Why Doctors Second Opinion is very important for Knee Replacement Surgery....? -Dr.Shailendra patil

I. Knee Joint Inflammation

Arthritis of the Knee Joint:

Osteoarthritis : Osteoarthritis is a degenerative disease which causes cartilage damage and thinning of cartilages. Osteophytes and hypertrophy of tibia and femur observed in later stage. It results in joint deformity.
Rheumatoid Arthritis: It is an autoimmune disease which causes inflammation of synovial membrane and capsule. Inflammation causes excessive secretion of synovial fluid resulting in joint swelling. Joint effusion (swelling by excessive fluid) causes joint deformity and may result in joint subluxation.

Psoriatic Arthritis: It is associated with psoriatic skin disease. It is inflammatory joint disease which results in inflammation of synovial membrane and ligaments, degeneration of articulating cartilages and menisci.

Gout: Knee joint swelling is caused by inflammation of synovial membrane, capsule, ligaments and tendon. Soft tissue inflammation results from irritation of tissue following uric acid deposits. Uric acid deposits in knee joint causes inflammation and edema of articular cartilage and menisci.

Tendonitis of Knee Joint:
Inflammation of tendon is known as tendonitis.Tendonitis is caused by overuse of the muscles and tendon. Tendonitis follows injury or trauma of the tendon and muscles. Tendonitis of superior patellar tendon is known as Osgood-Schlatter Disease. Osgood-Schlatter tendonitis is caused by overuse, irritation or injury of the knee cap and patellar tendon. Inflammation of patellar tendon below patella is known as ”jumper’s knee.”


II. Infection of Knee Joint:
Knee Joint infection is also known as Septic Arthritis.
Results in Knee Joint Abscess.
Follows severe deterioration and atrophy of the cartilages and synovial membrane.
Often follows penetrating injury
Blood borne bacterial infection transmitted from distant source of infection or abscess by blood.

III. Injury of Knee Joint:
1. Ligamental Sprain
Grade 1- Laceration or forceful stretch of ligament
Grade 2- Partial tear of the ligament
Grade 3- Complete tear of the ligament
2. Tendon Rupture or Tear
Grade 1- Laceration or forceful stretch of tendon
Grade 2- Partial tear of the tendon
Grade 3- Complete tear of the tendon
3. Torn Meniscus
Meniscus tear may be partial or complete.
Tear may be associated with cartilage fragments in the joint resulting in severe pain with joint movements.
Tear is caused by continuous wear and tear of the joint known as “Degenerative Tear”.
Meniscus tear mostly results from knee joint injuries.Orthopedic surgeon in Mulund

IV. Patello-Femoral Syndrome
The condition is caused by irritation or inflammation of articulation surface of patella and femur.
Irritation is caused by abnormal or shearing forces generated by tendon and muscles attached to patella.
The inflammation or wear and tear of the articulating cartilage between femur and patella causes severe pain known as Patello-Femoral Syndrome.
Thinning and softening of the cartilage is also known as Chondromalacia.
Patello-Femoral Syndrome is often associated with dislocation or fracture of knee joint.

V. Osteoporosis
Osteoporosis is a metabolic disorder that results in demineralization of bone because of loss of calcium.
Bone becomes weak and brittle.
Osteoporotic bones easily fractures following severe cough or even sneezing.
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