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Orthopedic Knee Treatment Plano TX

The knee is a complex collection of bone, cartilage, ligaments, and fluid that lends strength, flexibility, and stability to everyday activities like standing and walking. Knee pain is often caused by an injury or repetitive motions and can happen at any age. The physicians participating in the Texas Health Spine & Orthopedic Center referral program offer both surgical and nonsurgical treatments for aches, pains, and mobility issues of the knee.

Symptoms of Knee Problems

Whether you’ve suffered a sports injury, taken a fall, or have chronic joint pain in one or both knees, your doctor may ask questions such as these — in addition to a physical exam and diagnostic tests — to help diagnose your condition:

  • When did your knee or knees first begin to hurt?
  • Is the pain constant, or does it come and go?
  • Did the pain begin after physical exertion?
  • Do you feel pain throughout the entire knee, or in one specific location?

Treatments of Knee Problems

Depending on the diagnosis, treatments for knee problems can range from rest and anti-inflammatories to therapy and surgery. Surgical options include:

Knee Arthroscopy

Knee arthroscopy is a surgical procedure in which a tiny camera is used to see inside your knee. Other medical instruments may be used to correct a problem on the spot. Arthroscopy may be recommended for these knee problems:

  • Torn meniscus
  • Torn or damaged anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL)
  • Inflamed or damaged synovium (the lining of the joint)
  • Misaligned patella (kneecap)
  • Small pieces of broken cartilage in the knee joint
  • Removal of Baker’s cyst (fluid-filled swelling behind the knee)
  • Some fractures of the bones of the knee

ACL Reconstruction

The anterior cruciate ligament keeps the shin bone (tibia) in place. When this ligament is torn, it can cause your knee to give way during physical activity. Left untreated, a torn ACL can lead to tissue damage and premature arthritis. ACL reconstruction involves the replacement of this important ligament, followed by an extensive rehabilitation program lasting four to six months. Before choosing ACL reconstruction, you should understand that the success of this surgery relies heavily on your persistent rehabilitation efforts.

Total Knee Replacement

In a total knee replacement the kneecap is moved out of the way, and the ends of the thigh bone and shinbone are cut to fit the prosthesis. The underside of the kneecap is also cut to allow room for the artificial joint.

The two parts of the artificial joint are affixed to the bones and kneecap using a special bone cement. Implants can me made of metal, plastic or ceramic. Your surgeon will decide which type of implant material will work best for you.

Partial Knee Replacement

Partial knee replacement is a less invasive alternative to total knee replacement, and is sometimes an option for patients whose arthritis pain is confined to a limited area.

This procedure removes only the most damaged areas of cartilage in a specific area of the knee and replaces these surfaces. Because partial knee replacement requires a smaller incision than traditional total knee replacement, recovery time is generally a matter of weeks, versus the several months required for total knee replacement.

Surgery may be recommended for patients suffering from:

  • Knee pain that has failed to respond to conservative therapy (including medication, injections, and physical therapy for 6 months or more)
  • Knee pain that limits or prevents activities of importance to the patient
  • Arthritis of the knee
  • Decreased knee function caused by arthritis
  • Inability to sleep through the night because of knee pain
  • Some tumors involving the knee

Knee surgery is usually not recommended for patients with:

  • A current knee infection
  • Poor skin coverage around the knee
  • Paralysis of the quadriceps muscles
  • Severe peripheral vascular disease or neuropathy affecting the knee
  • Severe limiting mental dysfunction
  • Terminal disease (metastatic disease)
  • Morbid obesity (more than 300 pounds)