Knee Preservation Surgery Gold Coast
Joint preservation procedures of the hip and knee are innovative ways to solve common joint problems, such as dysplasia (bone abnormalities from birth), early osteoarthritis and others, without requiring full replacement.
Joint preservation of the knee is a way to help relieve joint problems as naturally as possible. If you are having any joint pain in your knee, it is important to seek medical attention.
In some occasions, surgery is not necessary for knee preservation. In these instances, braces or a cast can be useful. Crutches may also be used to avoid putting any weight on the joints as they heal.
If surgery is necessary, advances in robotic surgery have made the procedure considerably safer.
Knee Preservation Surgery Techniques
The aim of most joint preservation procedures is to repair any bone damage and reconnect any broken bones or torn ligaments that may cause the joint to not function properly. The majority can benefit from surgery through one of the following techniques:
- Internal Fixation
This is when metal plates, screws, or pins are used to stabilize the bone. They are placed alongside the breakage point and are used to hold the displaced bones in the proper location so they can heal correctly. In many instances, the plates and rods are not surgically removed once the healing process is finished. This is only done if they become cumbersome.
This requires a small incision, into which a scope is inserted to see inside the injured area. Once inside, the doctor is able to clear out any damaged tissue, allowing the joint to heal properly.
- Patellofemoral Reconstruction
Occasionally disorders of the kneecap are the cause of early development of knee arthritis. This may be as a result of injury (such as traumatic kneecap dislocation) or of a long-standing knee alignment and/or ligamentous laxity leading to maltracking or dislocation. Surgery to reconstruct damaged ligaments such as the medial patellofemoral ligament (MPFL) or to correct the bony anatomy can help minimise further damage to the knee.
This is a surgical realignment of the bones to offload areas of damaged cartilage. This can improve knee function for many years to come.
Instead of replacing the entire joint, implants are used to resurface areas of damaged cartilage without having to sacrifice other areas of relatively healthy cartilage.
- Half Knee Replacement
Also known as unicompartmental knee replacement, this procedure replaces only one side of the knee joint. The benefits are quicker recovery, better bending and a more normal feeling knee than with a full knee replacement.
Knee Collateral Ligament Injury
The collateral ligaments are strong bands that run on either side of the knee. They are the primary restraints to excessive side-to-side movement of the knee. There is one on the inside of the knee called the medial collateral ligament (MCL) and similarly there is one on the outside of the knee called the lateral collateral ligament (LCL).
If the knee has excessive sideways motion beyond the tolerance of the ligament this can result in a rupture. The MCL is much more commonly injured than the LCL.
Depending on the severity and the integrity of other ligaments within the knee, such as the ACL, collateral ligament tears can be treated with either a hinged knee brace or with surgery.
Knee Cartilage and Meniscus damage
The bone of the knee joint is covered in a thick smooth layer of cartilage that acts as the biological bearing surface in the knee. There are two C shaped fibrous structures (medial and lateral meniscus) within the knee that primarily act as shock absorbers to further protect the cartilage within the knee during activity.
Either cartilage or the menisci can be easily injured, more so with sports or activities that require sudden changes in direction, twisting or zig-zagging.
Osteoarthritis (wearing out of the cartilage) is also a common cause of meniscus damage and can happen without injury.
Damage to the meniscus or cartilage often requires keyhole surgery to manage.
In the setting of significant knee joint arthritis, the effect of treating a meniscus injury can be difficult to predict as at least some of the knee pain is related to the arthritis rather than the meniscus tear. Persistently painful clicking, catching or locking is often a good reason to consider an assessment for keyhole surgery in an arthritic knee.
Contact Dr J Tsung
|1300 399 223|
|(07) 3041 5087|
Suite 6C Fred McKay House
42 Inland Dr, Tugun Qld 4224