Vinamra Swaraj Hospital

Hello,

Mera naam Doctor Kunal Makhija hai. Main ek orthopedic aur joint replacement surgeon hoon jo especially knee surgeries mein practice karta hoon. Aaj ham baat karenge Knee ligament injuries ki uske liye humko yeh samajhna jaruri hai ki jo hamara knee hai wo banaa hua hai upar ki jo bone rahti hai, thigh bone usko bolate hain femur, niche ki jo bone rahti hai usko leg bone ko bolate hain tibia ye jo dono bones hai, jo knee banaa rahe hain knee joint ye dono jude hue rahte hain bohot saare ligament se jismein se four main ligament jo hai wo hai, aage ka anterior cruciate ligament, andar ke hisse ka medial collateral igament, bahar ke hisse ka lateral collateral ligament, aur piche posterior cruciate ligament ye chaar ligament sabse jaroori hai ligament hain knee ke ismein se jab bhi ham girte gain khaskar sports injury, bike injury mein jo sabse common ligament jo tear hota hai wo hai anterior cruciate ligament.

Generally jabh bhi aap football khel rahe hain, badminton khel rahe hain, bike se injury hui hai ya fir seedhi se gire hain tabhi jo knee mein swelling ajaati hai aur hamara ligament injury ham bolate hain most common is anterior cruciate ligament injury ye jo injury hai ya fir partial ho sakti hai ya ligament aadha tut sakta hai ya complete tut sakti hai ya ligament puri tarah se tut sakta hai.

Jabh bhi ye partial hoti hai tabhi jo hamara treatment protocol rehta hai yeh partial ya complete decide hogi doctor ke examination ya MRI ke baad. Jabh bhi partial hoti hai jo hamara treatment protocol rehta hai wo rehta hai rest, humko sports koi nahin khelna 3 se 6 mahine, ice lagana hai aur pain killers lene hain aur kam se kam 6 hafte physiotherapy karni hai to ye charon cheez on se jo partial tear hai wo 95% of the time theek ho jata hai, lekin at the same time wo under the doctor supervision hona chahiye.

Jo baaki second injury rahti hai wo rehti hai hamari complete ligament injury usmein generally patient jab bhi aata hai doctor ke paas tabhi sabse main complaint pain aur imbalance ki hoti hai. Imbalance jab bhi aap fast chal rahe ho, jabh bhi aap seedhi niche utaar rahe ho fast to aapki knee mein imbalance hota hai aur buckle up ho jata hai knee aap jab bhi bhagte ho tabhi aap achanak se girne ka dar laga hua rahata hai.

To inshort jab bhi aapko, aapke sharir mein balance na ho aur dar lage ki abhi mera knee gir jaega ya main gir jaunga to that suggest ki aapko complete ligament injury hui hai jo after examination doctor ke aur MRI ke baad confirm ho jaega ki complete ligament injury hai. Is case mein most of the time jo treatment rahega wo hamara surgery rahega. Wo surgery mein hum sharir ka hi knee ke neeche ka ek extra ligament rehata hai wo use karke durbin ke dwara ya naya ligament fix kar dete hain aur wo ligament jo ham fix karte hain yah wala wo kuch 3 se 6 mahine ke physiotherapy ke baad as good as original ligament ho jata hai. To isiliye jab bhi humko ligament injury ya knee mein injury hui hai turant doctor ke pass jakar humko pata karna chahiye ki partial hi ya complete hai.

Thank you.

Hello,

My name is Dr. Kunal Makhija. I'm a practicing orthopedic and joint replacement surgeon, specializing in knee surgeries. Today we will talk about the very common ailment, the anterior cruciate ligament injury or ligament injury of the knee as the common people know. What happens exactly where is the ligament situated? What is the function of the ligament and what will happen if it is torn partially or it is torn fully and what are the treatment options available with us? That we will discuss in today's talk.

First of all, we have to understand that knee is made up of two bones the thigh bone and the leg bone, the femur and the tibia, these two bones are attached with each other with the help of cord-like structures known as ligament. The four most common ligament injuries are either lateral ligament, the medial ligament, the Posterior ligament or the most common which is anterior cruciate ligament or ACL.

Usually, in sports injuries like football, badminton or bike injuries or when you miss a step and fall down, the ligament which is injured is the anterior cruciate ligament because of the rotary motion of the upper bone on the lower bone, whenever this is torn, the ligament. The function of this ligament is mainly balancing the knee so after the ligament is torn, if it is torn partially the balance won't be hampered but if it is torn fully the balance of the knee would be hampered, in which case you won't be able to run fast, you won't be able to climb down staircase quickly, you won't be able to jump, you won't be able to do hops or in case you won't be able to do langri.

So these are the things which will determine whether you have an anterior cruciate ligament injury or not so if it is partially torn, the treatment protocol is painkillers, icing and physiotherapy at least for four to six weeks and avoiding sports for next three to six months and if it is fully torn, the ligament and you are not able to run fast, you miss a step or there is feeling of giving away at the knee, at that time you need to consult an orthopedic surgeon and mostly the treatment in these cases is an arthroscopic ligament surgery in which we take the ligament from the body itself and arthroscopically by the means of small cameras we fix the ligament over here and it is as good as the original one.

It is a lifetime procedure you need not go revision surgery and you can get back to sports as soon as three to six months but we have to take care that when the ligament injury has happened we consult a doctor as soon as possible because if it is a full tear and we ignore it, it will further deteriorate the knee condition and may cause arthritis, may cause meniscus tear and again, and again fall may lead to a major fall and you might end up having a fracture. So any ligament injury should be seen by an orthopedic surgeon as soon as possible.

Thank you

Hi,

I am Dr. Kunal Makhija, Orthopedist. Aaj mai aap ko techniques mein farak batana chahta hun jo normal surgeons karte hain and hum karte hain. Jab conventional joint replacement karte hain usmein patient ke ghutne ke aage ke muscle ko cut karke kia jata hai. Lekin ab nayi technique aayi hai jismein hum bina muscle cut kia joint replacement karte hain. Jismein hum skin cut kar ke pure ke pure muscle ko baaju mein leke aate hain aur puri sugery kar ke vapas aa jate hain. Patient surgery ke baad pain kam hota hai, blood loss bhi kam hota hai. Patient mein movements kafi jaldi aur better aa jaati hai. Patient ko physiotherapy ke sessions bhi kam lagte hain.

Patient ko medicines and injections bhi kam lagate hain. Surgery ke baad patient ka compliant rehta hai ki surgery ke baad bahut dukhta hai, bahut din rehena pada ya unka recovery period bahut hi lamba chala. Lekin is surgery mein recovery period kuch ghanton and dino mein hi khatam ho jata hai and patient 15-20 days mein hi normal life jee sakta hai. Yhi fayada hai is surgery ka. Umeed hai ki aap ko ye knee replacement ke baare mein samajh aya hai aur iskekya kya fayde hain.

Thank You.

Hello! friends,

I am Dr. Kunal Makhija. I am in Orthopedist and a joint replacement surgeon practicing in Mumbai and Navi Mumbai.

Today we will talk about knee pain. The second most common complaint in any Orthopaedic clinic. We won't discuss any surgeries or any treatment or any medicines. We will discuss the basics of knee pain, what is the physiology of the knee pain and what a common man should know about knee pain. The most common causes of knee pain are osteoarthritis, injury, synovitis or softening of cartilage. Now to understand all four things, I will explain to you what these 4 things are and how can you tackle them and how can you come to know that what these things represent.

A knee consists of the femur bone, tibia bone, these are the ligaments and these white cushion like the thing is a cartilage. Usually, in case of the softening of cartilage, there is softening of these white cushion like materials which is extremely common behind kneecap or patella. So usually the patient will present with patellofemoral pain which is more while climbing down stairs or when he or she is sitting for long and he starts walking, the first few steps would be extremely painful.

This is mainly because of the softening of cartilage behind the kneecap known as chondromalacia patella. The second cause is an injury. The injury will be of ligament or of this meniscus. A ligament injury or a meniscus injury will cause pain in ligament injury one will have extreme instability especially while running, climbing down steps or hopping. In meniscus injury, there would be a pain while long walks and extreme flexion of the knee. The third cause is synovitis. Synovitis is swelling in the knee which will be associated with extreme swelling, redness, and warmth usually associated with some viral infection or maybe the underlying cause.

The patient will have extreme pain associated with body aches for fever and he or she might proceed with a viral infection like the common cold and all. The fourth cause is osteoarthritis which is very well known and it is a degeneration of this white cartilage. Usually, this is a mild form of degeneration, you can see this and this is the severe form of degeneration. This cartilage when destroyed will cause extreme pain in all movements and might cause deformity in the knee as well.

So all these four common causes, they are not always in extreme form. They might start with a mild form, then go to moderate and severe form. So before they go to the severe form and they hamper your regular activities, one can start the prevention as soon as there is some knee pain. These are lifestyle changes, physiotherapy and some exercises. Lifestyle modification means if one is going to the gym, I would suggest cycling and swimming are the best exercises for knee. One can even walk in water if one does not know swimming and one should avoid treadmill and be climbing downstairs because a knee is a joint which accommodates all weight while walking. When a person is walking, suppose a 50 kg person is walking while climbing downstairs the knee joint will experience twice.