Unhappy Joints Clinic
When a patient is not happy with the result after surgery, it is very important that we understand why. Many times, the specific complaints give clues as to the underlying problem.
Ultimately, if the situation is to be rectified and the problem corrected, then the specific etiology must be clearly delineated. Joint work wonderfully, but only when a host of important variables comes together, when accomplished, helps assure a stable, pain-free knee with which the patient is happy
for eg: Knee joint
Recreating limb alignment and a neutral mechanical axis so that weight-bearing forces are nearly equalized between the inner and outer compartments of the knee. This also has the effect of straightening any pre-TKR bowlegged or knock-kneed angulation
Balancing the soft tissue sleeve that surrounds the knee so that as the knee moves from extension to flexion, equal and physiologic tensions or pressures are experienced in the medial and lateral ligaments.
Creating normal knee movement or “kinematics” as the knee ranges from extension into flexion and then back to extension. Normally, as the knee flexes, the tibia internally rotates and the femur pivots on the inner or medial compartment. During extension, this normal rotation or pivot reverses and the tibia externally rotates. The cruciate ligaments as well as other soft tissues and the shape of the bones help to control this normal complex movement.