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Kneecap Surgery

Kneecap surgery or patellofemoral replacement is often used to treat damage to the kneecap and its related areas. It's a good alternative to full knee replacement, especially when the damage is isolated to the patellofemoral joint. If you experience pain in your kneecap or any other knee-related issues, contact Pristyn Care for comprehensive surgical care. Book an appointment to consult with our orthopedic surgeons for kneecap surgery.

Kneecap surgery or patellofemoral replacement is often used to treat damage to the ... Read More

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What is Kneecapping?

Kneecapping, also known as Kneecap Arthroplasty & Knee Cap Surgery, is a specialized form of knee surgery focusing on repairing damage to the kneecap (patella) and the groove of the thighbone (femur) where the patella rests. Often recommended when a patient has osteoarthritis limited to the patellofemoral joint, this surgery offers an alternative to total knee replacement.

In this operation, an incision is made in the front of the knee, allowing for the damaged cartilage to be removed. The worn surfaces are then replaced with metal and plastic implants. This treatment has multiple advantages, such as requiring a smaller incision and offering faster recovery than a full knee replacement. The primary goals of kneecap surgery are to effectively relieve knee pain and restore function to the knee joint.

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What Are The Types Of Kneecap Surgery?

There are different types of kneecap surgeries that doctors can utilise depending on a patient’s specific condition. These include:

  • Arthroscopy: This minimally invasive technique involves making tiny incisions and employing specialized tools for repairing and realigning the kneecap. Being a preferred method for kneecap surgery, it promotes proper movement of the kneecap within its groove.
  • Open Surgery: In more severe situations, open surgery may be necessary for kneecap repair. This method involves cutting, tightening, or moving soft tissues and bones to realign the kneecap correctly.
  • Quad Transfer and Patellar Realignment: These procedures include shifting the quadriceps muscle or realigning the patella to ensure proper positioning and movement of the kneecap. Typically carried out under open surgery, these methods can be effective in treating more complex patellar issues.

Diagnosis Before Kneecap Surgery

Before commencing the kneecap surgery, it is essential to conduct a comprehensive diagnosis to accurately assess the extent and severity of the knee injury. The diagnosis process includes:

  1. Patient’s Symptoms and Medical History Assessment: The orthopedic surgeon will meticulously assess all symptoms manifested by the patient and meticulously scrutinize their medical history. This aids in obtaining a comprehensive understanding of the injury’s nature and context.
  2. Physical Examination: This entails a meticulous examination of the knee joint to ascertain any signs of swelling, deformity, or dislocation. Furthermore, the range of motion and intensity of pain are meticulously evaluated to glean crucial insights into the injury’s severity.
  3. Diagnostic Tests: Various diagnostic imaging modalities such as X-rays, CT scans, MRI scans, or bone scans may be employed. These sophisticated tests play a pivotal role in corroborating the diagnosis and pinpointing the precise type of fracture afflicting the kneecap. Through the detailed imagery provided by these tests, clinicians can discern the intricacies of the fracture and tailor treatment accordingly.

What Is The Procedure For Kneecap Surgery?

Kneecap surgery aims to restore the normal functioning of your knee. Let’s delve into what this procedure entails:

  • Preoperative Preparation: Before the surgery commences, a comprehensive assessment of the patient’s overall health is conducted to ensure they are in optimal condition for the procedure.
  • Anesthesia: Kneecap surgery is a major surgery that requires general anesthesia.
  • Surgical Procedure:
    1. Incision: The surgeon initiates the procedure by making an incision over the region of the fractured knee, providing access to the underlying structures.
    2. Fracture Reduction: Next, the bone fragments are meticulously realigned to their original position, restoring the natural anatomy of the knee joint.
    3. Fixation: Various methods are employed to stabilize the fracture. These may include the use of screws, pins, or wires for simpler fractures, while larger fractures may necessitate the application of plates and screws. In cases of more complex fractures, an external fixator may be utilized.
    4. Soft Tissue Repair: If ligaments, tendons, or other soft tissues surrounding the knee are damaged, they are diligently repaired or reconstructed during the procedure.
    5. Closure: Upon completion of all necessary repairs, the incision is meticulously closed using sutures or staples, ensuring proper wound closure and facilitating the healing process.

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Who Is The Right Candidate For Kneecap Surgery?

Determining whether you are a suitable candidate for kneecap surgery depends on several factors. Patients typically with any or all of these problems associated with the knee are considered good candidates for kneecap surgery:

  • Severity of Injury: Surgery is typically recommended for severe fractures where the kneecap has been broken into several pieces, dislocated, or if it involves damage to the joint surface.
  • Non-responsive to Other Treatments: Patients who haven’t found relief from non-surgical treatments like immobilisation using a cast or splint, physiotherapy and medication could be considered for surgery.
  • Lifestyle and Occupation: If your occupation involves heavy labour or sporting activities, surgery may be considered to restore full function to your knee at the earliest.
  • Overall Health: The patient’s overall health should be good enough to undergo the operation and successful recovery.

Remember, your doctor will guide you through the process and help you make the best decision based on your unique situation.

What Are The Benefits Of Kneecap Surgery?

Kneecap surgery is a treatment that offers several benefits. Here are some of the top advantages of this surgical procedure:

  • Relief from Chronic Pain: Kneecap surgery can significantly reduce or even eliminate chronic pain originating from conditions like osteoarthritis. This significant decrease in pain can drastically improve your quality of life.
  • Improved Mobility: Post-surgery, your knee’s functioning and mobility can be largely restored, enabling you to partake in activities you previously found difficult or painful.
  • Increased Independence: Knee surgery for a dislocated kneecap can enhance your independence and self-sufficiency by reducing pain and boosting mobility.
  • Enhanced Quality of Life: Eliminating constant pain allows you to relish activities you enjoy, leading to a significant improvement in your overall quality of life.

How To Prepare For Kneecap Surgery?

Preparation is key when it comes to kneecap surgery. Below are some steps you can take to ensure you are ready for your procedure:

  • Quit Smoking and Reduce Drinking: Smoking and excessive alcohol consumption can significantly heighten the risk of complications during and after surgery. Consider quitting smoking and moderating alcohol intake several weeks before your surgery to improve your overall health and enhance your body’s ability to heal.
  • Start Exercising: Engaging in regular exercise not only enhances your overall health but also strengthens your muscles and improves circulation, which can help minimise the risk of complications during surgery and expedite your recovery afterwards. Focus on low-impact exercises such as swimming, cycling, or walking to build strength and endurance.
  • Plan a Healthy Diet: A well-balanced diet, rich in essential nutrients such as vitamins, minerals, and protein is essential to support your body’s healing process. Incorporate plenty of fruits, vegetables, lean proteins, and whole grains into your diet to provide your body with the nutrients it needs to recover optimally.
  • Manage Diabetes: If you have diabetes, it’s crucial to ensure that your blood sugar levels are well-controlled before undergoing surgery. Uncontrolled diabetes can increase the risk of complications and hinder the healing process.
  • Prepare the Home: Creating a safe and comfortable environment for your recovery is essential for a smooth kneecap fracture surgery recovery. Make sure your home is free of obstacles and hazards that could pose a risk of falls or injuries. Consider installing handrails or grab bars in the bathroom and placing essential items within easy reach to facilitate your mobility during the recovery period. Additionally, take help of friends or family members to assist you with household chores and errands while you recover.

What Are The Recovery Tips and Precautions To Follow After Kneecap Surgery?

Recovering from kneecap surgery involves following certain tips and precautions. Here’s what you should keep in mind:

  • Use a Walker or Cane: A mobility aid can help prevent falls and ensure proper healing.
  • Manage Pain: Follow your doctor’s pain management plan diligently to ensure effective pain relief.
  • Elevate the Knee: Raising the knee can help reduce swelling and promote healing.
  • Plan Ahead: Plan your daily activities in a way that minimises the need for bending or straining.
  • Communicate with the Physical Therapist: Work closely with your physical therapist to develop a personalised rehabilitation plan.
  • Remember Long-Term Care: Regularly follow up with your surgeon and maintain a healthy lifestyle to prevent future complications.

A kneecap fracture surgery recovery can take time and patience but with proper post-operative care, you can regain normal function and mobility in your knee.

Potential Risks Or Complications Associated With Kneecap Surgery

Like any surgical procedure, knee surgery for a dislocated kneecap can come with potential risks or complications, though they’re relatively rare. Here are some possibilities:

  • Infection: This can occur during or after the surgery, especially if proper wound care isn’t followed.
  • Bleeding: Excessive bleeding can happen during or after the surgery, potentially leading to complications.
  • Nerve Damage: This could cause numbness, tingling, or weakness.
  • Blood Clots: These can form during or after the surgery, potentially leading to serious problems.
  • Chronic Stiffness: This could affect mobility and function.
  • Accidental Damage: Damage to tissues and nerves can occur during surgery, potentially leading to complications.
  • Allergic Reactions: These can occur in response to anaesthesia and cause breathing difficulties or other complications.

What Is The Cost Of Kneecap Surgery In India?

The cost of kneecap surgery in India can vary based on several factors which include:

  • Type of Surgery: Knee surgery for dislocated kneecaps and kneecap fracture surgery have different procedures and complexity levels, which in turn result in varying costs.
  • Choice of Hospital: Different hospitals and clinics have distinct pricing policies and facilities. A multispeciality hospital may charge more than a regular clinic.
  • Location: Hospitals in metropolitan cities may charge more due to higher operating costs than those in smaller towns or rural areas.
  • Surgeon’s Experience: Highly experienced and reputed surgeons might charge a higher fee for their expertise.
  • Technology Used: Hospitals equipped with advanced technology and modern equipment usually have higher charges.

Is Kneecap Surgery Covered Under Insurance?

Yes, most health insurance policies in India do cover kneecap surgeries like those for dislocated kneecaps and kneecap fractures. This coverage extends not just to the surgery cost but also to pre-operative care, post-operative rehabilitation, and even cashless treatment facilities at networked hospitals. However, certain parameters can impact the coverage received such as:

  • Waiting Period: Most insurance policies stipulate a waiting period ranging from 2 to 4 years before you can claim for knee surgery.
  • Pre-existing Conditions: If the kneecap problem is a pre-existing condition, some insurance policies may not offer coverage unless specifically stated in the policy.
  • Cosmetic Procedures: If your kneecap surgery is perceived as a cosmetic procedure by your insurer, it might not be covered under your policy.
  • Additional Costs: Extra expenses like travel costs, accommodation, and food charges may not be included in the coverage.

Remember, each insurance policy has its own specific terms and conditions; always verify your coverage specifics with your insurance provider to ensure an easy kneecap fracture surgery recovery process.

FAQs around Kneecap Surgery

Does a kneecap fracture always need surgery?

Not all kneecap fractures require surgery. However, if the fracture causes the kneecap to be displaced or if pieces of bone have moved out of place, surgery is recommended to ensure proper healing and function.

How long does a typical kneecap surgery take?

The duration of a kneecap surgery can vary depending on the specific procedure being performed and the complexity of the patient’s case. However, most procedures can be completed in 1 to 2 hours.

Can kneecap surgery help with arthritis?

Yes, knee replacement surgery can help with arthritis. It’s usually an option for people with severe osteoarthritis who have lost a lot of cartilage and don’t get enough pain relief from other treatments.

How long does it take to recover from a kneecap fracture surgery?

Kneecap fracture surgery recovery can vary greatly based on factors such as the extent of the injury, your overall health and age, and how well you adhere to post-operative instructions. Typically, you can expect to start physical therapy around six weeks after surgery and gradually return to regular activities within three to six months.

Can I avoid kneecap surgery through physical therapy or medication?

Sometimes less invasive treatments like physical therapy or medication can alleviate knee problems. However, in severe cases or when these treatments fail to provide relief, kneecap surgery may be necessary. Always consult with your doctor about the best treatment options for your condition.

Is it normal to experience pain after kneecap surgery?

Experiencing some level of discomfort or pain after surgery is normal. The pain can be managed effectively with medications prescribed by your doctor. However, if the pain intensifies or does not reduce over time, it’s essential to contact your doctor immediately.

How effective is kneecap surgery?

The effectiveness of kneecap surgery varies depending on the individual and the specific condition being treated. However, most patients report substantial improvement in pain and functionality following surgery.

Can a person return to sports after kneecap surgery?

Yes, with proper recovery and rehabilitation, many individuals can return to their prior level of athletic activity after kneecap surgery. However, this often depends on the extent of the injury and the particular sport in question.

Are there non-surgical alternatives to kneecap surgery?

Yes, many conditions affecting the kneecap can be treated with non-surgical methods including rest, ice, pain-relief medication, physiotherapy, knee braces, or changes in physical activity levels. Surgery is typically considered when these treatments prove ineffective.

How long will I stay in the hospital after kneecap surgery?

The length of your hospital stay after kneecap surgery can vary depending on your case and the specific procedure performed. However, most patients can expect to be discharged within a few days following surgery.

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