedures for bow legs, knock knees
  7. Surgeries for patella (knee cap) instability – MPFL reconstruction, bony realignment procedures etc.
  8. Knee joint preservation for early osteoarthritis- Delay or obviate the need for total knee replacement.
  9. Stage wise and step-by-step treatment for knee dislocation- for quick and effective rehabilitation.
  10. Arthroscopic treatment for fractures inside the knee joint for accurate fracture reduction.

There are 4 ligaments in the knee, which provide stability:

  1. The Anterior cruciate ligament (ACL)
  2. Posterior cruciate ligament (PCL)
  3. Medial collateral ligament (MCL) and
  4. Lateral collateral ligament (LCL).

These ligaments connect the thigh-bone (femur) to the leg-bone (tibia) and provide stability and movement to the knee.

They can be injured in road accidents, twisting injuries during various sports, fall from heights, twisting injuries in routine life etc.

Types of Ligaments Injuries & Treatments

What are the symptoms after an ACL injury?

Patients with ACL tear have swelling and pain in knee, are unable to walk comfortably for the first week after injury. Often the X ray may be normal in many patients. After sometime patients may complain of instability symptoms like knee giving away, twisting or becoming loose while walking especially on uneven ground and while descending stairs.

How can it be diagnosed?

MRI helps in the diagnosis and also helps in the diagnosis of other associated injuries.

What is the treatment?

Most active patients irrespective of the age with symptoms of instability require a reconstruction of the ACL. This is done arthroscopically or through keyhole surgery. The ligament is reconstructed with tissue (tendon) harvested from the same leg with minimal further damage. Any associated meniscus or cartilage injury is treated at the same time with emphasis on meniscus or cartilage repair. A short graphical video will help in better understanding (Will send you the video later)

Can this ligament be repaired if I come early?

In some patients the whole ligament can come off the thigh-bone. In such patients if the quality of ligament is good enough a repair is possible.

How soon would I recover? How long will I be in hospital?

All patients walk the same day in the evening or the next day in the morning with the help of walker or crutches. They can be discharged the next day. They usually start to walk independently at the end of 2 weeks. Most of the patients can join office jobs at the end of 3 weeks. They are able to fully ben their knees by the end of first month. Our dedicated physiotherapy specialists help in quick recovery and rehabilitation of the patients. Patients can drive 4 wheelers at the end of the 6 weeks to 2 months. Sports persons can usually resume sports depending on their recovery anywhere between 9 months to a year.

Do I need Bed rest?

No. You will be independent and moving about the same day or the next day of surgery. No bed rest is required.

What is the PCL?

Posterior cruciate ligament (PCL) goes from the centre of the knee to the back of the knee. It prevents the leg bone (tibia) from slipping on the femur backwards

What are the symptoms of PCL tear?

Patients with PCL tear have pain, swelling and are unable to walk initially. After the few days patients complain of instability or looseness of knee, inability to sit cross legged, climb stairs, pain on prolonged standing and inability to walk more than a few meters.

Treatment

Depending on the activity, age of patient and extent of tear of the ligament, many patients require an arthroscopic PCL reconstruction. In these cases the hamstring tendon (semitendinosus) is used to prepare an artificial PCL ligament. The surgery is all arthroscopic surgery.

Can this ligament be repaired if I come early?

In some patients the PCL can come off bone with a bone chip. In these patients the PCL can be repaired. This technique is all arthroscopic with very small keyhole incisions and no need to remove any tendon from the leg. This surgery can only be done if the patient comes within 2 weeks of injury

What is the recovery period after surgery? How long will I stay in the hospital?

The recovery of patients with PCL repair and reconstruction is almost the same. These patients walk the same day or next day with crutches. Hospital stay is of 2-3 days.  They walk independently without crutches after 3 weeks. They can join duty after a month. Rest of the recovery is very much like a patient with ACL reconstruction.

Do I need Bed rest?

No. You will be independent and moving about the same day or the next day of surgery. No bed rest is required.

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