Mount Elizabeth Novena Specialist Centre
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Tag: Total knee replacement Singapore

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If you have been living with knee pain, you might be considering knee replacement surgery in Singapore as a viable solution. However, did you know that not all knee replacements are the same?  In this article, we will explore the advantages of partial knee replacement and help you determine if you are a suitable candidate. Keep reading to find out more. The Advantages of Partial Knee Replacement Partial knee replacements aim to preserve as much healthy tissue and bone in your knee as possible, making them an excellent choice for the right candidates.  1. Precision With Robotic Navigation During a partial knee replacement, robotic navigation systems assist the surgeon in making precise bone cuts, ensuring minimal disruption to the native bone. This not only enhances the longevity of your implant but also contributes to a quicker recovery. 2. Faster Recovery and Less Blood Loss Compared to a total knee replacement, partial knee replacements generally have faster recovery times. With a smaller incision and less disruption to the knee's natural anatomy, you will experience less pain and a shorter hospital stay. Additionally, there is typically less blood loss during the surgery, reducing the risk of complications. Learn more: Myths About Total Knee Replacements Are You a Candidate for Partial Knee Replacement? It is recommended to consult with an orthopaedic surgeon in Singapore for an accurate diagnosis and tailored treatment plan. These are the key criteria when it comes to assessing one’s suitability for the procedure: 1. Symptoms Isolated to One Knee Compartment In cases where the damage and discomfort are localised to just one knee compartment, it indicates that the rest of your knee joint is relatively healthy and functional. This is a key consideration because partial knee replacement is designed to preserve as much of your natural knee anatomy as possible. By limiting the procedure to the affected compartment, healthy parts of your knee joint are left intact, minimising trauma and post-operative pain. 2. Intact Knee Ligaments Healthy ligaments contribute to the overall stability of the knee joint, helping to maintain proper alignment and prevent abnormal movements. For a partial knee replacement to work effectively, it is essential that the surrounding ligaments are in good condition to prevent compromising the stability and longevity of the implant. If your ligaments are healthy and functional, it is more likely that you will achieve the desired outcome, with improved knee function, less post-operative pain, and a quicker recovery. 3. Good Bone Density During a partial knee replacement, the orthopaedic surgeon will replace the damaged part of your knee joint with an artificial implant, which is typically made of metal and plastic. To ensure the longevity and stability of this implant, it needs a solid foundation to attach to. Good bone density provides a secure anchor for the implant, reducing the risk of loosening or implant-related complications. It also supports the integration and long-term success of the implant by reducing stress on the surrounding bone and promoting optimal healing. 4. No Inflammatory Arthritis Inflammatory arthritis can cause ongoing inflammation in the joint, leading to the breakdown of cartilage and surrounding tissues. This can negatively impact the longevity and stability of the implant in a partial knee replacement. It also increases the risk of post-operative complications as the inflamed joint may not heal properly, leading to pain, stiffness, and a compromised surgical outcome. Hence, patients with inflammatory arthritis are usually not considered a suitable candidate for a partial knee replacement.  5. Good Range of Movement in the Knee Range of motion refers to the extent to which you can flex and extend your knee joint, allowing it to move through its full arc of motion. When you have a good range of motion before surgery, it is often easier to regain that range after the procedure. This can lead to a smoother recovery and quicker rehabilitation. When a Total Knee Replacement is Necessary Scenarios where a total knee replacement might be necessary include:  1. Previous Knee Injury If you have had prior knee surgeries, scar tissue from those procedures can complicate the partial replacement. 2. Bone Deformities Patients with bone deformities in the knee joint, such as bowing or twisting, may not be ideal candidates for partial replacements. 3. Restricted Range of Movement Patients with limited knee range of movement might not benefit from a partial knee replacement. Learn more: Partial vs Total Knee Replacements Reclaim Your Active Lifestyle with Knee Replacement Surgery Partial knee replacement surgery is an alternative for those seeking relief from knee pain while preserving healthy tissue and bone. To determine if you are a suitable candidate, consult with an orthopaedic surgeon in Singapore.  Dr Kannan Kaliyaperumal at the Specialist Orthopaedic Centre can evaluate your condition and recommend the right course of action. Get in touch with us.
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When it comes to making informed decisions about medical procedures, it is essential to separate fact from fiction and a total knee replacement is no exception. Despite being a common orthopaedic procedure done in Singapore, there are several myths and misconceptions surrounding knee replacement surgery that can create unnecessary concerns and confusion. In this blog, we will debunk some prevalent myths about total knee replacements, providing you with accurate information to make an informed decision about your orthopaedic health. Learn more: Guide To Preparing For A Knee Replacement Surgery Keep reading to find out more.  Myth 1: Only older patients need to undergo knee replacement surgery Contrary to popular belief, a total knee replacement is not limited to older patients alone. While age can be a factor, knee replacement surgery can benefit a wide range of people across various age groups. Factors such as pain, reduced mobility, and impaired quality of life determine the need for a knee replacement, regardless of age. Orthopaedic specialists in Singapore cater to patients of all ages and will tailor treatment plans accordingly. Myth 2: Knee replacements can only be done once Knee replacement surgery can indeed be repeated. Revision Joint Replacement Surgery is a procedure that addresses issues with previous knee replacements or corrects implant-related complications. Advancements in medical technology and surgical techniques have made it possible to perform revision surgeries successfully, providing relief and improved mobility for patients who may require a second knee replacement. Myth 3: The metal parts of knee replacements will react with my body The materials used in knee replacement surgery, such as metals and plastics, are specifically chosen for their compatibility with the human body. These materials have undergone extensive testing and are biocompatible. Modern knee implants are designed to minimise the risk of adverse reactions, ensuring long-term durability and functionality.  Myth 4: If I am obese, I will not be able to undergo knee replacements Obesity may present additional challenges during knee replacement surgery, but it does not automatically disqualify a patient from undergoing the procedure. Orthopaedic specialists have expertise in managing knee replacements for individuals with obesity, utilising special techniques and considering factors such as weight loss goals. In fact, many patients find it easier to lose weight after a total knee replacement due to improved mobility and reduced pain. Myth 5: After knee surgery, I will not be able to walk without assistance Following knee replacement surgery, the road to recovery involves a comprehensive rehabilitation programme. While initial walking assistance and physiotherapy may be necessary, the goal is to regain mobility and independence. Walking aids, including crutches or a cane, may be used temporarily, but patients typically progress towards walking without assistance. Additionally, Continuous Passive Motion (CPM) machines are no longer a standard requirement for knee replacements, as advancements in surgical techniques and rehabilitation protocols have rendered them less essential.  Myth 6: Knee replacement surgery is not suitable for those with severe deformity Technological advancements in orthopaedics, such as computer-assisted and robotic-aided knee replacements, have revolutionised the field. These techniques enable orthopaedic surgeons to make precise cuts and adjustments even in cases involving severe deformity or bone loss. With careful planning and the expertise of skilled surgeons, knee replacement surgeries can effectively address deformities, restore function, and improve quality of life. Learn more: All About The Latest Advancements In Knee Replacement Surgery Regain mobility, embrace freedom  If you are considering a total knee replacement in Singapore, consult a reputable orthopaedic doctor near you who can guide you through the process and address any concerns you may have. Making an informed decision based on accurate information is crucial for achieving long-term orthopaedic health and reclaiming a pain-free, active lifestyle. Dr Kannan Kaliyaperumal is an experienced and fellowship-trained orthopaedic surgeon treating knee pain and doing knee replacement surgery. Get in touch with us!
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The knee is one of the strongest and most important joints in the body, supporting your weight and allowing you to move your lower leg comfortably and freely. However, a severely damaged knee joint as a result of arthritis or injury can make simple everyday activities like walking, squatting and jumping difficult. When that happens, considering undergoing knee replacement surgery in Singapore is crucial to help you regain your quality of life. In this article, we will be exploring when knee replacement surgery is required, as well as the latest advancements that make the procedure a preferred option for many patients. Read on to find out more. When do you need knee replacement surgery? If you have exhausted most non-surgical options such as taking medications and using walking supports but are still experiencing pain or a reduced range of motion, then knee replacement surgery may be beneficial for you. It is an alternative treatment method that will relieve pain and correct leg deformity, helping you to resume normal life and activities. Knee replacement surgery is now a routine procedure that is performed extensively by trained specialists with very good outcomes. It is also a standard procedure that is covered by insurance. Advancements in knee replacement surgery Since the first knee replacement surgery was performed in 1968, improvements in technology and surgical equipment over the years have made the procedure more effective for many patients and shortened hospital stays and recovery periods. Here are the two most common types of knee replacement surgery done by orthopaedic surgeons in Singapore: Robotic total knee replacement surgery A robotic knee replacement surgery (MAKOplasty®), just like its name suggests, utilises a robotic arm to allow orthopaedic surgeons to treat the damaged area with accuracy. This can be in the form of a total or a partial knee resurfacing procedure which offers precision to spare the surrounding bones and ligaments from unnecessary surgical trauma, making the recovery process easier and quicker. The procedure is considered minimally invasive since small incisions are made to reduce blood loss. It is also less painful and results in less scarring following the surgery. Unicompartmental partial knee replacement surgery If the disease is only limited to one area of your knee joint, another alternative to a total knee replacement surgery is unicompartmental partial knee surgery. Only a portion of your knee gets resurfaced with metal and plastic components during the procedure through smaller incisions. A unicompartmental partial knee replacement surgery is also less invasive and will result in less pain, blood loss and a reduced risk of infection. Most patients who have undergone the surgery spend less time in the hospital and can get back on their feet earlier than those who have gone through total knee replacement. As most parts of your knee joint are preserved, you will find that it feels more natural and comfortable to bend your knees and perform daily activities. It is advisable to speak to your orthopaedic surgeon to find out which option is more suitable for your condition and needs. There are several steps that are required. Steps to a knee replacement surgery Consultation with your orthopaedic specialist who will examine you and review your prior medical history. Proper weight-bearing x-rays of both the knees. Sometimes a CT scan may be necessary for preoperative planning when planning a robotic aided surgery or a partial knee replacement. After the investigations, the orthopaedic surgeon will discuss the surgery, risks and rehabilitation phase with you. Finally, a cost estimate is provided and insurance pre-authorisation for the surgery is done. Latest rehabilitation options After knee replacement surgery, your orthopaedic doctor will recommend some rehabilitation options that will aid in your recovery process. Continuous passive motion (CPM) CPM is a form of therapy in which a machine is utilised to move your knee joint without you physically moving it or exerting any effort. Its main purpose is to prevent joint stiffness after a knee replacement surgery and to improve your range of motion so you can get back to normal activities as soon as possible. Nerve blocks Injecting nerve blocks to the site of surgery is a form of pain management that has been proven to be really helpful for patients who have undergone knee replacement surgery. The risk of complications is low and the process entails minimal discomfort. You should be able to regain mobility fairly quickly and even return to playing sports in about eight weeks. Assisted bracing You may also be asked to wear an assistive device like a knee brace that comes equipped with a hydraulic pump as your muscles may be weak after undergoing knee replacement surgery, especially if you suffer from arthritis. You may also not have the inherent strength to get up from a seated position after surgery. Hence, a hydraulic brace stabilises the joint and allows you to get up without needing help. Speak to an orthopaedic surgeon today If you are considering undergoing knee replacement surgery but are unsure if it is the right option, speak to an orthopaedic surgeon today. Dr Kannan Kaliyaperumal is an experienced and fellowship-trained orthopaedic surgeon treating knee pain and doing knee replacement surgery. Get in touch with us!
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