Dr. Sanjay Barik
Knee & Shoulder Surgeon
Dr. Sanjay Barik
Knee & Shoulder Surgeon
Meet Our Doctor
Dr. Sanjay Barik
Orthopedic and Joint Replacement Surgeon
Dr. Barik's Orthocare Clinic
- MBBS
- MS - Orthopaedics
Knee Joint Preservation Surgery In Nagpur
Knee joint preservation is a comprehensive strategy to maintain and improve knee joint function, especially for individuals suffering from conditions that can cause joint degeneration.
The main goal is to delay or avoid the need for more invasive procedures, such as joint replacement surgery. This approach is especially true for young people who may be suffering from early-stage joint disease or injury. Knee joint preservation surgery aims to reduce pain, improve joint function, and maintain the natural integrity of the knee through the use of various preventive and therapeutic measures.
Emphasizing a multidisciplinary approach that includes early intervention, lifestyle changes, physical therapy and medical management, this comprehensive strategy optimizes an individual’s quality of life while preserving the natural knee joint for as long as possible. It is intended to become.
Several strategies fall under the umbrella of knee joint preservation:
1. Nonsurgical Treatment: Preservation of the knee joint often requires nonsurgical intervention initially. This may include physical therapy, anti-inflammatory drugs, and lifestyle changes to reduce pain and improve joint function. Weight management is important to reduce the burden on the knee joints.
2. Biological Treatments: New biological treatments aim to take advantage of the body’s natural healing mechanisms. Examples include platelet-rich plasma (PRP) injections and mesenchymal stem cell therapy. These treatments aim to promote tissue repair, reduce inflammation, and slow the progression of joint disease.
3. Orthotics and Braces: Custom-made braces and braces can provide support, improve stability, and reduce pressure on specific areas of the knee joint. These aids are intended to optimize joint alignment and function.
4. Joint fluid replenishment :Viscorepletion involves injecting substances such as hyaluronic acid into the joint space to improve lubrication and reduce friction between joint surfaces. This treatment is often used in early stages of osteoarthritis to improve joint function.
5. Physical Therapy and Training Program: A customized physical therapy program is essential for preserving the knee joint. The focus of these programs is on strengthening knee muscles, improving flexibility, and optimizing joint mechanics. Targeted exercises correct imbalances and promote overall joint health.
6.Ligament and Meniscal Repair: When the ligaments or meniscus are injure, surgical procedures aim at repairing, rather than removing, these structures can help preserve the knee joint. Procedures such as ligament reconstruction and meniscal repair aim to restore normal biomechanics of the joint.
Factors affecting to choose between Knee Replacement or Knee preservation Surgery
Joint preservation is usually the doctor’s first choice to restore normal function to the knee joint, but there are certain factors to consider when choosing between knee preservation and knee replacement. is need. Some of the factors that influence this decision are:
Age of the person: It has generally been observed that conservation techniques tend to give better results in younger people, but these techniques may also be preferred by older people who are not fit for health. They undergo major surgery.
Weight of the Person: The load on the joints is directly proportional to the person’s weight. Even if he loses just 1 kg of weight, the load on the knee joints will be reduced by up to 3-5 kg. Weight loss for overweight people is one of his joint preservation strategies.
Body Muscle Strength and Conditioning: Human muscles not only play an important role in moving joints, but they also protect them by absorbing shock. Regular exercise helps maintain and restore muscle strength, which reduces stress and pain in your joints.
Severity of cartilage defects: Cartilage acts as a cushion between the two bones of the knee joint. Thinning or erosion of smaller areas of this cartilage can be successfully treated with minimally invasive joint repair procedures. However, if cartilage loss is significant, the bones come into direct contact with each other. Friction caused by direct contact between bones leads to bone damage. In these cases, joint replacement surgery is more appropriate.
Factors affecting to choose between Knee Replacement or Knee preservation Surgery
Joint preservation is usually the doctor’s first choice to restore normal function to the knee joint, but there are certain factors to consider when choosing between knee preservation and knee replacement. is need. Some of the factors that influence this decision are:
Age of the person: It has generally been observe that conservation techniques tend to give better results in younger people, but these techniques may also be prefer by older people who are not fit for health. They undergo major surgery.
Weight of the Person: The load on the joints is directly proportional to the person’s weight. Even if he loses just 1 kg of weight, the load on the knee joints will be reduced by up to 3-5 kg. Weight loss for overweight people is one of his joint preservation strategies.
Body Muscle Strength and Conditioning: Human muscles not only play an important role in moving joints, but they also protect them by absorbing shock. Regular exercise helps maintain and restore muscle strength, which reduces stress and pain in your joints.
Severity of cartilage defects: Cartilage acts as a cushion between the two bones of the knee joint. Thinning or erosion of smaller areas of this cartilage can be successfully treated with minimally invasive joint repair procedures. However, if cartilage loss is significant, the bones come into direct contact with each other. Friction caused by direct contact between bones leads to bone damage. In these cases, joint replacement surgery is more appropriate.
Some of the knee defects list below indicate indications for joint preservation.
- Damage to ligaments and articular cartilage due to traumatic or progressive degeneration (wear and tear).
- Meniscal tears occur in the rubbery knee cartilage that supports the femur and shin bone.
- Osteoarthritis - Inflammation of bones and joints
- Osteochondritis dissecans - Cracks in the articular cartilage and underlying bone.
- Patellar instability occurs when the patella moves out of the groove at the end of the femur.
- Synovial chondromatosis of the knee is a benign tumor that develops in the lining of the joint.
- Valgus or varus deformity, knee deformity.
What are the nonsurgical approaches to preserving the knee joint?
1. Physical Therapy: Lack of physical activity often leads to joint damage, and physical therapy and exercise are part of the defense against such damage. It’s on the front line. Movement can be difficult during an acute pain episode, and inappropriate exercise choices can cause even more damage. Therefore, an individualized exercise program under the supervision of a qualifie physical therapist and orthopedic surgeon will help restore function and reduce pain.
2. Exercise: A customize exercise plan not only improves a person’s overall health, but also helps strengthen and increase mobility of the muscles, ligaments, and tissues in the injured area.
3. Analgesic therapies such as IFT, ultrasound: Topically applying analgesic therapies such as ice, massage, deep heat, and sometimes nerve stimulation and ultrasound can help in some cases It has been proven that.
4. Lifestyle changes: A sedentary and stressful lifestyle can have a negative impact on a person’s overall health and bone health. Quitting harmful lifestyle habits can help preserve your knee joints. Some approaches are:
5. Weight Loss: As mentioned earlier, the knee joint takes the brunt of excess body weight, so it has to work harder. Weight management strategies under the supervision of a qualified physician can make a big difference in removing harmful forces from the knee joint.
6. Yoga, Meditation, and Dietary Changes: Relaxation through lifestyle management techniques such as yoga, meditation, and dietary management strategies under the supervision of a qualified nutritionist can help reduce knee joint pain.
7. Simple Painkillers, NSAIDs: Nonsteroidal anti-inflammatory drugs available over the counter can help relieve acute pain and swelling in the knee joint. Taking such drugs for a long time can be harmful, so they should only be taken under the supervision of a doctor or orthopedic surgeon.