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Knee
The knees are the strongest joint in the human body, as they allow the legs to bend and straighten while carrying almost all of the weight of the individual whenever standing. The knees are a hinge joint, but have substantial capacity for lateral (side-to-side) motion.
Knee conditions often develop as a result of wear-and-tear, a physical blow or a sudden twisting or otherwise harmful movement. Dr. DeClaire and his staff at DeClaire Knee and Orthopaedic Institute are highly skilled and experienced in treating conditions and injuries of the knee through the most advanced, minimally invasive techniques.
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Minimally Invasive Total Knee Arthroplasty
Total knee replacement, also known as knee arthroplasty, is a minimally invasive procedure that removes the damaged ends of the bones in the joint and replaces them with a prosthesis made of metal and plastic. This procedure is often effective in treating joint pain, swelling and stiffness in patients with severe knee injuries, osteoarthritis, and other degenerative diseases.
While there are many surgical techniques available for total knee replacement, minimally invasive arthroplasty offers patients may advantages over the traditional surgery. Minimally invasive arthroplasty involves making several tiny incisions into which a camera and tiny surgical instruments are inserted. This procedure offers patients less scarring, less tissue damage and shorter recovery times.
Unicompartmental Knee Replacement (Medial and Lateral)
Unicompartmental knee replacement, or partial knee replacement, is a surgical procedure performed to treat osteoarthritis and other degenerative conditions of the knee by removing and replacing only the damaged areas. This procedure is most often performed on patients with severe arthritis that has not responded to conservative treatments, but who still have healthy areas of cartilage left in the knee. It if preferred by younger patients who wish to maintain their active life and postpone total joint replacement surgery.
Compared to total knee replacement, unicompartmental knee replacement offers patients smaller incisions, less bleeding and shorter recovery times. Its minimally invasive nature offers patients many benefits, but this procedure may not be ideal for older or obese patients.
Patellofemoral Joint Replacement
In some patients with arthritis of the knee, the bones within the kneecap are often affected in addition to the shin and thigh bones, and may need to be replaced as well, or on their own. Patellofemoral joint replacement surgery replaces the patella (kneecap) area of the joint. This procedure is less common than total joint replacement, as the patella generally bears only a minimal amount of weight in most patients.
The surgical procedure and rehabilitation process for patellofemoral joint replacement are similar to that of a total knee replacement. Patients will require physical therapy after this procedure in order to restore proper function to the knee. After undergoing this procedure, patients are still considered candidates for a total knee replacement if needed in the future.
Knee Arthroscopy
Knee arthroscopy is a minimally invasive procedure that can be used to both diagnose and treat a wide range of conditions affecting the knee. This type of surgery offers patients many benefits over traditional surgery, including smaller incisions, less bleeding, less scarring and shorter recovery times. Your doctor will decide whether arthroscopy is right for you after a thorough evaluation of your condition.
During the arthroscopy procedure, a thin fiberoptic light, magnifying lens and tiny camera are inserted into the knee, allowing the doctor to examine the joint in great detail. For some conditions, such as meniscal tears, mild arthritis, loose bone or cartilage, ACL and PCL tears and patellar misalignment, surgical instruments will be inserted into additional incisions to correct the condition during the same procedure.
Knee Arthroscopy with ACL Reconstruction
A tear in the anterior cruciate ligament (ACL) is one of the most common types of knee injuries, causing the knee to become unstable and the joint to slide forward too much. This condition is often diagnosed and treated through knee arthroscopy, which uses a fiber-optic camera and small surgical instruments inserted through several tiny incisions to repair the tear and restore function to the joint.
During the ACL reconstruction procedure, graft tissue from your own body (autograft) or from a donor (allograft) is used to repair the torn ligament. The damaged tissue is removed and the graft tissue is placed and attached to the bone with screws to hold it in place. After surgery, patients can usually return to their regular activities within two to three months.
Knee Arthroscopy with Lateral Capsular Release
Lateral capsular release is a surgical procedure performed to realign the kneecap in patients with patellar maltracking, a condition that causes pain and irritation within the knee. This is most often caused by tight tissue that is attached to the outside of the kneecap, pulling it outside of its normal groove. Lateral capsular release can often be performed through arthroscopy to offer patients the benefits of a minimally invasive procedure.
During the lateral capsular release procedure, several small incisions are made in the knee, into which a camera and tiny surgical instruments are inserted. Your surgeon will cut any tight tissue that is causing the malalignment, allowing the kneecap to function properly with reduced pain and fluid movement of the joint.
Knee Arthroscopy with TTO
Tibial tubercle osteotomy (TTO) is a surgical procedure performed to restore proper alignment to the patellofemoral joint by reinserting the patellar tendon into the shinbone. It is effective in relieving pain and restoring function in patients with lateral slipping of the kneecap or those with an excessively long patellar tendon. This procedure is often combined with a lateral capsular release for maximum results.
The TTO procedure can be performed using arthroscopic techniques, which offer patients many benefits over traditional open surgery. During the arthroscopy procedure, a thin, fiber-optic camera and tiny surgical instruments are inserted into several small incisions. The inside of the knee can be viewed on a television screen to ensure an accurate and effective procedure.
Total Knee Replacement Revision Surgery
For many patients who undergo knee replacement surgery, their prosthetic replacement will perform well for the rest of their lives, as these procedures tend to be performed on older patients. However, as an increasing number of younger patients are undergoing this procedure and older patients are living longer, many patients need revision surgery to repair or replace the original prosthetic.
Knee replacement revision surgery is typically indicated when the joint becomes painful or swollen as a result of loosening, wear or infection. This procedure is similar to the original replacement procedure and involves placing a new implant in the joint that is cemented into place.
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Orthopedic Surgeons Dr. Jeffrey H. DeClaire, M.D., and Dr. Jignesh N. Patel, D.O., serving Rochester MI, Utica MI,
Shelby Township, Lake Orion, Oxford MI, Bloomfield MI, Birmingham MI, Macomb, Washington Township MI, Lapeer and the surrounding area.
The DeClaire Knee and Orthopaedic Institute | 1349 South Rochester Road | Suite 250 | Rochester Hills, MI 48307 | 248-650-2400
www.declaireknee.com