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meniscus lesions of knee joint

Meniscus Lesions of The Knee Joint

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The two meniscus can be easily injured by a rotation of the knee during a sustained effort. Partial or total meniscus rupture occurs at an abrupt torsion or thigh rotation, while the foot stays in place (for example, at a sudden turn to hit the tennis ball).

If the rupture is minimal, the meniscus remains connected in the anterior and posterior part of the knee; if the rupture is large, the meniscus may hang from a cartilage filament. The severity of a rupture depends on the location and extent.

Symptoms

In general, pain in the meniscus rupture occurs, especially when the leg is straightened (at the extension of the leg). The pain may be moderate and the patient may continue the activity.

Severe pain occurs when a fragment of the meniscus remains between the femur and tibia. Swelling may occur immediately after injury if the blood vessels are damaged, or a few hours after injury if the joint space is filled with fluid produced in response to inflammation. If the synovial envelope is damaged, it becomes inflamed and produces fluid to protect itself, installing the synovial envelope syndrome.

These changes cause swelling of the knee. Sometimes an untreated injury can become painful after several months or even years later, especially if the knee has been injured a second time. After an injury, the knee may become blocked or weakened. Symptoms of a meniscus lesion may resolve spontaneously, but frequently the symptoms persist and require treatment.

Diagnostic

In addition to the patient’s anamnesis, which describes the onset of pain and swelling, the orthopaedic in Dwarka may perform an x-ray of the affected knee. The examination may include a test in which the doctor flexes the leg, then rotates internally and externally while extending the leg. The pain from this maneuver suggests the meniscus rupture. An imaging magnetic resonance test may be recommended to confirm the diagnosis. Occasionally, the orthopaedic surgeon in Dwarka may use arthroscopy for diagnosis and treatment.

Treatment

If the injury is minimal and the pain and other symptoms disappear, the orthopaedic in Delhi will recommend a program of exercises to strengthen the muscles. Exercises for meniscus disorders are initially performed under the supervision of an orthopaedic in West Delhi or therapist.

The physiotherapist in Dwarka will ensure that the patient performs the exercises correctly and without the risk of a new injury. The following exercises are intended to strengthen the thigh muscles and increase the elasticity:

  • warming the joint by walking on a medical bicycle, then stretching and lifting the leg
  • extension of the foot from the sitting position (a small weight can be placed on the ankle for this exercise)
  • in ventral decubitus, there is performed leg lifting movements
  • exercises in the swimming pool, including the rapid walking with water at the chest level, raising each leg to 90 with the back glued to a wall of the pool.

If the rupture is enlarged, the doctor may perform arthroscopy in Delhi or surgery to assess the severity and repair the lesion. The orthopaedic surgeon in Delhi can suture the meniscus in relatively young patients if the lesion is in a well-vascularized area and the ligaments are intact. Most young athletes will be able to perform vigorous sports activities after meniscus repair.

In elderly patients or if the rupture is in a poorly vascularized area, the doctor will resect a small portion of the meniscus to smooth the surface. In some cases, the orthopaedic surgeon in West Delhi will resect the entire meniscus.

However, degenerative rheumatism, such as osteoarthritis, presents a higher risk of development if the meniscus is completely removed. Researchers are investigating a procedure by which the meniscus is replaced with a meniscus from a corpse (allograft). A meniscus graft is fragile and can shrink and break easily. The researchers tried to replace the meniscus with an artificial one, but the procedure was even less successful than the allograft.

The rehabilitation after the surgical repair of the meniscus lasts for several weeks, and the postoperative activity is more restricted than in the case of the total resection of the meniscus.

However, exercises speed up healing. Regardless of the type of surgical operation, rehabilitation includes gait, flexion and extension exercises of the knee, and exercises for strengthening the thigh muscles.

The best results of treatment for a meniscus lesion are obtained in patients without modifications of the articular cartilage and without lesions of the anterior cruciate ligament intact.

Patella-Dislocation

Dislocations and Fractures of the Patella

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Disorders of the patella are quite common conditions, they can occur on a normal knee or previously affected by congenital diseases. From a clinical point of view, there are spontaneous or aggravated pain due to flexion of the leg, they may have variable intensity.

When the knee is inspected, the displaced patella is observed and in its place, a depression occurs. Hydrarthrosis can accompany the condition, without being important.

The treatment of luxation is orthopedic or compressive bandage can be used. In severe cases, it may be possible to reach the patellectomy. Recovery through physical therapy is mandatory.

The fractures of the patella can occur both directly and indirectly, by an exaggerated flexion of the calf.

Clinically, pain occurs, joint swelling, hemarthrosis, functional impotence. At the touch of the knee, the displaced fragments are noticed.

The treatment of fractures may vary depending on the severity. It goes from rest to bed, compressive bandage, to gypsum cast, patellectomy. The walk can be resumed after about three weeks.

The recovery of the fractured knee is made from the period of immobilization: treating inflammation, ensuring lymphatic drainage, maintaining muscle tone, recovering after the end of immobilization by passive exercises done by kinetotherapist in water, but also by active movements, reinventing the gait at the beginning with carriage and then with a cane., reconfiguration to the orthostatic position, toning of the muscles, joint mobilization and regaining the amplitude of flexion, are the steps that will have to be followed.

Prophylactic treatment is a very important one, in that the sudden movements at the knee level will be avoided by the performance athletes but also by the elderly and children who have increased sensitivity at this level.

knee replacement

Young girl of 16 yrs from afghanistan

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I RECENTLY OPERATED ON A YOUNG GIRL OF 16 YRS FROM AFGHANISTAN WITH BOTH KNEE TIBIA VARA ( BOWING OF LEGS ) SHE HAD GROSS DEFORMITY .NOW HER WALKING IS PAINFUL AND ALSO SHE GET FATIGUED VERY EARLY.

GENERALLY I OPERATE SUCH CASES ONE LEG AT A TIME SO THAT PATIENTS MOBILITY IS NOT HAMPERED ,BUT IN THIS SPECIAL CASE I HAD TO OPERATE BOTH IN ONE SITTING AS HER FAMILY HAD CAME FROM AFGHANISTAN FOR SURGERY ONLY AND FOR THEM COMING AGAIN WILL BE EXPENSIVE.

SHE HAD UNDER GONE BOTH KNEE CORRECTIVE VALGUS OSTEOTOMY . I USE ILIAC CREST BONE GRAFT WEDGE TO STABILISE OSTEOTOMY .

ITS DONE USING MINIMAL INVASIVE TECHNIQUE , SEE THE SIZE OF INCISION .

NOW THE FINAL XRAY

Sports-injury-specialist-in-West-Delhi

Sports Injury Specialist in West Delhi

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Many people play sports in some way or another either just to have fun in the backyard or to compete with opposing teams. According to the Sports Injury Specialist in West Delhi, playing sports is a great option for doing active exercise that broadly benefits the overall health of a person, but, sometimes these health benefits prevail over undesirable things like an injury. Physical damage that occurs while playing the sports is termed as a sports injury, this can range from minor to serious. Typically, the injuries occur due to certain factors including improper equipment, poor training practices, flawed techniques, or can just be an unfortunate accident. This can also happen if a player is not physically fit for a specific sport.

The most common types of sports injury are:

Sports Injury Specialist in West Delhi Strains – this is the most common type of injury that happens while playing sports or during the time of practice. Best Sports injury specialist in West Delhi states that a sprain occurs when a band of connective tissue that combines bones to each other, commonly called ligaments, tears or are overstretched. A sprain commonly occurs in the ankles, knees, or wrist.

Knee injuries – Several players go for a sports injury treatment in Delhi. Another most common sports injury is the knee injury, which can be mild to severe. Mild knee injuries include iliotibial band syndrome, pain or stiffness around the kneecap, and tendonitis (inflammation or degeneration with a tendon). On the other hand, severe knee injuries include damage to knee cartilage or ligaments which can be: the posterior cruciate ligament (PCL), anterior cruciate ligament (ACL), the medial collateral ligament (MCL), and the lateral collateral ligament (LCL).

Shin splints – A shin splint is a condition where the pain around the shin bone (tibia) occurs. The pain is usually experienced at the front outside part of the lower leg. A spin splint in the foot and ankle are called an anterior shin splint. Shin splints are common injuries among runners. The best sports injury specialist in West Delhi suggests warming up the body to prevent sports injury.

orthopaedic in west delhi

A Complete Musculoskeletal Care by Orthopedic in West Delhi

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An orthopedist is a medical professional who is trained and specialized at diagnosing the conditions of the musculoskeletal system like bones, muscles, joints, ligaments, nerves, and tendons. Here at the Neo Orthopedic Clinic, the patients are provided the best-in-class treatment by Dr. Ashu Consul, a well-known Orthopedic in West Delhi.

Dr. Consul had completed his MBBS degree from an esteemed Maulana Azad Medical College & Loknayak Hospital. He then completed his Master Degree in Orthopedics from Central Institute of Orthopedics, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi. Since 2005, Dr. Consul has been in a full swing and holds 15 years of experiences working as the most trusted Orthopedic Doctor in West Delhi. He has specialized dealing in certain orthopedic treatments including:

  • Joint replacement – it is surgical procedure where the dysfunctional joint surface is replaced with an artificial joint.
  • Spine – spinal discomfort can be treated through exercises, activity modification, epidural injections, and medications.
  • Arthritis – pain, inflammation, and stiffness caused in one or more joints with the growing age is called arthritis. This is common among people above 40 years of age.
  • Arthroscopic surgery – Arthroscopic is a surgical procedure where an orthopedic surgeon identifies, analyze, and treat the condition within the joints. Depending on the case, Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scan can also be done by the orthopedic surgeon and team.
  • Bone lengthening ilizarov – Lengthening works by extrication the bone and distracting (pulling apart) the bone segments slowly to let the new bone cover the gap. As the bone segments are gradually abstracted, the bone restores, resulting in enlarged length.
  • Orthopedic trauma – orthopedic trauma can occur from simple isolated fractures to life threatening injury or accident resulting in multiple fractures.
  • Spinal deformity – it is condition when unnatural curvature, such as scoliosis or kyphosis and Scheuermann’s disease, occurs due to spinal damage.
  • Tendon transfer – Tendons are usually transferred to restore improved movements to an ankle and foot that might have lost the function due to nerve or muscle damage, stroke, or injury.

orthopaedic in saket

Orthopaedic in Saket Can Do Miracles for Joint Pain

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The Neo Orthopaedic Clinic provides leading-edge treatment in all arenas of Orthopaedic Surgery including Trauma and Accident Surgery, tendon injury treatment, Shoulder Surgery, Joint Replacements, Spine Surgery, and Arthroscopy. It is a busy clinical arena endeavoring to achieve academic excellence from the time of its inception, presenting its work in numerous national and international conferences.

All across the globe, there are thousands of patients who are seeking for an ideal orthopedic surgeon to relief our joint pain. We at The Neo Orthopaedic Clinic can assist you to search for the perfect place for Orthopaedic treatment or even a good and reputed orthopedic clinic in Delhi.

Our Orthopaedic specialists are not just limited to knee replacement only. Our surgeons are also specialized in hip replacement, shoulders replacement, fingers, ankles, and elbows and other joint issues. It’s possible to feel the heavenly care and motherly support for the patient who is in want of assistance and treatment. The Neo Orthopaedic Clinic is there to address the above-quoted principle forever to aid the poor and morbid communities.

The Neo Orthopaedic Clinic, a world-class clinic caters a vast and dedicated treatment to the patient who goes through a variety of diseases. We commenced our factor as The Orthopaedic in Saket over years with a mission of making the human atmosphere as an ill-free environment. Later days, we steadily propelled our presence to the sky where none of the competitive rivalries had even touched the milestone and that resulted in the formation of The Neo Orthopaedic multi-specialty clinic.

Actually, we define the class for medical methodologies thereby formulated an unparalleled treatment approach to the patients who believe The Orthopaedic in Saket Delhi can do miracles in our health progression. When we talk about the infrastructure, The Neo Orthopaedic Clinic has abundant well-equipped amenities that target to cater best to the patients who stepped into the Neo Orthopaedic Clinic’s gateway.

The clinic is recognized for advanced Orthopaedic technology, as well as advocacy for preventive Orthopaedic care to the public. The introduction vanguard surgery system has also been a leap forward in precision surgery.