Knee Surgery

Knee Surgery

Knee Preservation

Knee preservation refers to a set of surgical and non-surgical techniques aimed at maintaining the natural knee joint and preventing or delaying the need for knee replacement surgery. The goal of knee preservation is to address issues such as cartilage damage, meniscal tears, and early osteoarthritis through methods that restore function and alleviate pain while preserving the existing knee structure. These techniques focus on repairing, regenerating, or reconstructing damaged tissues to improve knee health and longevity.

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What Causes the Need for Knee Preservation?

Knee preservation techniques are typically considered for individuals experiencing early signs of knee joint damage, such as cartilage wear, meniscal tears, or early osteoarthritis. These conditions can arise from aging, sports injuries, repetitive stress, or genetic factors. When conservative treatments like physical therapy, medications, or lifestyle modifications are insufficient, knee preservation interventions can help manage symptoms, restore joint function, and potentially delay the progression of arthritis or the need for more invasive procedures like total knee replacement.

Is Surgery Necessary for Knee Preservation?

Surgery is often necessary for knee preservation when non-surgical treatments fail to provide adequate relief or when there is significant damage to the knee structures that can benefit from intervention. The decision to pursue knee preservation techniques depends on the extent of cartilage damage, the presence of meniscal tears, the patient’s symptoms, and overall health. Procedures aimed at preserving the knee can include cartilage repair or regeneration, meniscal repair, or realignment procedures, and are typically chosen to improve function and prevent further joint deterioration.

How is Knee Preservation Performed?

Knee preservation techniques can include several advanced procedures, such as:

  • Cartilage Repair and Regeneration: Techniques like microfracture, autologous chondrocyte implantation (ACI), or osteochondral autograft transplantation (OAT) are used to repair or regenerate damaged cartilage.
  • Meniscal Repair: Arthroscopic surgery can be used to repair a torn meniscus, which helps maintain knee stability and function.
  • Osteotomy: Realignment of the knee joint by cutting and repositioning the bones to relieve pressure on the damaged areas and improve joint function.

These procedures are often performed using minimally invasive techniques, such as arthroscopy, which involves small incisions and specialized instruments to access and treat the knee joint. The choice of procedure depends on the specific condition and the patient’s overall health.

What's Next After Knee Preservation?

Recovery after knee preservation procedures typically involves a period of rehabilitation focused on restoring knee function, strength, and range of motion. Physical therapy is essential to guide exercises that enhance healing, improve mobility, and strengthen the surrounding muscles. The recovery timeline varies based on the specific procedure performed and the individual’s overall health. Patients will need regular follow-up appointments to monitor progress, manage pain, and address any potential complications. With proper care and adherence to the rehabilitation program, most patients experience significant improvements in knee function and a reduction in pain, helping to maintain their knee joint for a longer period before considering more invasive treatments.

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