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knee surgery

Knee Instability & Treatment Options – When to Seek…

March 28, 2021March 30, 2024
by Eva Hospital

The painful, wobbly, and unstable feeling of a loose knee cap is commonly caused by an injury that has either sprained or torn the ligaments.

Anterior cruciate ligament or meniscus injury may also cause knee instability and pain.

The kneecap is connected to the thigh bone(femur) above and the shin bone(tibia) below.

It moves up & down in this groove as you move your knee.

Sometimes the knee ‘gives out’, or the kneecap moved out of this groove. This is called knee instability.

The most common symptom is a sensation that the knee has moved out of place.

There is usually swelling, pain, discomfort in movement, and probably a visibly deformed knee.

People who are at risk of knee instability include sportspersons and dancers. A sports injury specialist’s advice is important in such a case.

Causes

Injury to Knee Ligament

Such injuries occur due to a strong impact wherein the knee gets forcefully bent at an unusual angle, injuring the ligaments.

The kneecap is held in place via ligaments. Ligaments are the fibrous tissues that connect the bones to muscles.

An injury may make a partial or complete tear in the ligaments.

The minor tears normally heal with simpler remedies, whereas serious tears may require surgery.

There are three types of ligament tears:

ACL Tears

The ACL or the anterior cruciate ligament tear puts pressure on the injured leg and makes it difficult to walk.

The knee joint feels dislocated and there is a decreased range of motion.

A patient with an all tear can bend and flex the knee in a normal and painless way.

The treatment involves more invasive procedures.

MCL Tears

The MCL or the Medial Collateral Ligament tear is caused by a direct strike on the knee cap. there is usually swelling, redness, and pain that lasts a few hours.

A severe MCL tear makes the knee unstable and causes pain and soreness on the medial or inner part of the knee. Most MCL tears can heal without surgery unless accompanied by injuries to other ligaments.

PCL Tears

The PCL or Posterior Cruciate Ligament gets damaged usually by falling directly on the frontal knee.

As an isolated condition PCL tear can be treated non-surgically, although surgical treatment options are also there for PCL injuries.

Surgery is usually only recommended for serious tears & multiple ligament tears.

Non-Ligament Causes

It is also possible for people to experience instability symptoms owing to knee osteoarthrosis and patellar instability.

Osteoarthrosis, wears down the cartilage, inflicting pain, swelling, and stiffness.

Patellar instability can also lead to kneecap dislocation. You get a feeling as if the knee is going to pop out, leading to instability, although there is no ligament injury.

Treatment

Your surgeon diagnoses your condition by compiling your medical history and results of clinical examination.

You may also have to undergo certain tests such as X-rays, MRI or CT scans to confirm the diagnosis.

Treatment of instability depends on the severity of the injury, as established by the diagnostic reports. Both surgical and non-surgical options are there for knee instability.

Primary treatment of dislocations includes:

Resting the knee is the first step,
Ice fomentation
Compression- use of braces or compressor.
Nonsteroidal anti-histamine drugs are prescribed to relieve the pain
Targetted physiotherapy is begun after the pain subsides a little, to lend muscular strength to the muscles that hold the knee.

A sports injury specialist or a physiotherapist can design an exercise procedure to deal with knee-buckling as a treatment and also as preventive care.

The exercise program is focused on strengthening leg muscles, keeping the knee cap aligned, and improving the range of motion in the legs, and improving flexibility.

Surgical treatments largely depend on the severity of the injury.

The ACL tears are usually repaired with a procedure called ACL Reconstruction.

It involves reconstructing the damaged ligament to restore the normal structure of the knee joint.

Several other procedures are possible, as the surgeon decides, such as the lateral retinacular release, realigning the quadriceps mechanism, or tibial tubercle transfer (TTT).

A Word From Eva

Most medical treatment for instability is aimed at brace protection of the ligaments, improving the walk, range of motion, and return the patient to normal activity as early as possible.

The sooner the problem is addressed, the better it is. Instead of worrying at home and dealing with the pain, have a discussion with your doctor at Eva Hospital about your treatment options and choose what suits you best.

Eva Hospital

Citizens Bone & Joint: An Advanced Orthopaedics Program Offering…

October 29, 2020March 30, 2024
by Eva Hospital

For leading a comfortable lifestyle, the health of your bones and joints is extremely important. However, we tend to ignore this fact when they are working fine.

Sportsmen, young people, senior citizens, and people who have undergone trauma need to visit an orthopedic care center.

An orthopedic surgeon does not just perform surgeries. Surgery is an option only for patients with more severe forms of arthritis, fractures, or displacement, where for whom conventional treatments have not been effective.

The objective of the surgical procedure is to bring relief to a traumatized patient and correct the deformities.

Senior Citizens

Age is just a number according to orthopedic surgeons say age is just a number, yet we cannot ignore what growing age brings for each one of us.

People above 60 years of age start facing problems, especially related to bones and joints. Whether it is osteoporosis or osteoarthritis, virtually everyone deals with them, especially in India.

For the most problematic conditions that inhibit senior citizens from leading a normal life, effective surgery can prove to be a boon that lets them start life afresh.

Eva hospital offers state-of-the-art surgical techniques, equipment, and skills. They understand the role that after-care plays for senior citizens to recover.

Post-surgical care at Eva is exceptionally good and the staffs are supportive. This is a big factor in choosing a bone and joint care center.

Sports Persons and Athletes

Very often, some unfortunate bone and joint injuries happen. Currently, there is an upsurge in the number of sports players and fitness lovers who participate in numerous athletic events/marathons, etc., age no bar.

At Eva, we understand that every single sports injury is unique. Precisely why our doctors take a bespoke and systematic approach to your sports injury and then design a line of treatment.

The emphasis is on making the patient fight and fit again so they can pursue their passion again. It is not just about curing the symptoms.

Dr. Tanveer Bhutani has extensive experience in treating athletes including regenerative injections, arthroscopic surgery, and customized strength training.

EVA Hospital Practo Review

Foot and Ankle Pain Treatment

The support provides by our feet and ankles include shock absorption, balance, and various movements necessary for movement. While the ankle joints consist of 3 bones, the foot has a fairly complex structure. It contains about 12 bones, 30 joints, and more than 100 muscles, tendons, and ligaments. Due to this intricate structure of the foot and ankle, they are more prone to injuries. Moreover, it is painful and inhibits motion. Various reasons for pain in the ankle and foot are:

Osteoarthritis
Rheumatoid Arthritis
Posttraumatic Arthritis- fractures and sprains
Weak muscles

The line of treatment is surgical as well as non-surgical, depending on severity. Moreover, Eva offers very affordable and cost-effective treatments.

Hand and Wrist Pain Treatment

Hands are complex bone and joint structures too. That is why they work so marvellously! Pain in trauma in hands can be due to

Overuse related to an occupation
Endocrine disorders
Age
Diabetes
Pregnancy
Repetitive work etc.

Mostly, lifestyle changes can facilitate a lot in curing these. Take the doctor’s advice on this.

Arthritis

It is a joint problem, which is one of the most common diseases in the world, affecting people of all age groups. Actually, arthritis is an umbrella term including over 100 diseases. Osteoarthritis (OA) is age-related. On diagnosis and analysis, our doctor may recommend surgical or non-surgical procedures like the ones below:

Arthroscopic Debridement
High Tibial Osteotomy
Total Knee Replacement
Total Hip Replacement

It is not all

At Eva bone and joint orthocenter, we are proud to deliver wellness tips and practices that can be incorporated for a long and healthy life of your bones and joints. It goes a long way in making patients choose a healthy path for long-term orthopedic wellness.

We offer comprehensive care and treatment from extremely skilled doctors, surgeons, and specialists. Top of the notch treatment for the young, adults, sportspersons, and senior citizens. The Eva Centre has a friendly environment, state-of-the-art instruments and tools, and surgical efficacy. Not only that, we ensure and help the patient lead a quality life in the future.

Eva Hospital

How Does Colder Weather Affect My Knee Injury?

October 22, 2020March 30, 2024
by Eva Hospital

Come winter and cold weather enhances the pain and stiffness in your foregoing knee injury. It makes one wonder whether it is a medical fact or just a feeling.

No, it is not a misconception but a fact that certain types of knee injuries actually cause more pain and discomfort in the colder weather.

So, What Is the Reason Behind Increased Knee Pain in Winter?

1. Scientifically speaking, cold temperatures cause the fluid in the knees to become a little denser. This fluid is responsible for lubrication and absorbing shocks.

When it thickens, it does not move around as fluidly around the joint. Hence, it causes stiffness and pain for the patient with an already injured joint.

2. Another primary winter side effect is the fall in barometric pressure. Barometric pressure is the weight of the air in the atmosphere.

At lower temperatures, this air pressure plummets. Consequentially, the gases in the knee joints expand and exert extra pressure on nerves. That is why one experiences pain.

Additionally, if the weather is cold and humid, it affects the cellular structures of bones and cartilage of the joints too.

3. Decreased outdoor activity is a by-product of cold weather. Most people remain indoors for maximum hours of a day. This decreased activity is not favorable to joint health. In fact, it pushes up pain perception a notch.

Also Read: Physical Therapy and Exercises After Knee Replacement Surgery

What kind of knee injuries can cause severity?

If the weather is cold, and your knees are not in perfect health (or have a foregoing injury), it can cause the following type of issues:

Knee Trauma: Cold season can affect the muscles that hold your knee joint. The surrounding muscles play an important role in supporting the joint from all sides. When these tissues are warm, they work and move with less effort.

In colder months, they have to work much harder to do the same tasks. The extra energy makes them tired and causes tissue mutilation. Hence, the patient experiences more agony compared to the summers.

Patellar Tendonitis: This condition is also called the “jumper’s knee” in layman’s language. It causes pain while climbing stairs or jumping.

Winters induce stiffness in the tendons and a decrease in circulation, thereby aggravating the injury. The ache spreads below the knee caps.

Runner’s Knee: This is directly related to an overuse of the joints. It is often experienced by sports persons or active joggers.

The rubbing of the kneecap against the thighs causes the running knee condition. The result is cartilage wear and tears. As the weather becomes cold, it makes the surrounding muscles of these joints stiffer, hence triggering the pain.

How can we ease knee pain in winters?

Stay Warm: To ease the pain of your knee injury in cold weather, there are many things you can do yourself.

The first and most important way is to keep your injured joint and surrounding muscles warm. Wear leg warmers, take hot showers/ steam baths and sleep warmly.

Wear Compression Bands: One can also wear knee caps or bands that support the joints, protecting them from cold at the same time.

They should not be too tight though, is as to affect circulation and instigate other problems.

Do Yoga: Follow a regular exercise schedule or Yoga routines for balanced health. It is important to remain active and keep your muscles mobilized.

Yoga protects the body from severities and improves mental and emotional health by getting rid of toxins.

Winter season knee pain triggers are not a myth! Take extra care of your joints and remain active no matter what. There are several places where the winters are really severe and long.

Arthritis and joint injuries become more pronounced and cause aching.

For more specific problems, it is always better to consult your orthopedic specialist so that your winters remain pain-free but further damage can also be avoided.

Knee specialists can advise some bone and muscle strengthening drugs and exercises too.

Orthopaedic

What is Oxinium Knee Replacement?

December 12, 2019March 30, 2024
by Eva Hospital

The fast-paced world has extended the total knee replacement to the younger generation as well. With sports injuries and other mishaps, knee surgeries or knee replacements have extended to the old and the young alike.

The choice of the type of knee replacement is contingent on several factors- the age of the patient, the level of motion, the budget of the patient, and the current state of the knee.

Usually, an elderly patient who has less physical activity may not need a high flexion implant relative to the younger athlete who has to be physically gung-ho all the time.

The Evolution of New Technology – Oxinium Knee Replacement

Post the traditional knee surgery there were potential risks of loosening, wear out, an infection that could call for repair surgery.

The impact of high physical activity like running or sprinting could further damage the knee and cause the knee replacement to fail earlier than anticipated.

With the use of cobalt-chromium alloys as the prosthesis for knee replacement, it came to light that the chromium gradually wears out, the surface gets rough and some lumps or debris started forming in the knee leading to quick wear out of the metal. The metal does not stay resilient to the cyclical load and stress of daily routine.

The risks of the knee replacement or the allergy to some patients due to metals like cobalt, chromium led to a phenomenal discovery of a new metal composition for the knee, femoral, or the thigh bone area.

The OXINIUM Oxidized Zirconium is a path-breaking, award-winning, and patented ceramic-metal alloy beneficial for younger patients who have an active lifestyle and a high level of physical activities.

What is OXINIUM Oxidized Zirconium Knee Replacement?

Oxidized Zirconium is a metal alloy comprising 97.5% zirconium and 2.5% niobium. The resulting alloy is the most biocompatible metal known to date. The Oxinium has a ceramic-like surface and structure like metal.

During the process of manufacture of the alloy, the implant’s surface is made into a hard and ceramic metal with the body structure and durability of the metal inside.

With the ceramic surface, the metal implant becomes twice as hard and twice as resistant to wear-out and abrasions compared to cobalt-chromium alloy.

How is Oxinium better than Cobalt-Chrome Knee Replacement?

There are various aspects that need to be considered in order to compare the two alloys of knee replacement:

Strength and Hard Surface

As it is evident by now, the surface hardness of oxidized zirconium is twice that of cobalt-chromium alloy.

Brittleness

Oxinium is less brittle compared to cobalt-chromium alloy and reduces the risk of brittle fractures.

Wear-out Rate

It is proven that prosthesis made from an Oxinium has lesser wear out rate by nearly 50% compared to cobalt-chromium knee replacement. It is abrasion-resistant and resistant to wear-out due to strenuous or continuous physical activity.

Nickel Content

Oxinium scores on this point as well because there is minimal nickel content and this lowers the chances of metal sensitivity or infection in patients.

What are the Advantages of Oxinium Knee Replacement?

The features of oxidized zirconium make it superior for femoral and knee replacement. Dr. Tanveer Bhutani, the best orthopedic surgeon in Punjab, says that the following people have highly benefitted from Oxinium knee replacement:

Young, Energetic Patients

Patients who have their whole life and do not wish to undergo a revision knee surgery any time before 20 years have chosen Oxinium Knee replacement. Oxidized zirconium is harder and scratch-resistant, abrasion-resistant, and has a very low wear-out tendency.

Prosthesis from Oxinium is expected to last almost 35 years, according to Dr. Bhutani. Hence this is more suitable for younger patients who have fitness and sports as a priority.

Patients with an Active Lifestyle

If you have a high activity level, there are chances that abrasion and wear out can lead to breakage and damage to the traditional cobalt-chromium alloy. This could call for a revision knee surgery very soon. Dr. Bhutani emphasizes that Oxinium knee replacement will endure the stress and high movement, abrasion for a longer time than the cobalt-chromium knee replacement.

Patients who are Allergic to Metals

There have been patients who are allergic to nickel content and cannot endure the cobalt-chromium aggregate knee replacement. Without the fear of any allergies, Dr. Bhutani strongly recommends the Oxinium knee replacement as the nickel content in it is barely minimal and it is the most bio-compatible element invented to date.

Conclusion

Total Knee Replacement should be a once-in-a-lifetime process and this is possible if you use the best metal for the knee replacement.

The orthopedics vouch for Oxinium oxidized zirconium alloy as the safest and strongest knee replacement element. For any queries and long-term vision, get in touch with Punjab’s best orthopedic surgeon, Dr. Tanveer Bhutani at EVA Hospital, Ludhiana.

Knee Surgery

Post Care Tips – Arthoscopic Knee Surgery by Dr.…

September 13, 2019March 30, 2024
by Eva Hospital

Knee Surgery is synonymous with a new lease of life and renewed energy to resume work. For marking the surgery a complete success, the post-surgery instructions have to be adhered to carefully.

For relief from constant pain and stiffness due to bone damage or any deformity, the choice of knee surgery is the right option.

Coming back to the usual routine with full gusto may take about 4-6 weeks. For quick healing and recovery, the patient has to follow the discharge instructions coupled with the medicine instructions judiciously.

The health care experts and the surgeon will guide you on the exercise, rest, discharge equipment, and follow-up appointment.

A list of handy tips will help you recover without much struggle. The following list has been curated under the able aegis of Dr. Tanveer Bhutani, Punjab’s best ortho-surgeon

Exercise

Regular exercise regime must be carried on pre and post the surgery. The level of activity and exercise will be contingent on the age and status of the patient. The walk is usually the best exercise and the surgeon will guide you about the pace and distance of the walk. Gradually the patient can increase the momentum as the healing gets better. ‘Exercise is thy medicine. Muscle-strengthening exercises work in healing a patient faster.

Medications

The initial wounds must be thoroughly cleaned so that the chances of infection are decreased. To maintain suppleness, coconut oil can be externally applied. The patient will be administered antibiotics for some time so that no bacterial infection seeps in.

Pain killers and other medications will be discussed at length by the medical practitioner so that the chances of inflammation are minimized.

Body Posture

The regular walk must be carried on.

Also, strenuous workouts or fitness activities like swimming, cycling, badminton, golf, or any other activity which requires movement of the lower limbs is gradually started after 6-8 weeks.

Role of footwear

For successful knee surgery, the patient must wear comfortable, supportive, well-cushioned shoes outdoors. Heels or other fancy shoes are not advisable in the beginning.

Word of Caution

It is advisable to take care of a rugged surface so as to avoid any twisting or sudden jerk to the knee. Do not keep a pillow or any other object underneath the knee so as to avoid a permanent knee-bend. Stiffness and inflammation may take longer to settle in some patients than the others.

Make sure you are regular on the follow-ups so that the pace of healing can be monitored. Also, any untoward changes can be gauged when the patient is regular in the follow-up visits.

Dr. Tanveer Bhutani is the best knee surgeon in Punjab and he has won many accolades to his name in the recent past. His patient testimonials are a blend of his polite demeanor and professional acumen. The innumerable successful knee surgeries are a testimony to his proficiency and expertise.