Joint Preservation Surgery | Specialist Knee Surgeon Explains a Revolutionary Treatment - video Dailymotion

Kneeclinic Manchester

Is knee replacement your only option? Not anymore. Discover how joint preservation surgery can help you avoid a total knee replacement. In this video, Mr. Barkatali, leading consultant knee surgeon, explains this advanced treatment that helps you retain your natural joint for longer.  Find out if you’re a candidate for this minimally invasive approach and take control of your knee health today.  📍 For appointments and more info, visit: https://www.thekneeclinicmanchester.com/ 📍 Serving patients across the North West, including Cheshire, Lancashire, Cumbria, and beyond.   #KneeSurgeon #JointPreservation #KneeClinicUK #OrthopaedicSurgeon #KneePainRelief #SportsInjury #AvoidKneeReplacement #ArthritisTreatment #DidsburyClinic #NorthWestUK

Transcript

00:00Joint preservation surgery is an approach where we try to preserve the human knee. Now not everybody

00:17is eligible for joint preservation surgery. If for example you have arthritis in all three

00:22compartments of your joint and the joint is very degenerate, it's very painful, doesn't move very

00:27well then joint preservation surgery is not a possibility I'm afraid to say. So when considering

00:34eligibility for joint preservation surgery the patient's alignment is always assessed first. Now

00:42some people are slightly bow-legged, some people are knock-kneed and some people have dead straight

00:47alignment and I'll try and show you what I mean on this model. So this particular model has a neutral

00:53alignment. Now somebody with slightly bowed legs has this form of alignment where there's more

01:01pressure going through the inside of the knee joint and some people have valgus alignment with knock

01:08knees and this puts more pressure on the lateral side of the joint and with these variations in

01:14alignment, varus to valgus, different parts of the joint are being more engaged on a daily basis

01:21and so the wear pattern in the osteoarthritis takes place in one part of the knee. So for example

01:28in a varus alignment where the medial compartment is stressed when walking and loading on a daily basis

01:35the medial compartment wears out first and quite often there's very little wear in the patellofremal

01:41compartment and nowhere in the lateral compartment and this can affect anybody any age and so treatment

01:48modalities and surgery has been invented and developed to be able to try and treat the underlying alignment

01:56issue which is what the the problem is with a varus or valgus alignment. The way this is carried out is

02:03we first of all take a full history examine you and assess your alignment externally physically and also by

02:10doing x-rays called long leg alignment views. The long leg alignment views show the mechanical

02:17alignment and the biomechanical alignment of a particular patient. Individuals with a varus

02:22alignment have their body weight and the mechanical axis passing through the medial compartment. Patients

02:29with a valgus malalignment have their body weights and mechanical axis passing through the lateral compartment.

02:34These x-rays are analyzed and their various angles are measured and based on these measurements a plan

02:42is then instituted for what type of surgery may be required. Now the the major plus point of a joint

02:50preservation operation and when I say joint preservation I mean an osteotomy operation. An osteotomy is

02:57by definition is an incision in the bone. And by making these incisions we can either remove small wedges of

03:09bone or open small wedges and what that does is it corrects the alignment of that particular patient. So if

03:16you've got a varus alignment and after all the angles are measured and we feel that the deformity causing the

03:23varus alignment is in the tibia then high tibial osteotomy operation is offered. Less commonly people

03:30present with knock knees or valgus malalignment with arthritis in the in the lateral compartment which is

03:40the outside of the knee joint. The operation that is carried out is called a distal femoral osteotomy. So

03:46this is the distal femur and what we're aiming to do is to go from a valgus alignment

03:52to a neutral alignment and this is done by taking a very tiny wedge of bone out of the

04:00medial side of the knee and applying a plate to hold it. So the principles are similar

04:04but it's a slightly different operation.

Joint Preservation Surgery | Specialist Knee Surgeon Explains a Revolutionary Treatment

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