Not all patients are candidates for a ConforMis knee. In those patients I use Medacta. This is an excellent OTS knee manufactured in Switzerland.
When is a patient NOT a candidate for a Patient Specific Knee?
Severe bone loss
Severe loss of motion
Severe ligamentous instability
The ConforMis knee is analogous to a “resurfacing procedure”. Some knees are so badly destroyed that resurfacing is inadequate in restoring function. In those situations I employ Medacta technology. In my practice approximately 90% of the knees I treat are good candidates for ConforMis technology.
Computer Navigation Technology:
I was one of the first surgeons in the US to routinely employ Computer Navigation in total knee replacement in the operating room. This enhanced my ability to properly align the total knee. The technology was expensive, added time to the operative procedure, but was an important improvement. With ConforMis knees, the CT scan is employed to correct alignment using Navigation technology however; it is done in the manufacturing process by creating patient specific cutting jigs along with the patient specific components. This enables the advantages of Navigation however that portion of the procedure is done prior to going to the Operating room thus reducing cost and time in the OR.
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The meniscus has several important roles, such as transmission of the load, absorption of the shock in the knee joint, acting as a secondary anteroposterior stabilizer of the knee joint, and contributing to proprioception of the knee joint. Degenerative changes of the knee joint develop in the long-term follow-up even after partial meniscectomy. Thus, there has been growing interest in meniscal repair. In addition, with increased understanding of the important roles of the meniscal root and advancement of diagnostic methods, efforts have been made to ensure preservation of the meniscal roots. In this review article, we will discuss operative techniques and clinical outcomes of arthroscopic repair of the meniscus and the meniscal root and postoperative rehabilitation and complications as well.
surgery | Meniscal Musings: the journey to find a new knee
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A lot of thoughts or question arise after you get home from meniscal surgery. Don’t be anxious! Understanding what to expect is the best way to have a good experience and outcome with your meniscal surgery. Let me know if you have tips from your experience with meniscal surgery. If you would like to know more about your options for meniscus tears, let’s talk!
Knee Bone Bruise Treatment and Diagnosis | Sports …
At this time most people are looking to resume more normal activities. is important for a fast and full recovery and may last about 2-6 weeks with a couple of visits a week. You will have another follow-up visit 6 weeks after your meniscal surgery. At this time most patients are back to regular activities and work. We can usually agree to follow-up as needed unless there are any further planned treatments for your problems.
Feb 24, 2009 · Dr
Warren introduced the outside-in meniscal repair technique to decrease the risk of injury to the peroneal nerve during the procedure of lateral meniscal repair. The peroneal nerve could be protected during meniscal repair because the starting point for needle entry is controlled by the surgeon. The outside-in technique can be used for most of the meniscal tears patterns and locations, especially tears located in the anterior horn. It can also be used to fix a transplanted meniscal allograft to the joint capsule. The technique can be carried out using an 18-gauge spinal needle or a corresponding suture-passing needle system with a wire-looped retriever. For posteromedial repairs, the knee should be flexed to 10°-20° to allow the sartorial nerve to lie anterior to the repair site. For anteromedial repairs, the knee should be flexed to 40°-50° to allow the sartorial branch of saphenous nerve to lie posterior to the repair site. For lateral meniscal repairs, the knee should be in 90° of flexion to allow the common peroneal nerve to lie posterior to the repair site. A needle is passed from outside to inside through the tear site. Then, an absorbable or nonabsorbable suture is passed through the needle and pulled out of the anterior portal using a grasper. Then a suture-passing needle system is passed from outside to inside on the either inferior or superior articular surface of the meniscus, and a wire-looped retriever is introduced through this system. After this procedure, the first suture is withdrawn back into the joint using a grasper, and delivered through the wire loop (). Then, the suture is pulled out of the suture passer and tied over the joint capsule. Horizontal mattress suture can be performed with the same method.
Dr Saikat Saha – Page 2 – Maxfac Tutorial
Once a patient leaves after meniscal surgery they may feel anxious and own their own. It can seem scary. Up until now a doctor and nurse have been with you every step of the way. There are warm blankets and everyone is so nice and encouraging. But, what do I do now? Will my family be able to help? What if it hurts? What is too much? Hopefully we have explained everything and prepared you for the hours and days following your meniscal surgery. Here is a recap of what I tell most of my patients :