Surgery requires time for preparation, and in the case of knee surgery, for the patient to work with the preoperative physiotherapist to ensure good postoperative mobility and regain the best function of their knee in advance. In the emergency room setting, medical cases almost always take precedence, taking time from essential preoperative services, resulting in unnecessary cancellations of elective surgeries. Preoperative physiotherapy helps prepare the patient emotionally and physiologically for their surgery, not unlike a sports psychologist does for an event. With effective preoperative preparation, most patients can make work arrangements in advance, resulting in little time lost from work, lessening the effects of surgery on their employers and family further. The Orthopaedic and Pain Practice can be one of the preferred centers for orthopaedic and pain surgery in Singapore. Knee surgery can be a game-changer for those dealing with chronic knee issues.
Overview of The Orthopaedic and Pain Practice
As the clinic is composed of spine, orthopaedic, and sports medicine specialists, it can offer an evidence-based comprehensive treatment plan for patients, including general physiotherapist and sports physiotherapist services for pre- and post-surgery patients, with close communication between the surgeon, medical consultant, and physiotherapist, ensuring accurate and appropriate functional knee rehabilitation. A focus is also placed during surgical procedures by the clinic to restore meniscus and articular cartilage to optimize patient’s outcomes and to minimize development to osteoarthritis of the knee as top priority. Other surgical procedures offered include the anterior cruciate ligament (ACL) repair and reconstruction, meniscal repair, high tibial osteotomy, and autologous chondrocyte implementation. On the other hand, for meniscus and articular cartilage injuries, appropriate repair techniques are offered.
The Orthopaedic and Pain Practice is a spine, orthopaedic, and sports medicine clinic in Singapore that specializes in the treatment of various pain complaints and musculoskeletal conditions, ranging from common issues such as knee pain due to cartilage degeneration to complex spinal problems. Both non-surgical orthopedic and surgical orthopedic treatments can be provided. Among the surgical options include meniscal repair, partial meniscectomy, cruciate repair and reconstruction, and high tibial osteotomy (HTO). The focus of this article is on knee surgery. Knee replacement is often recommended for severe arthritis or injury that hasn’t responded to other treatments.
Importance of Specialized Clinics for Musculoskeletal Conditions
With the proportion of the elderly in the population increasing, there will invariably be more older individuals undergoing knee replacements. The frequency with which patients may present with periprosthetic fractures and other related conditions has highlighted the importance for such a specialized clinic to be developed in Singapore, which is a rapidly aging society. The Orthopaedic and Pain Practice in Singapore is designed to cater in particular to this group and patients with a common need to have knee surgery apart from dealing with musculoskeletal conditions which may be medically managed. These problems are now commonly seen following not just falls which are usually associated with an older population but also following a higher velocity trauma in a younger population. The importance of effective rehabilitation which is personalized by a physiotherapist is emphasized. The use of nurses to draw out operational and statistical data aids the clinicians to save time to focus on effecting successful treatments.
People are very mobile nowadays as compared to many years ago. The chance of falling and injuring oneself has also increased with advancing age. This problem is compounded by diseases like high blood pressure and diabetes where the sensory functions are less efficient, and the ability to heal is somewhat diminished. Hence, the human race is witnessing an increase in the numbers of not only young but also middle and older aged citizens sustaining musculoskeletal injuries and fractures. The fact that many of the musculoskeletal injuries may be managed without surgery is a strong reason for a specialized clinic to be in place.
Understanding Knee Surgery
Knee replacement surgery can significantly improve mobility and quality of life. Seeking treatment at our clinic in Singapore and consult our orthopaedic surgeon can help you get the right care and relief. You may have knee replacement (also called ‘knee arthroplasty’) if your joint has been seriously damaged. The knee joint’s degenerating ends are replaced with metallic components. The ends of the bones may wear out or rub because of arthritis. You will need a new joint if this causes you pain and limits your activities. Part of the knee or the whole knee may be replaced, bones at the ends of the new parts are removed. The knee’s new ends are securely fitted by the surgeon. Your old knee’s worn ends will be sent to the back of your new knee. Your knee is going to be normal. Since end-stage arthritis and damage may be the primary source of discomfort, for certain situations, total knee replacement is a productive way to recover quality of life. You can also drop the stick or the brace you used to help you walk. Everything feels normal. When you wake up, the new knee would be in effect.
In knee surgery, knee arthroscopy is today’s common surgery. An arthroscopy is a type of keyhole surgery. When the surgeon can look inside your knee with a tiny camera attached to a screen, it happens. In the same procedure, the surgeon can repair injuries or remove certain knee damage. When you have a problem like a cartilage tear or worn out surfaces, you may need a knee arthroscopy.
Definition and Types of Knee Surgery
Knee surgery involves planning and more attention to complex factors such as the physical demands of the patient’s work or activities, expected functional outcomes, and risks and postoperative care required to maximize treatment benefits. Only merit, however, does not predicate a positive patient result. High-quality healthcare can be founded just on intimate patient-physician relationships submitted by communication, shared decision-making and personalized treatment, emphasizing the person behind the injury and considering the patient’s gender, age, occupation, physical condition, physical activity, special interests, and individual preferences and expectations. Keen practitioners are dedicated to this broader understanding which includes empathy, responsiveness, and the physical, mental, social, and spiritual well-being.
Knee surgery is typically undertaken to address problems caused by aging, injuries, arthritis, and congenital defects. Arthroscopy, joint replacement, realignment, ligament reconstruction, and cartilage grafting are among the techniques commonly performed to repair knee problems. Open surgery, minimally invasive surgery, and advanced computer-assisted navigation systems may be employed. The choice of technique is usually determined by the gender, age, weight, physical condition, individual injury, and personal injury criteria of the patient. The most effective therapeutic methods should be individually suggested to patients. Surgical decision-making, as with other types of treatments, should be based on medical evidence derived from comprehensive studies and scientific theories, guidelines, and expert views concerning the affected musculoskeletal tissues.
Indications for Knee Surgery
Meniscal injuries are another leading cause of pain and suffering all over the world, and in particular, the athletic community. The lack of blood supply to most meniscus locations has led our past-generation orthopedic surgeons to remove the torn meniscus and create a ‘short-term’ or temporary solution. In recent decades, advancements in arthroscopic knowledge, the advent of new tools, and the creation of novel implants have allowed preservation of the meniscus as best as possible, and in the hands of skilled surgeons, good prospects for the future are secured. Again, treatment depends on a number of basic parameters including tear location, pattern, and length, the presence of osteoarthritic changes, severity, and the activity levels required. The surgical techniques, together with physical therapy care, remain the cornerstone in new meniscal lesions.
Knee surgery is offered when the cartilage has worn out and exposed underlying bones, causing bony lesions manifesting as pain, swelling, and reduced range of motion. Not all cartilage lesions will require immediate treatment, as not all lesions are symptomatic or limiting. Treatment in the form of cartilage restoration techniques like autologous chondrocyte implantation (ACI), mosaicplasty, matrix-induced cartilage implants (MACI), or even arthroplasty depends on the extent of the damage, the sports activities, the patient’s age, body mass index (BMI), and sports expectations and demands. If the articular surfaces of the bones become damaged, mechanics will be impaired, and arthroplasty options may become the best option for treatment.
Knee Replacement Surgery
After surgery, the debris, the original surface of the knee, including planning for total knee replacement, usually takes about 1.5 hours. After completing the turning, the patient will commonly find his knee to be less stiff and more comfortable. The knee replacement process will take about 1.5 hours to one and a half hours in order to perform. After the operation, the knee will usually be drained through a plastic tube and will almost always have a hospital stay of 4-6 days, except for only a warning knee replacement in which case the hospital stay is commonly a home-based exercise program. After discharge from the hospital, patients will have appointments with the doctor and orthopedic surgeon to monitor the risk of infection and blood clots. Measures will need to be taken by the individual to avoid falls and the cause of knee injury from twisting and hitting the knee during activities such as walking, driving, and skiing. During periods and other heavy exercises such as impact. General recovery usually takes 12 weeks. Senior patients are advised to use mobility assistance devices such as walking aids. Generally, when posterior knee damage or oxidative repair is performed incorrectly, and when patients are not advised to avoid put absolute knee flexion, knee flexion can be limited to 90 or 100 degrees. In less common circumstances, the knee pain will not decrease, which may require further treatment is carried out in 3-5% of knee replacement units.
The primary goal of total knee replacement is to increase mobility and overall level of function. Knee surgery has a high success rate in improving the pain and quality of life. The knee replacement involves replacing the lower joint surfaces of the knee. The operation involves exposure and removal of the worn ends of the bones. The arthritis joint surfaces are then replaced by their forming metal components. High-density polyethylene is used to replace the ends of the femur, the tibia, and the kneecap. In a cemented knee replacement, bone cement is pressurized into the ends of the bone which attach to these components. For the surgeon, the goal during surgery is to ensure that the soft tissues, including joint ligaments, runners, and knee activities are periodically balanced. This results in an even distribution of forces and an increased range of and stress on the muscles is permitted during walking and function.