Do I Need Surgery

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The indications for surgery are:

  • Pain (groin pain) that is constant,may wake the patient up at night (despite taking pain medications)
  • Functional Limitations :difficulty walking, stair climbing, difficulty putting shoes and socks on, difficulty getting in and out of car/public transport
  • Stiffness; in a very small proportion of patients stiffness alone may be an indication for surgery especially when there is functional disability
  • Failed non-surgical treatment: painful hip and functional limitation despite a course of physiotherapy, pain medications and activity modifications
  • X-ray changes – indicative of arthrosis with the above symptoms

2 or more of the above with Xray features are strong indications for surgery.

It is important to consult an orthopaedic surgeon early.

The indications for Hip Resurfacing:

  • Young, active patients preferably males under 70 years of age with good bone quality
  • Young patients who have arthritis but want to pursue a very active life style involving Jumping, Running and sports.
  • Adequate bone density as measured by a bone density scan
  • In cases of Avascular necrosis, Less than or equal to 1/3 of femoral head involved
  • We do not recommend younger females to undergo hip resurfacings

Indications for hip arthroscopy include:

  • Cam type Femoroacetabular impingement: (Femoroacetabular Impingement (FAI)
  • Pincer type lesions
  • AcetabularLabral tears
  • Snapping Hip
  • Hip joint Infection
  • Ligamentumteres injuries
  • Iliopsoas bursitis
  • Cartilage Lesions
  • Removal of loose bodies
  • Extra articular pathology

Patients are carefully selected for surgery after appropriate radiological imaging and discussion with the orthopaedic surgeon.

This is can be done for both diagnosing and treating a condition and may vary from patient to patient.

Indications are:

  • Treating Meniscal Tears (trimming, repairing or replacement)
  • Diagnosing and treating ACL and PCL Injuries
  • Cartilage defects or injuries (Abrasion/mosaicplasty, Autologous cartilage implanting)
  • Removal of loose bodies
  • Lateral release for maltracking knee cap
  • Synovectomy in cases of rheumatoid, PVNS, Synovial chondromatosis
  • Joint washout in case of infection
  • Arthroscopic assessment before partial knee replacement

Indications for Meniscal Repair

  • Peripheral tears (red-red zone) tears – that are less than 3-5 mm from the periphery
  • Unstable tears that are more than 7-10 mm
  • Single , mobile vertical, longitudinal tears of the meniscus in the outer third
  • (Tears > 3cm when repaired may not heal)
  • (Transverse tears even in the outer third may not heal)
  • (Meniscal tears in the presence of ACL tears have a higher rate of re-tear)

An MRI scan is required before any surgery can be planned and treatment results can vary from patient to patient.

Indications are:

  • Young, active patients with minimal arthritis who have complete loss of a meniscus
  • Patients should have good alignment of the knee joint
  • Patients should have a stable knee

Indications for surgery are:

  • Pain: Painful knee that is not responding to pain medications, may wake patients up at night
  • Functional Limitations:Reduced walking distance, difficulty climbing stairs, difficulty bending knees/squatting due to arthritis affecting normal daily activities.
  • Failed Non-Surgical treatment: painful knees and functional limitation despite physiotherapy/hydrotherapy, pain medications and weight loss or activity modifications
  • X-ray changes: arthritic knee

2 or more of the above features with Xrays changes may be an indication for surgery.

Indications for surgery are:

  • Arthritis Isolated to one compartment of the knee (medial or lateral)
  • Good arc range of motion of >90 degrees
  • <15 degrees of varus or valgus deformity
  • Stable knee joint with no evidence or inflammatory arthritis

This may vary from patient to patient and should be discussed with an orthopaedic surgeon.

Indications for Surgery:

  • Young patients who have an ACL tear with knee instability (giving way)
  • Athletes who have an ACL tear where they perform cutting, pivoting and jumping
  • Patients who have recurrent symptoms of instability (giving way) after atleast 3-6 months of non surgical treatment and rehabilitation

It is important that patients undergoing surgery are willing to complete the postoperative rehabilitation program.

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