Do I Need Surgery

Home Do I Need Surgery

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:

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:

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.