Category: orthopaedic surgeon

Why Your Knee Hurts After Arthroscopic Surgery

Arthroscopic knee surgery is a useful surgical procedure to manage and treat many common knee conditions.  But not everyone finds relief of their knee pain after surgery.  Here are some of the top reasons why your knee may hurt after having a knee scope.

1. Persistent Swelling
knee swelling
aabejon / Getty Images

Arthroscopic surgery is a minimally invasive surgical procedure that is used to see inside your knee joint, and repair or remove any damage.  While this all sounds gentle and noninvasive, it needs to be understood that your body will react to the trauma of surgery.

Persistent swelling is one of the most common symptoms after a knee arthroscopy.  Swelling is a difficult problem to resolve, as there are many possible causes, some of these listed below.  In addition, some patients who have an arthroscopic surgery have persistent swelling as a result of lingering inflammation from the trauma of surgery.  If more serious problems related to surgery, such as infection, has been eliminated treatments of swelling may include:

2. Infection
knee scope
Jodi Jacobson / Getty Images

Infection is a very uncommon complication of an arthroscopic surgery, but it is the complication most feared by patients.  Typical symptoms of infection include:

  • Persistent swelling
  • Warmth of the joint
  • Redness around the incisions or draining fluid
  • Fevers, chills, or sweats

While an infection is an uncommon cause of pain after a knee arthroscopy, it is one that needs to be a the top of everyone’s list to consider as early treatment is essential to have the best chance at recovery.  Treatment of infection of requires prolonged antibiotic treatment and can require additional surgery to clean out the joint.

3. Inadequate Rehabilitation
meniscus repair rehab
Physical therapy is an important part of meniscus repair rehab. Hero Images / Getty Images

When people have a knee injury, such as a torn meniscus or cartilage damage, they can develop poor mechanics of the knee joint.  In order to protect their joint and reduce pain, people often limp or develop an abnormal gait.  Once the problem is taken care of, patients may need to correct these mechanical abnormalities of knee function.

In addition, some knee joint injuries are the result of poor mechanics of the extremity.  Current research is focused on the dynamic stability of the lower extremity–in other words, how sturdy your knee is when subjected to normal forces and movements.  Patients with dynamic instability may be more prone to injury and may require surgical treatment.

After surgery, your doctor may recommend specific rehabilitation to address weakness or gait abnormalities that may have caused an injury or be the result of having had an injury.  Insufficient rehabilitation can be a cause of persistent knee pain after injury.

4. Spontaneous Osteonecrosis
knee Mri
BSIP/UIG / Getty Images

 One complication that has been linked to knee arthroscopy is a condition called spontaneous osteonecrosis of the knee, or SONK.  This condition is most often found in middle-aged women who have a knee arthroscopy.  After their surgery, they develop persistent pain, typically along the inner (medial) side of the knee.

SONK is a condition that causes inflammation within the bone.  While the condition is called osteonecrosis, a word that means there is spontaneous bone cell death, the problem has been thought to be the result of microscopic fracture of the bone around the knee joint.  These subchondral fractures cause inflammation within the bone and significant pain.  The pain is typically worsened by activity and relieved by rest.

Treatment of SONK can be very frustrating, and many patients find the pain worse than the pain they had prior to arthroscopy.  Eventually, that pain does settle down, but often the only way to find relief is to limit weight by using crutches for weeks or months after the knee arthroscopy.  Braces and medications can also help with the symptoms.  In some patients, the symptoms can be so severe that patients end up having either a partial knee replacement or full knee replacement.

5. Arthritis in the Joint
J. M. Horrillo / Getty Images

Probably the most common reason why patients have persistent pain after an arthroscopic knee surgery is that their knee has damage to the cartilage of the joint that can’t be adequately repaired by an arthroscopic procedure.  It is well established that typical arthritis pain does not warrant an arthroscopic surgery; numerous studies have shown that the benefit of arthroscopy in these patients is no better than with nonsurgical treatments.

However, there are times when patients with osteoarthritis may have problems that can improve with arthroscopic surgery, or your surgeon may not be aware of the extent of arthritis until the time of surgery.  In these cases, patients may have an arthroscopic surgery, but may have to manage ongoing pain from arthritis that does not improve despite the surgical procedure.  The good news is that there are many treatments for knee arthritis, and often these can help patients find relief from their symptoms.

Source by – verywell

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How to treat hip pain at young age?

total_hip_replacement

Surgical Advancement to treat hip pain at a young age with Total Hip Replacement. The painful and stiff hip can keep you from doing even the least complex things in life.  Activities, like walking or moving between the stove and the sink, can turn out to be so challenging your ability to look after yourself is compromised. On the off chance that this happens, gradually all the essential demonstrations of self-care like shopping, eating, preparing, and notwithstanding dozing soundly, becomes the burden. So every one of the things that once came so effectively, turn out to be excessively difficult for you work appropriately on an everyday premise.

Without the assistance of family, companions or some type of home-care, individual’s general involvement of hip issues can be one of indignity and separation. Indeed, even with help, there is forever your loss of autonomy and the occasionally humiliating loss of privacy. Both choices have genuine drawbacks, so when your hip condition confines your development to this degree, one humane option is to have total hip replacement surgery.

One of the immense surgical advances throughout the most recent century is the total hip replacement. Total hip replacement revolutionised the treatment of hip ailments and is today one of the most successful, safe and reliable orthopaedic interventions in practice.

Prevalence and Benefits of hip Surgery

In 2010 in the US, 332,000 total hip replacements were performed, while in Australia for the same year there were approximately 34,000. It is also estimated by the American Academy of Orthopaedic Surgeons, that 10 years after the surgery, 90-95% of people don’t need revision surgery. The success rate is similarly high in Australia. This means in both countries in 2010 at least one in a thousand people relied on a total hip replacement to remain active and self-sufficient.

Since the inception of hip replacement surgery, the medical profession continues basically breaking down agent practices to enhance persistent results. This has implied techniques and the sorts of prosthesis materials utilised, have consistently turned out to be more secure and more compelling.

Total Hip Replacement Developments

The enhancements made since ivory was utilised as a part of 1891 to supplant the femoral heads of patients, have been various. Skin and different tissues, glass and afterwards stainless steel, have all been utilised to supplant corrupted joint surfaces, trying to make the development of the hip joint smooth and torment free.

In the 1960’s Sir John Charnley, planned what he called a ‘low friction arthroplasty’, which was on a fundamental level the same as the prostheses utilised today. His prosthesis came in three sections; a metal femoral stem, a polyethylene acetabular glass, settled with an acrylic bone bond. The component of ‘low friction’, Charnley figured out how to accomplish by the litter surface range of his femoral head outline.

These effects increase the longer the patient’s working life after surgery, so the younger the patient the more economic and social benefit. As the treatment gets more advanced, younger people are more regularly recommended and opting to have total hip replacements.  

Metal-on-polyethylene prostheses

Metal-on-polyethylene prostheses have become the most popular type and much of the hip replacement research carried out has been done to enhance metal-on-polyethylene prostheses exclusively.  

The most well-known issue to happen throughout the years with metal-on-polyethylene inserts is the arrival of polyethylene particles into the encompassing tissue of the joint. Though, exceptional treatment of the plastics utilised all the more as of late builds their wear resistance and limits the arrival of these hurtful particles.

 

Metal-on-metal prostheses

Metal-on-metal prostheses have recovered support since they were thought to possibly create  harmful metal ions. It is thought today that blemishes the early designs of metal-on-metal prostheses were the main reason for most of the troubles associated with these implants, instead of the material they were made from.

Metal-on-metal prostheses are much more durable than polyethylene implants.Because of this component the femoral head can be made bigger which builds the weight bearing stability of the implant.   

Ceramic-on-ceramic Hip Replacement prostheses

The utilization of ceramic-on-ceramic prostheses was embraced to reduce friction and wear. Ceramic-on-ceramic implants are hard and scratch safe also react well to dampness. Every one of these components constrain the likelihood and impacts of contact. Loose ceramic particles additionally dormant and favorable in contrast with polyethylene and metal debris when discharged into the body.

Because ceramic-on-ceramic prostheses are comparatively wear-resistant, they are more commonly used for younger and more active patients. Since fired on-artistic prostheses are similarly wear-safe, they are all the more generally utilized for more youthful and more dynamic patients. They are, be that as it may, more costly and require exact surgical inclusion to abstain from chipping and disengagement, both of which, can trade off the accomplishment of the embed.

Source: Total Hip Replacement Great Surgical Advances Over the Last Century.

Knee Replacement surgeons, Sydney

For those who suffer severe and debilitating pain from osteoarthritis or injury of the knee, there is always the option to consult the expertise of orthopaedic or knee replacement surgeons. Sydney has a number of knee replacement Orthopaedic surgeons though few capable of safely completing the simultaneous replacement of both knees.

bilateral-knee-replacement

One knee replacement surgeon in Sydney with experience in replacing both knees in one procedure is Dr. Simon Coffey. He is practicing in both Penrith and Macquarie University, Sydney.

Patients eligible for bilateral simultaneous knee replacement most often suffer from the osteoarthritic degeneration of both knees. Both knees are required to be equally dysfunctional and painful for the procedure to be considered. This is due to the fact that the progress of the disease can stabilise once strength is restored to the knee operated on. This post-operative improvement can often delay the need for a second knee replacement by several years.

If a patient meets the criteria for simultaneous bilateral  knee replacement, the benefits are twofold in comparison to having two separate operations.

The first is that the recovery time of the rehabilitation process is reduced. The advantage of a single recovery period also lessens the work-related burdens of asking for two extended blocks of sick leave. Asking for two lots of sick leave can lead to secondary financial issues as well.

The second benefit is the reduced cost of undergoing one procedure as opposed to having to pay for two.

However, due to the longer duration, higher potential for blood loss and cardiovascular complications of the surgery, the overall health of the patient needs to be robust in order for the operation to go ahead.

The preconditions a patient must meet to be eligible for a bilateral simultaneous knee replacement are:

  • Under 80 years of age
  • No history of systemic cardiovascular disease
  • No history of Kidney disease
  • No history of Diabetes
  • Presently experiencing bilateral debilitating knee pain

To be certain patients meet these criteria, thorough preoperative tests need to be undertaken. Other personal considerations like the impact on your work commitments and support network are also an important part of making your decision.

If you experience severe and debilitating pain in both knees, then there is a knee replacement surgeon in Sydney who can help you investigate your options. With a successful record for knowing and picking the right candidates to receive this life-changing operation, Dr. Simon Coffey is one of the very few Sydney based surgeons able to help.

Knee Surgery: A Solution To Avoid Knee Arthritis

Painful knees are a common problem in middle-aged people and elders, and the most common cause of knee pain in this population is Knee Arthritis. There are few treatments for knee arthritis early can help alleviate pain and return people to their daily activities. As some point, arthritis of the knee begins to interfere with the quality of life to the point that something has to change. When treatments such as Anti-inflammatory medications, cortisone injections and physical therapy, do not improve the situation total knee replacement may be an option. The most general reason of chronic knee pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis and traumatic arthritis are the most common. Osteoarthritis generally occurs after age 50 and often in an individual with a family history of arthritis. The cartilage that cushions the bones of the knee softens and wears away. The bones rub together, causing pain and stiffness in the knee. Rheumatoid arthritis is a disease in which the synovial membrane becomes thickened and inflamed, producing too much synovial fluid over-fills the joint space. This chronic inflammation can damage cartilage and eventually cause cartilage loss, pain and stiffness. Traumatic arthritis can follow a serious knee injury. A knee fracture or severe tears in the ligaments of the knee can damage the articular cartilage over time, causing knee pain and limited function of the knee.

Recent Advances in Knee Joint Replacement Surgery: Minimally invasive surgery (MIS) has developed knee replacement surgery, and many fields of medicine. Its key feature is that it uses specific methods and instrumentation to let surgeons execute major surgery without any large cut. MIS requires a much smaller incision, three inches to five years, compared to standard approach and the incision, which is usually eight to twelve inches. The smaller, less invasive approaches result in less tissue trauma, allowing the surgeon to work between the quadriceps muscle fibers rather than requiring an incision through the tendon. It may lead to less pain, shorter recovery time and better motion due to reduced formation of scar tissue. When a full knee surgery is performed, the bone and cartilage at the end of the thighbone (femur) and upper shin bone (tibia) are removed. This is done with accuracy to craft accurate surfaces to accommodate the implant. A metal and plastic implant knee replacement are put to work as a new knee joint. Depending on the condition of the cartilage on the under surface of the kneecap, this may also be replaced.

The knee prosthesis implants can wear out over time. The implant is made of metal and plastic, and while these implants are designed to last many years, all of which take time. Studies have shown knee replacement implants are functioning well in 90-95% of patients between 10 and 15 years after the knee surgery. Most full knee replacements last 20 years and many of them last longer. However, it is important to understand that there are possible complications of knee replacement surgery may reduce the life of the implant. Because of this, total knee replacement should be reserved for elderly patients with significant symptoms of arthritis.

When to Consider Hip Replacement Surgery?

 

Hip Replacement SurgeryIf you suffer from osteoarthritis, rheumatoid or septic arthritis, or you have Paget’s disease or hip dysplasia, you may experience significant hip pain and reduced movement, which is often significant enough to affect your day-to-day life. While non-surgical treatments, such as medications, physiotherapy and lifestyle changes, are available and can offer some success, these are not always sufficiently effective to relieve pain and improve your functional ability. In these instances, a hip replacement also termed a hip arthroplasty is usually recommended to restore your mobility and quality of life. With a variety of centers in the capital offering surgery to replace a damaged hip joint with an artificial prosthesis, it is important that you do your research before choosing a clinic for your surgery. Choosing a surgeon with expertise in hip arthroplasty makes sure that you will receive the best possible result from your joint replacement surgery so that your expectations of treatment are fully met.

Most doctors have more than 20 years of experience in performing surgical hip replacements. As they keep abreast of developments within the field of orthopedics, they work with the most up-to-date techniques and prostheses, all of which are backed by evidence from clinical studies to guarantee their effectiveness. Besides their commitment to the latest advances in hip arthroplasty, He or She also makes sure he delivers patient-centered care. This means that he involves you in decision-making and tailors your treatment to your individual needs. With his level of expertise and commitment to best practice you can trust that you will receive a complete hip replacement recovery.

Surgery Options:
Before you have your surgery you will meet with an orthopaedic surgeon for an initial assessment. This not only allows him to check your suitability for a hip replacement, but also enables him to advice on the most appropriate prosthesis for your circumstances. In cases where your hip damage is not sufficiently advanced to justify surgery, he will discuss more conservative treatment options with you and may suggest hip resurfacing as an alternative. Certain health problems are sometimes a contraindication to joint replacement surgery, the surgeon will also review your medical history before making a decision. When it comes to the type of procedure he recommends, a complete clinical assessment to decide whether a partial or total hip replacement is more suitable, and whether you would benefit most from a metal-on-plastic, ceramic-on-plastic or a metal-on-metal artificial hip joint. Where necessary he may also advise weight loss or recommend other lifestyle changes to aid your recovery following hip replacement surgery.

Sports Orthopedic Surgeon

kneeA sports orthopedic surgeon treats a broad spectrum of athletic injuries in both children and adults, not only in a formal context like in campuses and professional leagues but also in recreational sports such as golf and tennis. Sports medicine is as important as the other field of orthopaedic medicine; for this division has performed more than 3,000 procedures a year such as arthroscopic procedures on the shoulder, elbow, knee and ankle.

There are numerous procedures that a sports orthopaedic performs. Examples are elbow and knee arthroscopy, total knee replacement, hip arthroscopy and hip replacement. This type of orthopedist is a hero to the athletes whose careers are preserved or have been revived. A sports orthopaedic surgeon may not be the doctor to save someone from cancer; but he can save an athlete’s bone health to have a lucrative sports career and have a successful life in his chosen field.

A sports orthopaedic surgeon treats conditions mainly that affect the athletes. Their primary priority is preservation than immediately resorting to surgery.

Athletes ought to be well taken care of for they bring honor to their nation when they win an award from a tournament they get themselves into. They are our role models on how to live a healthy and productive life. When they suffer an injury, they can lose their vigor and motivation to carry on. But because of sports orthopaedic surgeon, they can knee-xraybounce back and have a fresh start.

I believe that an orthopaedic surgeon does not only repair the impaired ligament, joint or bone tissue of an injured athlete; they also repair their self esteem and boost their morals to get back on the game and be at their best.

There are many advanced medical procedures that are being done nowadays that used to be impossible like the knee arthroscopy which is an outpatient procedure. With the use of state of the art medical instruments the treatment are made easier and the healing is faster.

Dr. Simon Coffey is a surgeon who is an expert of knee and hip surgery and sports related cases. He does ligament reconstruction; he treats knee and hip injuries which are caused by sports activities. These are only some examples of what he can do. His patients would agree that he does an excellent job in treating them. Their bones and knee-bonesligaments are in good hands.

Sports medicine is said to be the division of orthopaedic medicine that integrates, the clinical, educational and investigational factors of injuries related to sports, to treat athletes who plays in high school, college and on a professional basis. Plus recreational athletes in all age group.

An orthopaedic surgeon saves sports career….