What is the Best Way to Recover from Knee Arthroscopy and Microfracture?

Surgical Treatment is considered as the best way to recover soon from Knee arthroscopy.

Rebuilding the ligament
Most ACL tears cannot be sutured (stitched) back together. To surgically repair the ACL and restore knee stability, the ligament must be reconstructed. Your doctor will replace your torn ligament with a tissue graft. This graft acts as a scaffolding for a new ligament to grow on.

Grafts can be obtained from several sources. Often they are taken from the patellar tendon, which runs between the kneecap and the shinbone. Hamstring tendons at the back of the thigh are a common source of grafts. Sometimes a quadriceps tendon, which runs from the kneecap into the thigh, is used. Finally, cadaver graft (allograft) can be used.

There are advantages and disadvantages to all graft sources. You should discuss graft choices with your own orthopaedic surgeon to help determine which is best for you.

Because the regrowth takes time, it may be six months or more before an athlete can return to sports after surgery.

Procedure
Surgery to rebuild an anterior cruciate ligament is done with an arthroscope using small incisions. Arthroscopic surgery is less invasive. The benefits of less invasive techniques include less pain from surgery, less time spent in the hospital, and quicker recovery times.

Unless ACL reconstruction is treatment for a combined ligament injury, it is usually not done right away. This delay gives the inflammation a chance to resolve, and allows a return of motion before surgery. Performing an ACL reconstruction too early greatly increases the risk of arthrofibrosis, or scar forming in the joint, which would risk a loss of knee motion.

Source By - Quora

Dr Simon Coffey is well known for Arthroscopic surgery in Sydney and orthopaedic surgeon in Australia. For more information contact Dr. Simon Coffey at **02-47-322-566**

Total Knee Replacement and Best Orthopaedic Surgeon Keys to Recovery

One of the areas we discussed was some of the keys to recovery after having undergone total knee replacement surgery.

1. Exercise Preparation Prior to Surgery.  
it is important that your surgeon or physical therapist provides you with both a strengthening and stretching program on the affected leg six to eight weeks out prior to surgery to prepare your muscles and the knee joint itself for the rigors that it will undergo once your surgery is complete.

I have found that when you have completed a pre-surgical exercise program prior to knee replacement surgery, your physical rehabilitation goes smoother and, your results are obtained quicker due to your previous training rather than having done nothing and then expecting your body to respond.

It’s important that both body and mind be trained in what to expect for optimal results.

Not only does your strength come back quicker but, I also find that my patients are seeing quicker increases in their range of motion and an overall decrease in their pain levels.

And mentally they are better prepared for the work ethic that is required to have a successful recovery.

2.  Having The Patience to See The Process Through.  
One of the biggest problems I will encounter with patients is the lack of patience during the physical rehabilitation process.

Many will expect the healing process to come much sooner and some become frustrated when they are not seeing instant results. though many of them will tell me they understand it takes time to heal, they are not showing it in their daily actions.

You cannot expect to see five or ten degrees of knee flexion gained for instance every rehab session. it does not work that way. It will take time which is different for everyone and patience to allow the body to do its work.

Forcing this issue only creates more pain and swelling which results in less knee mobility instead of more.

If you try to rush the process you are only setting yourself up for a tougher road ahead then you already will have anyway.

3. Stay Away from The Game of Comparison. 
Many problems that can be associated with total knee replacement surgery are patients that have been given instructions on what to do from friends and family along with having heard stories of someone that was progressing in half the time they are or were out doing activities again like golfing or playing tennis in just several weeks after surgery.

A lot of this information can be misleading and tends to get some patients depressed and feeling like they are running behind schedule. Believe me, if you are you will know it from your physical therapist and your orthopedic surgeon.

Their information and guidance is what you want to follow first of all if you listen to them, you will do just fine.

No one goes through this type of rehabilitation quite the same way so avoiding comparing your knee surgery outcome with your neighbors down the street is not conducive to your well-being.

Your job is to concentrate on your recovery and let the rest take care of itself.

Total knee replacement surgery and physical rehabilitation have progressed over the years and with the minimally invasive procedures that are being used today the physical rehabilitation and levels of pain have been reduced if you have prepared properly beforehand.

If you can keep just these three simple rules in mind after you come home from knee surgery, you will find you will be much better off and your physical rehabilitation will go a lot smoother while obtaining the quickest results possible.

Source by - totaljointfitness

If you are looking for orthopaedic surgeon in Sydney, Australia.. !! Contact Dr. Simon Coffey. He is well known for total knee surgery in Australia.

Advances in Arthroscopy Surgery

Advances in arthroscopy result in minimally invasive surgery. It used to be that when an orthopaedic surgeon “scoped a joint” all he or she could do was look inside the joint. But the development of tiny video cameras and instruments allow surgeons to do more than simply take a look. Now they can perform actual surgical procedures through the arthroscope.

Img - wikipedia

Advances in Arthroscopy Benefits Patients

Maximizing the use of the arthroscope in surgical procedures results in minimizing the size of the incision needed to perform the procedure. This minimally invasive arthroscopic surgery provides several benefits to the patient. It allows the joint to remain closed and reduces the risk of infection and drying out of the articular cartilage. Because of this, the healing time for most arthroscopic procedures is greatly reduced. Rehabilitation is faster, and unnecessary damage to normal structures is avoided.

Advances in Arthroscopy Allow for Complex Knee Surgeries

advances in arthroscopy Just about every joint in the body has been scoped, but a majority of surgical procedures done with the arthroscope are done on the knee. The knee was the primary site of arthroscopic procedures in the early days of arthroscopy. It continues to be a common target of the scope.

Probably the most common use of the arthroscope initially was to remove loose bodies from the knee joint. A loose body is a fragment of bone or cartilage that moves around inside the joint. The fragment can get caught between the two bones of the joint and cause pain. Now, very complex surgical procedures are done inside the knee with the aid of the arthroscope.

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If you are looking for arthroscopic surgery in Sydney, Australia.. !! contact Dr. Simon Coffey. He is well known for total knee joint surgeon in Australia.

4 Main Types of Knee Replacement Surgery

There are 4 main types of knee replacement surgery:

1. Total knee replacement
This is the most common form. Your surgeon replaces the surfaces of the thigh bone and shin bone that connects to the knee.

2. Partial knee replacement. 
If arthritis affects only one side of your knee, this surgery may be a possibility. However, it’s only right for you if you have strong knee ligaments. Partial knee replacement can be performed through a smaller cut than is needed for total knee replacement.

3. Kneecap replacement. 
This replaces only the under-surface of the kneecap, but some surgeons advise against this procedure, because total knee replacement surgery has a higher rate of success.

4. Complex (or revision) knee replacement. 
This procedure may be needed if you have very severe arthritis or if you’ve already had two or three knee replacement surgeries.

Source by -www.webmd.com

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TOTAL HIP REPLACEMENT: A BRIEF HISTORY

IVORY AND GLASS HIP REPLACEMENT

The modern era of Total Hip Replacement began in the 1960’s, however you might be surprised to learn that the first attempts at hip replacement began in the 1890’s in Germany. In this operation ivory was used to replace the femoral head in patients with Tuberculosis.

During the 1920’s moulded glass was used as a bearing surface, but not surprisingly, this device failed due to the brittleness of the device.

METAL ON METAL HIP REPLACEMENTS

In the 1950’s surgeons from England made a total hip replacement which looks more like the modern day implant. This was invented by George McKee and was a metal on metal bearing surface. The survival rate for this total hip replacement was much better than its predecessors and encouraged the growth of the technology.

Around the same time, French surgeons were experimenting with acrylic femoral head replacements. These devices did not last well in the bone and loosened early.

MODERN ERA OF HIP REPLACEMENT

The modern era of total hip replacement began in the 1960’s when English surgeon Sir John Charnley developed his “Low friction arthroplasty” which consisted of a metal femoral stem and a polyethylene acetabular cup which were seated in the bone using acrylic bone cement. The success of this implant established a gold standard in hip replacement by which newer devices are judged.

Interested surgeons from all over the world visited Charnley’s hospital in Wrightington, England and brought the knowhow home with them. Surgeons in Australia imported his techniques and began hip replacement surgeries in Sydney in the early 1970’s. Since then countless numbers of patients have benefitted from the steady progression of technology, surgical technique and pain management.

TECHNOLOGY DELIVERS BETTER OUTCOMES

The progression of technology has focused on two main areas. The most important is the development of durable bearing surfaces. In Charnley’s total hip replacement, the wear particles generated could cause failure of the device within 10-15 years, especially in younger patients. These days improved biomaterials such as advanced ceramics, cross linked ultra-high molecular weight polyethylene (UHMWPE) can deliver a hip replacement that will last for decades.

The other area of technological development is the removal of cement from the construct. Today many modern hip replacements are placed in the bone without cement. The surrounding bone grows onto the complex roughened implant surfaces to secure the implant for decades. This not only saves time during surgery, but also reduces the rare risk of an allergic type response to the bone cement. 

Ceramic and polyethylene options with uncemented cup.

HIP REPLACEMENT TODAY

Total Hip replacement is now a durable, safe and cost effective procedure which restores mobility and function for patients as young as twenty or as old as ninety. 

Some of the Conditions Knee Arthroscopy is Used to Treat and Diagnose

Arthrscopy of the knee is a common operation and there are more than 100,0000 Knee Arthroscopies performed every year in Australia. The procedure is generally a Day-Day hospital visit, performed often, though not always, under a general anaesthetic.

- Torn cartilage or meniscus: treated by trimming back the torn cartilage
- Loose, floating bodies: removal of loose cartilage or bone
- Knee-cap, (patello-femoral), disorders
- Washing infected knee joint
- General diagnostic purposes

Knee arthroscopy is most commonly recommended after you begin to consistently avoid regular lifestyle activities because of knee pain. Though, there are some medical conditions which can interfere with your doctor's decision to go ahead with arthroscopy.