Overview of Specialization in Musculoskeletal Conditions
At the Orthopaedic and Pain Practice, we specialize in treating musculoskeletal conditions, also known as orthopaedics. This includes treatment for athletes and sports injuries, as well as non-sports-related trauma. One of our focuses of expertise is the knee, a weight-bearing joint. Proper management involves understanding its effect on other joints, the lower limb, and spine. The knee is also an organ for stability and motion. A thorough history, along with clinical and radiological workup, is required for a proper diagnosis and, therefore, management of knee problems. The patient’s expectations and individual circumstances also influence the choice of treatment. At our clinic, we provide comprehensive management of acute injuries, chronic conditions requiring complex reconstruction, and, finally, tertiary referral revision and failed surgery.
Knee replacement is a surgical procedure that replaces damaged parts of the knee joint with artificial components to restore function and reduce pain. At The Orthopaedic and Pain Practice in Singapore, our specialists provide personalized care and advanced surgical techniques to ensure optimal outcomes for patients.
The knee is a common source of pain and disability, whether chronic or acute, and can involve a combination of both. Injuries and damage to the ligaments, articular cartilage, and menisci can occur in isolation or in combination; from high or low energy; and with or without bony involvement. We treat patients with a combination of non-operative and operative modalities. The clinic has a wide range of treatments for knee problems, taking advantage of the latest available technology, including biologics, robotic or computer-aided surgery, implants, and personalized instrumentation for ligament reconstructions and joint replacement. In an effort to provide holistic care, we also work with a team of specialists in all aspects of orthopaedics. Some of these collaboration partners include sports medicine, a trauma and oncology unit, as well as an arthroplasty, revision, and sarcoma specialist. Often, but not always, knee problems cause difficulties with the hip and ankle as well. We have the ability to look at these with their related symptoms before coming up with a final diagnosis. Thereafter, we work with our patients to develop a tailored treatment plan suited to their individual circumstances. All treatments offered are evidence-based. The combination of an accurate diagnosis and a tailored treatment plan for the patient results in an improved outcome.
Knee Treatment Services at The Orthopaedic and Pain Practice
Knee replacement surgery is typically recommended for patients with severe arthritis or injury when other treatments like medication and physical therapy have not provided relief. The Orthopaedic and Pain Practice offers comprehensive consultations and tailored treatment plans, helping patients in Singapore find the best solution for long-term relief.
At the Orthopaedic and Pain Practice, we provide treatment and surgical services to comprehensively cover your individual needs. Our treatment services range from the initial consultative assessment that includes a clinical diagnosis (if required), establishment of an intervention plan tailored to your needs, and appropriate pain management follow-up. At the Orthopaedic and Pain Practice, a holistic management approach is advocated, and we provide a comprehensive rehabilitation program whether you decide to proceed with treatment or not. Our philosophy is to educate you and provide you with the tools and knowledge to allow you to make an informed decision about the care and treatment that you may wish to undertake.
Diagnostic Techniques for Knee Conditions
It is crucial for a treatment plan to be efficacious that an accurate diagnosis of the condition causing the symptoms be made. At the Orthopaedic and Pain Practice, we have some of the most advanced diagnostic techniques at our disposal – this allows us to provide a clearer picture of what is causing the problem. These may include MRI to look for soft tissue damage or degeneration, or ultrasound to look at ligaments, tendons, muscles, or wear and tear of the knee joint, as well as X-rays to look for meniscal and bone damage.
Treatment Options for Knee Pain
Knee surgery is generally recommended after a complete diagnostic assessment and a steady course of non-operative care, such as oral medications, injections, and physical therapy, do not completely alleviate the condition. An urgent surgery may be necessary in certain situations, such as infection, ligament, and severe cartilage lesions.
Arthroscopy – Arthroscopy is a procedure that involves the use of a small camera to look at and treat a damaged knee joint. Conditions such as torn meniscus and ligament repair in the knee can be treated.
Cartilage and Meniscus Repair and Transplantation – There has been an emerging trend in the repair of focal single or multiple cartilage and meniscus lesions with the advancement of new surgical techniques, like the use of regenerative matrix, cartilage transplant, or meniscus transplantation.
Ligament Reconstruction – Modern techniques of ACL reconstruction are performed in the Orthopaedic and Pain Practice. Most cases in the thirties and beyond may have signs of osteoarthritis because of associated meniscus and cartilage injuries. Assessment of the anterior knee stability in the form of pivot shift or statically in a clinic has to be determined before an ACL reconstruction is contemplated. A special diagnostic method will be arranged to show objectively its value in recurrent instability.
Total Knee Replacement – Modern minimally invasive techniques are performed, and most patients can ambulate and walk with aid the very next day. This partial and total knee replacement covers almost 40% of the cases. However, high-performance knee replacements are reserved for this age group.
The Surgical Procedure: Step-by-Step Guide
The knee’s complex, weight-bearing mechanisms and reliance upon muscles make it an extraordinary joint. Surgeons perform close to a million knee replacements every year in Singapore, making this one of the most frequently replaced joints. The kind of prosthesis, as well as the approach to surgery, impacts the operation’s length. The surgeon may use a distinct method for producing and inserting the prosthesis based on the patient’s situation. This entry will provide you with a greater awareness of the surgical processes being implemented.
In the operating room, the patient is given anesthesia. During the operation, this individual is likely to be asleep under general anesthesia. Serious and local medications, or medication cocktails together with local anesthesia, are frequently used in regional anesthesia to leave the individual completely pain-free. After you are anesthetized, the operative site is carefully washed and sterilized with special soaps that aid in the elimination of bacteria.
The doctor will then affix a surgical drape or sterile covering over the knee that has been surgically treated. In certain instances, the operating room crew will blow heated air into the room to provide an extra germ-free atmosphere for the operation of the surgical area. The surgeon’s technique is different for every type of process. The surgeon begins the operation by drawing the skin across the knee using ink. The ink will serve as reverse guidelines for the operative cut. Skin, blood vessels, and other occluded tissue can be removed through this incision. The skin edge that has been underscored in ink offers the surgeon a route to the knee joint. The knee’s patella, or kneecap bone, will be pushed away to one side if a total knee operation is being done. In order to achieve access to the joint, the patella is scooped on its thigh bone side. The leg is rotated to one side of the body for the primary knee joint cut after the patella has been moved. The surgeon removes abutting bone from the knee joint walls.
Both the bottom and top of the femur bones are covered with a slushy, saltwater solution. A cutting block made of alloy is clamped onto the femur’s freshly trimmed area. The knee joint’s first cut may be made using a hand-controlled surgeon’s saw. The limb is next turned to the other side of the body. The lower segment of the tibia is severed by the surgeon once again. Often, an interchangeable metal reducing block might be held in place against the lower edge of the femur. Then, by hand, the surgeon slices the lower portion of the thigh bone. The cuttings are manually rejected following which the final tourniquet is removed from the body and blood drained from the arm. In the meantime, the nurse has readied the operating table for implantation of the elements. The cuttings are brushed away, and the curettage pore is thoroughly washed. A prosthetic implant is placed inside the knee while at the same time, antibiotics are given. Before concluding the operation, the doctor will take several last X-rays to guarantee that the knee elements are appropriately aligned and engaged. Following the completion of the operation, the skin is sutured and the patient is carried away to the surgical center’s recuperation unit. The typical procedure may take 60 to 90 minutes to complete. Some patients may require more time due to a variety of circumstances.
Choosing the Right Knee Pain Doctor in Singapore
When you are looking for a knee pain doctor in Singapore, it is important to find someone who is qualified, experienced, and with whom you feel comfortable. A trained orthopaedic surgeon is a specialized doctor for knee surgery, working with the bones, joints, and muscles; a knee specialist would know what to look at and what forms of treatment are the best for your knee condition.
