Fields of treatment / Orthopedy / Operative actions according to injury

In most cases, the injured part of the meniscus is removed, which allows for early rehabilitation and gradual weight bearing within 1-2 weeks. The disadvantage is the absence of the removed part of the meniscus as a dynamic stabilizer of the knee joint. Less often, a meniscus suture is possible, which offers a better prognosis in terms of long-term consequences, but requires a longer period of walking on crutches (2-3 months), the use of drugs to prevent venous thrombosis, and long-term rehabilitation.

During arthroscopy for an acute injury, the injury of the cruciate ligaments is only diagnosed and, if necessary, treated only to the extent necessary, which is usually the removal of loose remnants of the ligaments. If replacement of the cruciate ligaments is needed, it is carried out on a delayed basis until after the acute condition has subsided. This procedure has proven better results.

When a cartilage defect is detected, it is treated by aligning the edges of the defect and drilling 1 mm channels into the bone at the base of the defect, which accelerates its healing. In indicated cases (depending on the size of the defect and the condition of the surrounding cartilage), a small sample of healthy cartilage is taken, which can be used to later cover the defect by auto transplantation (a block of own multiplied cells is pasted into the defect).

Depending on the extent of the injury, it is solved either by direct suturing (from a special surgical wound on the side of the knee, size approx. 10 cm) with subsequent immobilization in an orthosis for 6 weeks, or it is possible to proceed conservatively, i.e. only by fixation in an orthosis for 6 weeks.

Instability of the patella in articulation with the femur is mostly associated with congenital asymmetry of the patella. It is manifested by the tendency of the patella to pop out on the outside of the knee and is usually palpable as a skip when bending the knee. This condition leads to wear and tear of the cartilage, which is then manifested by pain in this joint. This finding is indicated for the so-called "lateral releasing", which consists in cutting the external attachments of the patella from an approx. 5 cm cut on the outside of the knee. Sometimes the operation must be supplemented by cutting the internal attachments of the patella from an approx. 10 cm cut on the inside of the knee.

When fibrous adhesions are found in the knee joint, we perform a so-called shaving, where we remove these structures from the knee joint using a special device. Due to the bleeding from the removed adhesions, this procedure is complemented by vacuum drainage of the knee joint. The drain is brought out through one of the access incisions, usually on the outside, and is connected to a vacuum suction bottle. Drainage is left for as long as necessary.

They can interpose between joint surfaces and cause movement blocks.

Special circumstances that occur during the operation may lead to an extension of the surgical intervention or a change in the surgical procedure, we ask that you agree to this, rarely occurring option. If we had to proceed only in the original scope of the operation, it could also mean the burden of another operation for you.