Adam Freedhand MD

Knees

Arthroscopy of the Knee Joint

Arthroscopy is a surgical procedure in which an arthroscope is inserted into a joint. Arthroscopy is a term that comes from two Greek words, arthro-, meaning joint, and -skopein, meaning to examine.

The benefits of arthroscopy involve smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is able to return home on the same day.

Find out more about Knee Arthroscopy from the following links.

Total Knee Replacement (TKR)

If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down.

Find out more about Total Knee Replacement with the following links.

Anterior Cruciate Ligament ACL Reconstruction

The anterior cruciate ligament is one of the major stabilizing ligaments in the knee. It is a strong rope like structure located in the centre of the knee running from the femur to the tibia. When this ligament tears unfortunately it doesn’t heal and often leads to the feeling of instability in the knee.

ACL reconstruction is a commonly performed surgical procedure and with recent advances in arthroscopic surgery can now be performed with minimal incisions and low complication rates.

ACL Reconstruction Hamstring Tendon

ACL Reconstruction Patellar Tendon

Uni Condylar Knee Replacement

This simply means that only a part of the knee joint is replaced through a smaller incision than would normally be used for a total knee replacement. The knee joint is made up of 3 compartments, the patellofemoral and medial and lateral compartments between the femur and tibia (i.e. the long bones of the leg). Often only one of these compartments wears out, usually the medial one. If you have symptoms and X-ray findings suggestive of this then you may be suitable for this procedure.

Find out more about Unicondylar Knee Replacement with the following links.

Revision Knee Replacement

This means that part or all of your previous knee replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full.

Find out more about Revision Knee Replacement with the following links.

Bicompartmental Knee Resurfacing

Many patients suffering from arthritis in two of the three compartments of the knee can now consider bicompartmental resurfacing instead of total knee replacement.

Find out more about Bicompartmental Knee Resurfacing with the following links.

Patellofemoral Replacement of the Knee

Patients that have arthritis localized to the patellofemoral compartment (under the knee cap) typically have pain localized to the front of the knee. These patients with patellofemoral arthritis experience pain going up and down stairs, getting in and out of chairs and going up and down inclines, but typically have very little pain walking on level ground.

Find out more about Patellofemoral Replacement of the knee with the following links.

Unicompartmental Knee Resurfacing

If you have arthritis localized to the medial (inner) or lateral (outer) compartments of your knee and nonoperative management has failed to control your knee pain you may be a candidate for unicompartmental resurfacing.

Find out more about Unicompartmental Knee Resurfacing with the following links.

Knee Physical Therapy

If you exercise regularly, please continue your regular program as long as it is not worsening your symptoms. If you are not exercising, we would like you to begin doing the exercises as described in our guidelines. If the exercises worsen your symptoms either modify or stop doing the exercises and notify the office.

Find out more about Knee Physical Therapy with the following links.

Partial Knee Replacement

During knee replacement surgery, damaged bone and cartilage is resurfaced with metal and plastic components. In partial knee replacement only a portion of the knee is resurfaced. This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of the knee. Patients have this procedure done as an outpatient and return to normal activities sooner than total knee replacement patients.

Find out more about Partial Knee Replacement with the following links.