In the case of knee arthroscopy, it cannot be clearly stated that it will return to full fitness after 7 or 10 days. How long the rehabilitation will take and when the patient will be able to return to work after arthroscopy largely depends on the type of arthroscopy performed and the patient's involvement in the rehabilitation process. Much faster recovery after arthroscopy, which involves the removal of a free body, partial removal of the meniscus or synovial fold, than after repair and reconstructive procedures. Usually, loading the joint is possible already 7 days after the procedure, and the crutches can be put aside after a period of 2-3 weeks. Recovery from arthroscopy usually takes about 3-12 weeks.

Knee arthroscopy is performed as part of a one-day surgery procedure. After coming to the hospital, the patient meets with an anesthesiologist who selects the appropriate method of anesthesia. Most often it is spinal anesthesia, i.e. an injection into the spine that anesthetizes the lower limbs. After local anesthesia, the doctor inserts the arthroscope through a hole approximately 5 mm in diameter. With its help, it is possible to detect, diagnose and "fix" pathological changes in the knee joint. The patient is conscious all the time during the procedure.

After the surgery, you need to undergo rehabilitation, during which the exercises are most often aimed at strengthening the muscles and joints. The physiotherapist, in consultation with the attending physician, selects the appropriate set of exercises so that the patient returns to full fitness as soon as possible.

A few days before the date of arthroscopy, a complete blood count should be performed, electrolyte and sugar levels, liver tests, and an EKG and chest X-ray should be taken. These tests can be done in one day. In the case of chronic diseases, consultation with a specialist is necessary. Before the arthroscopy itself, a short visit to the anesthesiologist should be made in order to exclude contraindications to the use of anesthesia.

You should take with you the current results of examinations and consultations as well as elbow crutches, basic documents - ID card.

Depending on the cause of the procedure, arthroscopy usually takes from half to two hours.

The type of anesthesia is consulted with the anesthesiologist. In most cases, knee arthroscopy is performed under subarachnoid anesthesia, which involves puncturing the spine, thanks to which the patient is conscious during the procedure, and his lower limbs are anesthetized and incapacitated. Very rarely, in exceptional cases, general anesthesia is used.

Rehabilitation after knee arthroscopy should be started as soon as possible. Consultation with a physiotherapist should take place several hours after the procedure. During the first days after the procedure, the patient should exercise under the strict supervision of a physiotherapist.

No, the procedure is performed under anesthesia. During recovery from arthroscopy of the knee, the patient may experience slight pain and discomfort.

Depending on the cause of the procedure, arthroscopy usually takes from 30 minutes to two hours.

Patellar dislocation is an injury in which the kneecap protrudes from the intercondylar furrow. In order for dislocation to occur, there must be an additional cause (trauma) or pathology in the anatomy of the knee joint, which may include, among others, lateral positioning of the tibial tuberosity, bone development disorders (patellofemoral dysplasia), generalized joint laxity, previous knee injury , deformity of the foot or ante-thigh bone ante. The knee joint is most prone to patellar dislocation at the moment of internal rotation of the thigh in relation to the foot set on the ground, as well as flexion and deformation of the knee with simultaneous strong tension of the quadriceps muscle. In this case, the kneecap is most often dislocated laterally (outwards), often causing damage to the soft tissues of the knee joint area.

Surgical treatment of a patellar dislocation is the target treatment for recurrent (habitual) patellar dislocation and when it is damaged:

cartilage-bone fragment of the patella
medial patellar retinaculum,
cartilage surfaces
In the above cases, knee surgery is necessary, because leaving the unstable kneecap and not covering the resulting damage may consequently lead to inflammation of the patellofemoral joint with synovial swelling and numerous exudates, as well as destruction of the articular cartilage by abnormal abrasive forces.

The time of rehabilitation after surgery depends on the extent of the damage, the type of treatment procedures and the patient's level of activity. The use of arthroscopy allows for a significant reduction in postoperative pain, shortening the hospital stay and reducing the risk of postoperative complications and faster return of the patient to daily functioning.

After the surgical treatment of the patellar dislocation, full load on the operated limb, obtaining the correct gait pattern on a varied basis and obtaining the correct deep feeling (prioprioception) and 100% return to the activity of everyday life, work and sports without functional disorders and pain, is achieved just a few weeks after the performance arthroscopy.

The price of the knee arthroplasty depends on many factors, including the type of implant, the materials used in the prosthesis and the health conditions of the patient. The price of an endoprosthesis implantation is from several to twenty thousand zlotys. As part of the costs associated with knee arthroplasty, rehabilitation services should also be taken into account, carried out at least for the first few weeks after the surgery.

Most patients return to their daily activities after about 3 months of rehabilitation. During this period, the physiotherapist mobilizes the postoperative scar and teaches you safe exercises to strengthen the muscles. The progress of rehabilitation depends on the degree of the patient's training before the procedure, the type of endoprosthesis (partial or complete), the presence of comorbidities and the patient's involvement in the rehabilitation process.

The knee joint prosthesis retains its original properties for approximately 12-17 years. In order to maintain its vitality, you should avoid forcing the artificial joint, while maintaining the optimal range of motion of the knee and maintaining the appropriate muscle strength. Do not assume positions in which the knee prosthesis may be mechanically deformed or subluxated (kneeling, squatting). In addition, maintaining a healthy body weight is important (avoiding overweight).

A typical symptom at the moment of acute meniscal damage with a fragment of its fragment torn off is a perceptible crunch or audible click in the knee, severe pain and joint blockage (most often in flexion). Trying to move your knee aggravates the pain. It may be difficult or impossible to stand on the injured leg. In minor injuries of the meniscus, the symptoms are less intense - the pain may appear only during activities that put a lot of strain on the knee (running, jumping), and the feeling of jumping in the knee may be temporary and the patient is able to unblock them by means of manipulations known to him.

Relieving the knee is designed to heal the stitched meniscus. The time of walking on crutches depends on the site, extent and nature of the meniscal damage and is usually 6-8 weeks. During this period, the percentage of weight bearing on the knee is gradually increased after consultation with the orthopedist and provided that it does not cause pain in the patient.

Exercises for the knee after suturing the meniscus should be carried out under the supervision of an experienced physiotherapist who will plan the therapy process and teach exercises that will be safe for the operated meniscus (they will not disturb the healing process). proper activation of the muscles responsible for the stability of the joint and improvement of the strength and endurance of the muscles of the lower limb. The ultimate goal of the exercises is to protect the operated meniscus from excessive strain due to proper control of the knee movements both during daily activities and during sports activities.

The indication for a transplant is damage to the meniscus, which cannot be repaired by suturing. Then it is necessary to remove the meniscus or part of it (meniscectomy). The absence of a meniscus or its partial loss negatively affects the biomechanics of the knee and significantly accelerates the wear of the articular cartilage. The aim of a meniscus transplant is to eliminate knee pain and protect the joint against premature degenerative changes (gonarthrosis) / link /. Meniscal transplants are usually performed in people aged up to 50-55 with good condition of the articular cartilage.

If it is necessary to remove the entire damaged meniscus, the graft is a meniscus obtained from a deceased donor from a tissue bank (the so-called allograft). When only part of the meniscus is damaged, in some cases it is possible to implant a synthetic implant. The implant is biodegradable and gradually overgrows with natural fibrous tissue, replacing the missing part of the meniscus. The procedure of implanting an allograft or a synthetic fragment of the meniscus is performed as part of a minimally invasive arthroscopy / link / procedure without the need to open the joint.

The duration of rehabilitation depends on the type of transplant used, the surgical technique and the level of activity to which the patient would like to return. Most patients are able to return to their daily work in the third month after the procedure. The return to sports training is usually possible 6-10 months after the surgery - depending on the specificity of the sports discipline practiced and the patient's involvement in the rehabilitation process.

The ACL reconstruction procedure is performed when severe knee instability (3rd degree) is found, which makes it difficult for active people to function normally. The aim of the treatment is to improve the quality of life and to prevent the rapid development of knee osteoarthritis. Surgical ACL reconstruction is especially recommended for athletes and blue-collar workers. Less degrees of ACL damage and complete rupture of the ACL ligament in people leading a sedentary lifestyle can be successfully treated conservatively through specialized rehabilitation.

The length of treatment depends on many factors, including: rehabilitation of the patient before the procedure, the type of transplant used (own, donor or artificial implant), the presence of additional damage to the knee and the patient's involvement in the physiotherapy process after the procedure. In the case of the most frequently performed ACL reconstructions with the use of own muscle tendons or the patellar ligament, the time to return to normal activity is about 3 months. You can start practicing sports in the period from 6 to 12 months after the procedure.

The first steps after the procedure can be taken as early as 1-2 days after the surgery. During the first 3-4 weeks after the procedure, walking is possible with the support of the elbow crutches and with the knee brace. Free walking with full load on the limb without additional support is possible when the physiotherapist determines that the knee is fully prepared and trained for it, and moreover, walking does not cause recurrence of swelling or pain in the joint.

Rehabilitation begins on the first day after surgery and should be systematically continued under the supervision of a qualified physiotherapist for at least 3 months. Properly implemented treatment will allow you to restore the full range of motion in the knee in the optimal time, regain the required muscle strength and stability of the joint, and as a result will allow you to safely return to normal activity and sport.

A ruptured posterior cruciate ligament is reconstructed when the identified knee instability significantly impedes daily functioning or makes it impossible to take up physical activity. A factor that should be taken into account is a disturbance in the biomechanics of the lower limb secondary to PCL rupture, which translates into a significant increase in overload and thus acceleration of degenerative changes in the knee. People under 40, active or physically working people benefit most from PCL reconstruction surgery. In the case of a sedentary lifestyle, old age and mild symptoms, systematic rehabilitation is a sufficient method of treatment.

The length of the rehabilitation process after the reconstruction of the posterior cruciate ligament is influenced by many factors, including the functional state of the knee before the procedure, the presence of additional damage to the joint, the type of material used for the graft (from own tendons or muscles, donor or artificial implant), and the patient's involvement in the physiotherapy process after the procedure. In the case of PCL reconstruction using the patient's own tissues, the minimum rehabilitation time is about 3 months. You can start practicing sports 8 months after the treatment. Rehabilitation time may be shorter when using the Internal Bracing method, which consists in repairing broken PCL without the need to collect a graft.

Walking is possible already on the second day after the operation, provided that the operated limb is relieved with elbow crutches. A special orthosis is also placed on the knee to protect the tibia from posterior displacement relative to the femur, which is to prevent the PCL ligament graft from stretching. Free walking with full load on the limb and without an orthosis is possible when the physiotherapist determines that the knee is fully prepared and trained for it, and moreover, walking does not cause recurrence of swelling or pain in the joint. The time of weaning off the crutches and orthosis is usually 6-8 weeks after the surgery.

A popliteal osteotomy is based on the restoration of the correct mechanical axis of the knee joint thanks to the surgical correction of the proximal epiphysis of the tibia. This treatment causes a more even distribution of loads within the articular cartilage, which reduces the pain in the knee. A tibial osteotomy is an effective treatment for knee pain in young people with a disorder of the limb axis and in the early stages of osteoarthritis. In selected cases, tibial osteotomy is an alternative to the implantation of a knee joint endoprosthesis.

The most common indication for osteotomy surgery is pain in the knee joint of degenerative origin accompanied by varus of the tibia. Varus deformity of the tibia can be initially diagnosed when the knees are separated by a minimum of 4 cm with the joint ankle joints. A popliteal osteotomy makes it possible to correct the deformed axis of the limb and thus relieve the painful structures in the medial compartment of the knee.

The required rehabilitation time after a popliteal osteotomy is approximately 3 months. This time may also be shorter or longer depending on the individual anatomical conditions of the knee, procedures performed in parallel during the operation (e.g. reconstruction of the cruciate ligament) and the expected level of patient activity after the procedure.

Arthroscopic synovectomy of the knee is a surgical procedure involving the partial or complete removal of the diseased and enlarged synovial membrane. The purpose of this procedure is to eliminate inflammation in the joint by removing the synovium, which leads to the reduction of joint swelling and pain. The total rehabilitation time for the patient to fully heal and return to full activity after arthroscopic synovectomy is approximately 2 - 6 months.

The synovial membrane is a very delicate structure. As a result of previous knee injuries or various rheumatic diseases, i.e. rheumatoid arthritis, juvenile idiopathic arthritis, gout, lupus erythematosus and systemic sclerosis, or in tumors and tuberculosis, it may overgrow, thus increasing its secretory activity. This leads to an overproduction of synovial fluid with an abnormal chemical composition, so its value as a substance facilitating the glide of the articular surfaces and nourishing the articular cartilage is significantly reduced, which leads to generalized synovitis.

The indication for radioisotope synovectomy is exudative synovitis of the knee joint, which occurs, inter alia, in in the course of rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, osteoarthritis of the knee and recurrent exudative inflammation of the knee.

A Baker's cyst (Baker's cyst or popliteal cyst) is a change consisting in a non-physiological enlargement of the connective tissue space, which is filled with joint fluid. It resembles a lump that can be palpated through the skin when examining the knee. It is located in the popliteal fossa on the posterior side of the thigh between the medial head tendons of the gastrocnemius muscle and the semimembranous muscle.

Symptoms related to the occurrence of the Baker's cyst itself are very rare, but if they do occur, they may be related to its size and advancement, as well as the underlying disease process and inflammation of the knee joint. The most important symptoms that may indicate the presence of a popliteal cyst are:

clearly palpable lumps under the skin at the back of the knee
knee pain worsening with prolonged walking and during physical activity,
redness and warming in the area of ​​the cyst under the knee,
swelling and a feeling of "fullness" in the knee,
limitation of flexion and extension of the knee joint,
depending on the size of the cyst, there may be numbness in the calf area (also when the cyst ruptures), pain and swelling of the lower leg,
limb function limitation.

The arthroscopic procedure consists in removing the cyst, closing its connection with the joint and suturing the damaged joint capsule tightly. In the case of concomitant intra-articular diseases (or causes of secondary occurrence of the cyst), repair activities are also performed. Arthroscopy allows for the least invasive removal of all known and described causes of popliteal cyst formation, which significantly improves the effects of treatment and reduces the number of recurrences. It is performed when conservative treatment does not bring satisfactory results.