Do I Need Surgery

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.

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.