Reconstructive Knee Surgery

Reconstructive Knee Surgery

This is reconstructing the damaged or deformed knee with a goal to prevent it from reaching the stage of possible knee replacement.

Reconstruction may be required to correct bony abnormalities such as crooked legs or deformities due to wrongly healed knee fractures. Reconstruction may also be needed for correcting ligament problems. The commonest reconstructing surgery is deformity correction. It may be in the form of reconstruction of a part of the knee where it became necessary to remove the damaged part, in a case of bone tumour, for example. Before knee reconstruction, thorough understanding of the deranged biomechanics of the knee is required. For this, we do special long-leg films to see how weight bearing happens across the knee. Some examples of such surgery are given below:

Hip-Knee-Ankle (HKA) x-ray, is a special x-ray where bony structure of the whole body below the waist is seen on one x-ray film. This helps in knowing the alignment of the whole limb with the patient standing. This is done using a special computer software, which calculates the deformity of the leg, exactly in degrees. HKA is critical for a surgeon to know the severity of deformity and what special steps are required to correct the same during surgery. Deformity of the leg more than 3 degrees is a danger sign, as this leads to faster wearing away of the knee (something like wearing of the tyre of a car, wheel of which is mal-aligned). The same x-ray is done post-operation which tells about accuracy of the surgery. It is ideal to have alignment corrected as close to perfection as possible.

Case:1 A case of failed operations for fractures of the knee.