There are three main reasons one may need to have knee surgery: osteoarthritis, rheumatoid arthritis, or trauma to the knee. According to the American Academy of Orthopaedic Surgeons, about 270,000 knee replacement surgeries are performed annually in the United States. Perhaps you have knee pain due to one of the above conditions, or maybe you haven’t even been evaluated yet for a diagnosis. You may have had an injury for any number of reasons. Regardless of the reason for your pain or lack of mobility, seeing an orthopaedic surgeon who can diagnose and treat your knee is something you should seriously consider.
- Anterior cruciate ligament (ACL) injuries
- Avascular necrosis (AVN) of the knee
- Knee arthritis
- Kneecap (prepatellar) bursitis
- Meniscus tears
- Patella fracture (broken kneecap)
- Patellar tendonitis (jumper’s knee)
- Torn Anterior cruciate ligament (ACL)
- Torn Posterior cruciate ligament (PCL)
Procedures to address the above disorders:
- ACL Reconstruction
- Arthroscopic chondroplasty
- Joint Arthroscopy
- Meniscus Repair
- OATS Cartilage Repair Surgery
- Partial Meniscectomy
- Patellofemoral Replacement
- Posterior Crucial Ligament (PCL) Reconstruction
- Total Knee Replacement
Dr. James Manning has been listed as one of Las Vegas’ “Top” Orthopaedic Surgeons in Las Vegas Life Magazine Poll. He has twenty-three years of experience in Orthopaedic Surgery, and is currently accepting new patients for consultations. If you are having knee problems, call 702-228-7355 to schedule yours.
What are the most common knee surgeries, and how do I know which one I might need?
There are two surgical procedures that are most often used involving the knee; these are knee arthroscopy and total knee replacement. The first is a much less invasive procedure which is usually done on an outpatient basis. Arthroscopy is done for removal or repair of meniscal cartilage, reconstruction of a torn anterior cruciate ligament, trimming of torn pieces of articular cartilage, removal of loose fragments of bone or cartilage, or removal of inflamed synovial tissue. Recovery time is usually much shorter.
Total knee replacement is done when a person has severe damage to the knee from either arthritis or injury. Osteoarthritis and rheumatoid arthritis over time can cause loss of cartilage in the knee and require a more extensive surgical procedure to correct. Additionally, knee fractures or severe tears to knee ligaments require major surgery in most cases. A total knee replacement, if done on only one knee at a time, will take two to four hours. After surgery, the patient will spend several days in the hospital.
What will I need to do to prepare for surgery?
In the case of a total knee replacement, the patient will undergo a routine series of office visits, examinations and diagnostic tests before surgery can take place. After your initial consultation, during which the doctor will perform a full physical examination of the knee, he will usually order imaging studies to include x-ray’s, CT scan, and/or MRI scan. Aspiration of fluid from the knee through a needle may be done to analyze the fluid within the knee joints, and help your doctor determine if there is infection, arthritis, or injury. You will also visit your family physician to receive a medical clearance, especially if you have other health conditions which may affect you. Preoperative labs will be ordered, and arrangements will need to be made to care for when you arrive home from the hospital, and home planning to include installation of any assistive devices that may be required during the period of rehabilitation. You will need to tell your doctor early about any medications you routinely take, as some medications may need to be stopped within a certain time frame before surgery to prevent complications such as excessive blood loss. All of this and more will be discussed in detail with you by Dr. Manning, and questions are welcomed and encouraged.
Today, there are multiple options for treatment of any type of knee condition or injury. To find out what options, including possible surgical procedures, are available to you, call Dr. James Manning’s office at 702-228-7355, where you can meet with him for an evaluation and consultation