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Total Knee Arthroplasty

In a total knee replacement, the damaged cartilage and bone will be removed from your knee joint. A new metal surface will be fixed with cement to the end of the femur (thigh bone) and also to the top of the tibia (shin bone) that make up the knee joint. The surgeon will make sure that the alignment and function of your knee is restored at this point. A plastic spacer is then connected to the tibial component, which recreates the native joint space. The third component of the knee replacement is the knee cap (patella). The back of the knee cap is also fitted with a plastic implant that acts to resurface the back of the knee cap, allowing for smoother flexion and extension of the knee.

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Medial Patellafemoral Ligament Reconstruction

This procedure is performed in two parts. Initially an arthroscopy of the knee is done to complete a lateral release. This involves releasing tight tissue on the outside of the knee that is pulling the knee cap out to the side and causing the knee cap to dislocate.

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Arthroscopic Meniscectomy

Arthroscopy of the knee with partial meniscectomy requires two small incisions in the front of the knee. Once the tear is visualized, the torn edges are shaved or bitten away using small instruments. This will leave a smooth edge of the meniscus so the patient can move the knee without any catching or locking sensation.

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Arthroscopic Meniscus Repair

Arthroscopy of the knee with meniscus repair requires two small incisions in the front of the knee. Once the tear is visualized and deemed repairable, the edges of the torn meniscus are reattached to the body of the meniscus using surgical suture or tacks.

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Arthroscopic Bursectomy

Arthroscopy with bursectomy usually involves one to two small incisions on the knee. The arthroscope is placed into the bursa along with a small shaving device. This device cleans out the bursa of any debris or inflamed tissue.

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Arthroscopic ACL Reconstruction

Prior to ACL reconstruction surgery, a patient must have full range of motion of the knee. Therefore, it is common to be sent for a month of physical therapy prior to surgery in order to regain range of motion.

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Patellafemoral Chondromalacia

Patellafemoral chondromalacia refers to the wearing out of the cartilage on the back of the patella (knee cap). Patients will often describe pain with squatting, kneeling, or walking down stairs. Treatment varies and includes medications, physical therapy, and injections.

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Patella Dislocation / Subluxation

The knee cap, also known as the patella, can slip out of its groove and dislocate or subluxate. This is often due to trauma or a laxity of the ligaments that secure the patella in its groove. Patients will commonly report pain with climbing stairs or with lateral motion following a patellar dislocation. Treatment includes bracing, medications, and physical therapy. If the issue is recurring frequently, surgery may be necessary.

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Meniscus Injury

A meniscus injury describes when the cartilage pad in the knee joint is torn. The meniscus acts as a shock absorber in the knee and is injured during an episode of the knee twisting while the foot is planted. Symptoms of a meniscus tear include pain with squatting and twisting motions, or a catching and locking sensation in the knee. Treatment for a meniscus tear includes medication, physical therapy, and possibly surgery.

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Medial Collateral Ligament (MCL) Sprain

The medial collateral ligament (MCL) is a knee stabilizing ligament that is on the inside aspect of the knee. This ligament is prone to injury when a patient experiences a traumatic hit to the outside aspect of the knee which forces the knee inward. Treatment for MCL tears involves medications, physical therapy, and bracing.

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