Kneecap surgery In Delhi

What is Kneecap Surgery?

When your kneecap has moved out of position, and all other attempts to return it to the natural kneecap track have failed, surgical kneecap realignment (also known as tibial tubercle osteotomy and elevation) is performed.

Why Kneecap Surgery?

After a fracture, kneecap surgery is required to repair and stabilize the patella, or kneecap. Orthopedic surgeons have the expertise to determine when surgery is the best option for restoring knee function and which surgical technique is most appropriate.

Kneecap surgery is required if the tendons or ligaments surrounding the fractured patella have been torn, including the quadriceps tendon, which covers the patella and connects the thigh muscles to the lower leg bone.

Kneecap surgery may be postponed for less severe fractures or if there is significant swelling or bleeding at the injury site. Your doctor will fit you with a brace to keep your knee immobilized during this time, and they may also prescribe pain medication for a few days to keep you comfortable.

Orthopedic surgeons perform open reduction internal fixation surgery on a fractured patella to reposition the bone fragments and stabilize the patella while it heals.

Surgical treatments for kneecap (patella) stabilization include:

MPFL(medial patellofemoral ligament) reconstruction:

The medial patellofemoral ligament is a broad structure located inside the knee joint. It connects the kneecap (patella) to the thigh bone (femur). The MPFL's primary function is to stabilize the kneecap, preventing any movement toward the outside of the knee. MPFL reconstruction is a kneecap surgery procedure involving creating a new medial patellofemoral ligament to help stabilize the knee and protect it from further damage in cases of severe and recurring kneecap dislocation. It is an excellent treatment option for people with more than one dislocation.

Keyhole surgery and minimally invasive open surgery can be used to perform it. The MPFL is rebuilt during the procedure using just one hamstring tendon. A small tunnel is created in the kneecap as part of the kneecap surgery procedure, and a second tunnel is created where the original ligament was attached to the thigh bone. After passing as a loop through the tunnel in the kneecap and the tunnel in the thigh, the new ligament is then fixed in place. Most of the time, you'll be able to return home the following day after kneecap surgery, and in a week or two, you should be able to stand up without assistance. After surgery, you should be able to resume your normal activities in about three months.

Bony realignment surgery:

It may be recommended if your kneecap instability is brought on by abnormal anatomies, such as a kneecap that is positioned higher than it should be. An MRI or CT scan of the knee is used to determine the severity of the deformity and the amount of correction required. The kneecap tendon, attached to a small block of bone, is separated during the procedure, then moved toward the midline and secured with screws. Most patients can return home the following day after kneecap surgery with their immobilized knee in a brace. After about two weeks, the patients will be able to support their weight gradually, and by six weeks, they will be able to balance their own weight without using a brace.

Trochleoplasty:

This surgical procedure is used to restore knee stability, relieve pain, and improve mobility in people with trochlear dysplasia. The trochlea is reshaped to allow free movement of the patella, preventing knee instability and pain. It can be performed arthroscopically (keyhole surgery using an arthroscope with a camera and light at one end) or openly. You may need additional surgical procedures after your trochleoplasty, such as ligament reconstruction. A physiotherapy programme will help you recover and regain movement in your knee following kneecap surgery. It usually takes six months to be able to resume more active sports.

Who Needs Kneecap Surgery?

Whether you need kneecap surgery is a decision that has to be made by your knee surgeon.

Knee Cap Surgery involves a series of steps that include:

1. Physical Exam:

1. Your doctor will examine your knee after discussing your symptoms and medical history.
2. Blood from the fractured bone ends collects inside the joint space in this condition, causing painful swelling. If you have a lot of blood in your knee, your doctor might drain it to help you feel better.
3. Your doctor will order x-rays from various angles to look for a fracture and see how the bones are aligned.

2. Your doctor will discuss weight-bearing limitations with you and advise if kneecap surgery is right for you.

Benefits of Kneecap Surgery In Delhi

Surgical repair is required to regain function in the knee joint after a ruptured patella tendon. Patella tendon repair surgery will also alleviate pain, improve stability, and reduce the risk of future knee joint problems such as degenerative arthritis.

How does my knee cap stay in place?

The knee cap has a convex undersurface that sits on a concave part of the thigh bone or femur. It is kept in place by the inherent stability provided by this anatomy and a rope like structure on the inside of the knee called the medial patella-femoral ligament (MPFL). The thigh muscle (Quadriceps) and the patellar tendon are attached to the top and bottom of the knee cap and also contribute to keeping this joint stable.

Why does my knee cap move out of its place?

If the groove is too shallow due to manufacturing defect, or the MPFL ligament gets injured the knee cap can move out of its place. Other causes could range from knee malalignment (knock knees) that could contribute to this.

What is the post op rehabilitation?

This depends on the type of surgery. In an MPFL reconstruction typically a brace is applied allowing full movement of the knee for 3 weeks and weight bearing as tolerated with a crutch for the same period. The brace is taken off at 3-4 weeks. Patients usually return to sport in 6 months. Further details will be discussed by the surgeon.

How successful is the surgery?

The surgery is very successful, the key being the diagnosis and cause. Our surgeon having trained specifically on patellofemoral surgery in France keeps you in the best hands.

Why Dr Vikram Mhaskar for Kneecap Surgery?

Tendons, ligaments, joints, bones, and muscles are among the conditions that our highly trained staff treats. We use cutting-edge technology to diagnose and perform kneecap surgery. Dr Vikram Mhaskar is a cut above the rest when it comes to sports medicine and orthopedic needs. Our cutting-edge technology, combined with our highly skilled surgeon's advice and treatment, creates the ideal healing environment. When it comes to orthopedic injuries, you want to see a doctor who specializes in your type of injury. Dr Vikram Mhaskar's attention to detail makes him an excellent choice for your treatment and recovery.

Dr Vikram Mhaskar approaches each patient's needs with empathy, which results in better diagnosis, treatment, and overall care. He takes the time to get to know his patients and truly understand their injuries and needs for quality of life improvement.

Patients are educated and given instructions for preparation and recovery before kneecap surgery.