Procedures conducted on the Knee
- Diagnostic and Anterior Cruciate Ligament Reconstruction (ACLR) and Posterior Cruciate Ligament reconstruction (PCLR)
- Procedures on meniscus
- Loose body removal
Diagnostic and Anterior Cruciate Ligament Reconstruction (ACLR) and Posterior Cruciate Ligament reconstruction (PCLR)
Globally, one of the most common of knee injuries is to the anterior cruciate ligament. It can occur while playing sports or even simply during the ordinary activities of day-to-day life such as walking or climbing stairs. It is even more common in our part of the world since Asians are more prone to it due to various anatomical reasons.
It is caused by an ‘insufficiency’ of the anterior cruciate ligament. Which basically means there just isn’t enough of the ligament, which in turn leads to an instability in the knee. Patients will find their knee unable to hold up under pressure and simply buckling or giving way while doing something as simple as walking. While some may shrug it off thinking it to be just ‘one of those days’ or phases, it is essential that it be checked out by a physician. Prolonged instability of this kind can lead to further complications in other parts of the knee and, as the name suggests, ‘reconstruction’ of the ligament is highly recommended, particularly in younger patients.
In this arthroscopic procedure the surgeon uses bone-patella tendon or hamstring tendons to reconstruct the anterior cruciate ligament. After the procedure, the patient will require proper rehabilitation (as advised by the doctor and physiotherapist) and will eventually regain full use of the knee.
The menisci are cartilaginous tissues in the knee which act as shock absorbers between the upper and lower leg. Preserving the meniscus is very important in order to prevent early degeneration of the joint (arthritis). But, they are subject to tear partially or fully (usually during sporting activities). Arthroscopy provides a long-term solution and in fact partial or complete meniscectomies are fairly common procedures. Meniscal repairs are carried out with special equipment and instruments and are very successful.
Loose Body removal
Loose bodies can be formed in the knee, following diseases of the sinovium or cartilage injuries. They wander around the joint causing complications, discomfort and pain. They should be removed to prevent long-term deterioration of the joint.