Arthroscopic knee surgery is becoming a more and more popular knee treatment method.  Here is information on using arthroscopy to regenerate knee cartilage.

Knee microfracture surgery or knee cartilage regeneration is a method used to repair damaged cartilage.  This method of orthopedic knee surgery can be used in some instances instead of necessitating a full or partial knee replacement surgery.   It can also be used to relieve the pain associated from knee cartilage injuries, knee arthritis in its early stage, lesions on the knee cap and degenerative chondral lesions of the knee.

Simply put, it is cartilage that helps to cushion the bones in the joints.

This type of knee surgery is minimally invasive with only one small incision being made to the affected knee.  this small incision, usually only a quarter of an inch long is made and an arthroscope is inserted into the knee joint.  This apparatus allows the surgeon to see inside the joint using a micro camera and to work directly on the problem.  It is another type of arthroscopic knee surgery. 

Using an awl, a tool a bit like an ice-pick, the orthopedic specialist drills a series of tiny holes or "microfractures" directly into the bone surrounding the problem cartilage.  These tiny fractures causes the body to make new cartilage to replace the defective cartilage by causing bone marrow to seep from the microfractures that creates a blood clot.  This blood clot releases cells that rebuild cartilage.

Once the procedure has been completed knee surgery recovery is relatively fast with most patients being able to participate in sports and other strenuous and intense pastimes in around four months.
 
Physical therapy of the knee commences immediately the surgery is completed, usually in the recovery room, where a continuous passive motion machine is used to gently flex and extend the leg.  This CPM machine is used for periods up to 8 hours per day for a few weeks after surgery.  It is sometimes used while the patient is sleeping.  This sort of knee therapy is thought to sped up the cartilage regeneration process.

 
For the first six to eight weeks the knee joint should not be subject to any load bearing and so crutches are needed to assist with mobility.

Like any surgery there are risks like excessive bleeding and infection.  With proper care these are minimal.
Using microfracture surgery causes new cartilage to develop.  However, this new cartilage is not as durable as the original cartilage and has been known to break down after a few years.   The patient can also be left with increased stiffness in the knee joint.

Combining of arthroscopic knee surgery and microfracture knee surgery is becoming a recognised method of rebuilding cartilage.

Kerry Northey

Panthers look to Allen’s return from microfracture knee surgery.

The 29-year-old played only two games last season before he had to go for microfracture surgery on a knee, which caused him to miss the rest of the 2008-09 campaign. 

Microfracture Knee Surgery

Cartilage damage can lead to chronic knee pain. Athletes with this problem can benefit by microfracture surgery.  

Micro Fracture Surgery Versus Stem Cells

A physician compares the results of micro fracture for a knee cartilage lesion to stem cell injection. … It’s a brilliant advance over arthroscopic debridement (surgeries where cartilage is simply “cleaned up” by cutting it out). I think that in the future we may see stem cells placed in the joint after micro fracture surgery to aid healing and we’ll also see many non-surgical, stem cell based, injection options like the Regenexx procedure. 

Gregg’s Micro Fracture Surgery

It marked Gregg’s first regular-season game back on the field after missing last season when he underwent microfracture knee surgery. "It’s good to be back," Gregg said. "I was down and out. 

Did Cofield Have Microfracture Knee Surgery?

In the wake of New York Giants defensive lineman Fred Robbins’ disclosure that he had microfracture knee surgery before later removing the information from his blog.

Robbins needed microfracture surgery

He had microfracture knee surgery, which is a much more serious procedure than the scope that Cofield had. Robbins revealed the nature of his surgery on his own website. 

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Total knee replacement recovery exercises play a major part in your recovery following knee surgery.  Remember that your knee replacement procedure was a major operation and full recovery will take time. 

It is imperative that a regular exercise regime is commenced as soon as possible to help restore the mobility and strength to your knee.  This will help speed up your recovery so that you can return to your normal activities as quickly as possible.

Your orthopedic surgeon will recommend the knee exercises that you should do.  These will generally start off fairly light and gradually increase in intensity.  It is important to follow your surgeon’s instructions on this physical therapy.
As you gain more strength and confidence your knee therapy can consist of more advanced exercises.  Here are some which can be useful.  Before starting on these exercises please run them past your orthopedic surgeon or physical therapist.  These advanced exercises should be started until at least 4 weeks after your knee surgery.

AdvancedKnee Exercises

Standing Knee Bends

Stand up and using a walker or crutches to steady yourself, lift your thigh while bending your knee as much as you can.  Hold this position for between 5 to 10 seconds and then straighten your knee making sure that your heel touches the floor first.  Repeat this a few times but do not over do it.

Advanced Knee Bends

Lie on your back and bend your knee to about 45 degrees.  Place a rolled up towel over your ankle and take hold of each end.  Gently pull back on the towel to increase the angle of bend.  Hold for around 5 – 10 seconds.  Repeat this exercise several times.

Resistance Knee Exercises

Using light weights, repeat the above exercises with the weights wrapped around your ankle.

These resistance exercises should not be started until at least 4 – 6 weeks after your knee replacement surgery. 

You will need some light weights that can be tied around your ankle.  These can be obtained from most sports stores.  Start with one or 2 pound weights and slowly increase the weight as you regain strength in the knee joint.

Exercise Bike

Using an exercise bike is great way to increase mobility in your knee and muscle strength.

Make sure you set the bike up properly.  Adjust the height of the seat so that with your knee almost straight the bottom of your foot touched the pedal.  Keep the tension of the exercise bike fairly low so it is easy to pedal.

First of all pedal backwards.  When you achieve a pedalling motion that does not give you any discomfort then start pedalling forwards.  Do this twice a day for about 15 minutes and slowly increase the time.  When you feel comfortable in doing so, increase the tension.

Precautions

It is not uncommon for you to feel knee pain or swelling after knee physical therapy like this.  This can be relieved by applying ice to your knee and elevating your leg.  If you feel the pain or swelling is extreme, cease the exercises and consult your health specialist.

These exercises should be an integral part of your total knee replacement recovery regimen 

Written by Kerry N  

Knee Rehab Exercises – Bill Starr

“There’s no doubt in my mind that a lot of major knee injuries have been prevented because the joint was extra strong. The controlled up -and-down movement of the squat is the best rehab exercise. 

Speeding Up Your Recovery After Knee Arthroscopy

… this is unusual with arthroscopic knee surgery. Usually, you will be able to walk without assistance. You will need to take care about bearing weight at first, but as time passes and you persist with your postoperative exercises

How to strengthen your Knees

Here’s a great video which includes a detailed analysis of knee function anatomy, common injuries, potentially dangerous exercises and causes of pain, useful rehab exercises and protocols. 

Knee (ACL) Exercises

Anterior Cruciate Ligament (ACL) Injury Rehabilitation Exercises. 

Physical Therapy Knee Exercises: Knee Rehabilitation Exercises

What knee exercises do you do/have you done to help strengthen your muscles? Have you worn a brace while running? If so, do you have an brands/types you can recommend over others? Is running on specific terrain easier on your knee?

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Because  arthroscopic knee surgery is far less invasive than traditional knee orthopedic surgery, arthroscopic surgery recovery time is usually much quicker.  Even so, it is very important that you still follow the instructions of your arthroscopic surgeon to ensure that complications do not occur.

Signs of complications can include the following symptoms:

Fever or chills
Unexpected swelling in the knee
Ongoing redness or warmth around your knee
An increase in knee joint pain or pain in your calf muscle.

If you experience any of these symptoms you should call your orthopedic Dr as soon as possible.

Here are some things you should do and expect following your knee orthopedic surgery.

For the first few days following surgery keeping your knee elevated will help to reduce any swelling.  Using ice packs on your knee will also help with swelling and pain.

Generally the dressing that was applied following the knee operation can be removed after a day or so.  When you remove the bandage ensure to keep the area dry and clean.  When showering avoid getting water directly onto the wound.  

Usually within a few days after the knee surgery you will be expected to see your knee surgeon so he can check your progress and instruct you on your knee physiotherapy.

After your knee surgery you should be able to walk unassisted.  However, you may be advised to use crutches or a cane for a short period of time.  You will find that you will slowly be able to put more weight on the affected limb as any pain reduces and the knee becomes stronger.  You can usually drive after about 7 days.

Exercise is very important to regain mobility and strengthen the knee.  You may be directed to use a physiotherapist who can map out an exercise regimen specifically for you.

Your arthroscopic surgeon may recommend a course of antibiotics following the surgery to prevent any infection.  In addition he may also prescribe some medication for knee pain relief.

Although rare, knee arthroscopy does sometimes lead to complications.  These can include infection, an accumulation of blood around the knee and blood clots.  As I mentioned, these are infrequent an are usually minor.  They are easily treated.

Fortunately, with this type of orthopedic knee surgery, the pros far outweigh the cons.  Any complications arenegligible and the benefits obtained in mobility and pain reduction are well worth a few days of discomfort.

Knee Pain Relief: Arthroscopic Knee Surgery & Knee Braces

The arthroscope (one of the surgical tools used in the surgery) is inserted into the knee joint through a small incision that your physician will make.  As a result of being less invasive, this procedure can reduce recovery time and can increase the success rate of the procedure. 

News that Seahawks’ Jones will require another knee surgery.

News that Jones will require another knee surgery, this one arthroscopic, leaves the team with only two proven tackles for the immediate future.

Speeding Up Your Recovery After Knee Arthroscopy

Recovery from knee arthroscopy is fairly quick, especially when compared with recovery from open knee surgery.

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So you have a damaged knee, orthopedic surgery is looming and you are thinking that locating an orthopaedic surgeon will not be all that easy. You could be right but if you follow these six simple steps then you’ll find that it’s really easier than you think.

Step1. Discuss your needs with your local GP.  With their knowledge and experience they should be able to recommend an experienced knee specialist.

Step 2. These days there are many common conditions, like for instance arthritis, knee surgery,  etc, that require orthopedic surgery.  Check with friends, neighbours and co-workers and see if any of them have had the need to use an orthopedist.  Find out what they thought and, if you are happy with what you discover, get the knee surgeon’s details.

Step3. There are several databases online where you can check out orthopedic surgeon information.  Two notable websites are The American Medical Association and the American Academy of Orthopaedic Surgeons.  These institutions have online databases that are readily accessible.  In addition there are other web based databases that allow you to find out more about your doctor.

Step 4. Don’t be afraid to ask questions.  .

• Ask about the credentials of your orthopedic doctor Don’t be afraid to ask abot the knee surgery cost.
• Are there videos or information booklets available about the proposed surgery?
• Can you expect to return to full mobility after the surgery?  If not about what level of mobility is expected?
• How many operations of this type has the orthopedic specialist performed?
• Is the surgeon Board Certified?
• Are there many of this type of surgery performed at the particular hospital each year?  About how many?
• What have been the outcomes of surgery performed at this clinic?
• Are there any risks involved in the surgery and what is the likelihood of them.
• Will the knee surgery be performed under local or general anaesthetic?  What type of anesthesia is to be used? Does this pose any risk?
• What type of prosthesis will be used? How has this performed in the past?
• I am taking medication at present.  WIll I have to stop them before the surgery?
• Will it be necessary to have a blood transfusion and are there any alternatives?
• What is the usual period of hospitization after the surgery?
• Can I expect much knee joint pain after the orthopedic procedure and how much?  Will pain medication be available?
• When will I start physical therapy? Will I need home or outpatient therapy?
• Will home assistance be necessary and for how long?
• How long will the knee surgery recovery be and when will I be able to drive?  What about other activities like bathing, climbing stairs, eating, sex?
• When will I be able to return to work?
• Will follow up visits the orthopedic surgeon be necessay and how frequently?
• What complications could develop post surgery? What signs should I look out for?

Step 5. Don’t be afraid to seek a second opinion.

Step 6. Trust your instincts.  If you don’t feel comfortable with a particular surgeon, don’t be afraid to look elsewhere.  Try to find one that is not only experienced and well regarded but one that you also have confidence in.

By following these simple guidelines you should be able to find an orthopedic surgeon to perform your surgery, whether it is knee surgery, lower back or hip surgery or in fact, any orthopedic surgery.

Specialist Orthopedic Surgeons in Singapore

The team of specialists at Orthopaedics International has been serving the orthopaedic needs of the community since 1993.  Whether you have an athletic injury, painful arthritis or need a joint replacement, we will help our patients return to their active lifestyle as quickly as possible.

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 Knee joint replacement surgery  is a major operation and whether you have a full or partial knee replacement problems can occur. This article discusses what you need to ensure you are prepared for rehabilitation after invasive or arthroscopic knee surgery.

What You Need To Know Before Your Knee Replacement Surgery

Knee Replacement is pretty scary, but you can do it, especially if you are prepared! After you and your Doctor have decided you need your knee replaced, it’s time to make preparations.

First and foremost, check with your insurance company to make sure which benefits you have. Find out specifically how long they will allow you to stay in the hospital. Many insurance companies will make you leave the on the fourth day after the operation and they may send you to a ‘rehabilitation facility’, which in their jargon could mean a nursing home.

In my experience, I was transferred to the nursing home on a Friday. This meant I would not be evaluated by their visiting physical therapist until Monday. Because of that, I declined from a 90 degree bend in my new knee to a 70 degree bend, in just three days. All my rehab in the hospital had just gone down the drain and I had to start all over again. Just so you know, you will be working towards a 125 degree bend after the Knee Replacement Surgery.

It is very important to know how the insurance company will deal with you before, during and after the knee surgery.

Call the number on the back of your insurance card and ask the following questions:

* Find out with whom you are speaking, their position and their extension number.

* I want to know what benefits I have for a total Knee Replacement.

* Do I have skilled Physical Therapy benefits in the hospital where the surgery takes place for the Knee Replacement? Yes or No? If yes, what are they?

* Do I have Rehabilitation benefits for the Knee Replacement? Yes or No? If yes, what are they? Where may I go for the services?

* Do I have Rehabilitation equipment and supplies covered for the Knee Replacement? Yes or No? If yes, what are they? Is there a co-pay?

* Do I have ongoing outpatient therapy benefits for after the Knee Replacement? Yes or No? If yes, what are they? Where may I go for services?

* Do I have home therapy benefits after the Knee Replacement? Yes or No? If yes, what are they? Which Home Health agencies may I use after the Knee Replacement?

To maintain your independence at home, after your Knee Replacement Surgery, buy a bar refrigerator that will go on a table next to your bed. This will be invaluable when you do come home. Stock it with water, sodas, milk, Jell-O’s and individual pudding snacks. Fresh fruit is also a good snack. Purchase the 2 oz boxes of cereals and stack them beside the refrigerator. Put a large plastic drinking cup next to the bed and weight it with a golf ball, which will hold plastic utensils, knives, forks and spoons (the golf ball keeps it from tipping over). Use a plastic bowl for the cereal and throw it away when you’re done. Bumblebee Tuna makes an individual lunch kit that comes pre-made with crackers and a little wooden spoon.

These little things will help you feel independent by being able to get breakfast, snacks and an occasional lunch on your own. It also gives your care giver a little break. I found that there were some days that I had no appetite due to pain and/or medication so I kept a stock of Slim Fast or Boost in the refrigerator for basic nutrition.

If you smoke, now is the time to stop or at least cut down. Smoking constricts your blood vessels which is not a good thing when you’re going in for major surgery. If you tend to be a little over weight try to lose a few pounds. A little less weight on a new knee joint means a little less pain. Okay, no more preaching.

Line up the people that will be helping you after your Knee Replacement Surgery and, believe me, you will need them. If you can afford it, hire someone to come in for 4-6 hours a day. They will help you get out of bed, shower and get dressed. They prepare your meals, help you with your therapy exercises, keep you company and give your spouse or significant other, a break. Interview them now and let them know what your timing is. Your church would be a good place to find someone, or if you live near a retirement community, many times they have companions of their own that are looking for some extra income.

This isn’t essential but I think wise. Donate two pints of your own blood in case of an emergency. Make sure that this is completed at least a week before the surgery. You have to donate one pint per week. If you are taking antibiotics wait five days before giving blood. The blood bank will give you a card with the unit number on it that you present upon admission to the hospital.

You will need Grab Bars put into your shower/tub (don’t use your towel bars). Put them in before you have the surgery, installation is not that difficult and you will be grateful for the assistance over the next couple of months. This is a major safety issue. Balance will be tough after your Knee Replacement Surgery especially the first couple of weeks. You should buy a shower stool so you can sit while bathing. Your doctor may supply you with a cast protector to keep your new knee dry.

Purchase three rubber mats, one for in the shower/tub and the other two to be lined up parallel outside the shower/tub. You do not want to slip on a wet bathroom floor.

There is a product; a disposable body wash cloth, available that you can use to bathe in your bed. They can be placed in the microwave to be heated up and you can use them on days that you just can’t face the shower. They come in packs of eight. While they say to use all eight for one bathing I found that four were sufficient. Just close up the remaining four and use save them for the next time.

You will need a pair of slippers that cover the entire foot with a non skid bottom, flip flops are just too dangerous. You will also need a pair of lace up shoes for stability.

Some other items that you may need are:

* TV with Remote Control

* Telephone/emergency numbers

* A night light for the bathroom

* Handi-wipes

* Bedside Commode/Toilet paper

* Tissues

* Dental floss, toothbrush, toothpaste

* Bell to ring for assistance

Another suggestion is to clear all the pathways in your home. Scatter rugs and cords are often the cause of falls, so are pillows and magazine. Remove articles from around the bed and chairs. Keep your pets under control. A dozing cat or a playful puppy in the wrong area can cause accidents.

Please see my other article on what you need to know about the day of knee replacement surgery and your rehabilitation.

Copyright, Mary Hanna, All Rights Reserved.

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By: Mary Hanna

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While traveling in Oregon three weeks before Dr. Tarlow was to perform my Knee replacement, I meet a fellow who had knee replacement surgery 3½ weeks prior and walking with minimal use of a cane.

Partial Knee Replacement Surgery

BoneSmart.org is a National Public-Awareness Campaign for Candidates of Hip Replacement Surgery and Knee Replacement Surgery. 

Total knee replacement surgery can boost mobility in elderly

Total knee replacement surgery can significantly improve physical functioning and motor skills of older patients with osteoarthritis, according to Duke researchers. 

Total Knee Replacement Surgery

What’s involved in Total Knee Replacement surgery?.

Knee Replacement Surgery

Knee replacement surgery (arthroplasty) is fairly common and is not limited to a profession or gender, though it is generally more prevalent in older patients.

About The Author Mary Hanna writes eBooks, Software Reviews and Practical Articles. Visit her websites at: www.biaxininfo.com www.CruiseTravelDirectory.com All of the products recommended in the article can be found at: www.MedicalCheap.com

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