Knee Problems & Arthritis Treatment

Dr. Dibya Singha Das

Sports Medicine & Rehab

The increasing trend of road traffic accident and sport injury increased the incident of ligament surgery in India. So before that we have to understand the anatomy of knee joint. Knee is the joint which is more prone to ligament injury. So knee joint mainly balanced by 4 ligaments and two cushioning structures

1. Anterior cruciate ligament(ACL)

2. Posterior cruciate ligament(PCL)

3. Medial Collateral ligament(MCL)

4. Lateral Collateral ligament(LCL)

5. Lateral Meniscus

6. Medial Meniscus

When there is a tear in these 4 ligaments it causes instability to the knee joint and if any tear in the cushioning structures it causes pain in knee joint. Most of the time knee injuries sustained multiple ligament tear because of its bio-mechanics.

For ligaments surgery the surgeon uses an arthroscopic surgery (Key hole surgery) where the surgeon uses two small portals through which surgeon reconstruct the ligament or repair it. Arthroscopic surgery have fast tract recovery time and its less painful.

Dr Dibya Singha Das who is a renowned sports medicine and arthroscopic surgeon told after ligament surgery the rehab protocol is very important. The patient needs proper rehab to join any kind of sports within 2 months of the surgery.

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Joint replacement surgery is now in increasing trend in India. So is it necessary that all patient needs a joint replacement surgery ? So before we talk about joint replacement surgery we have to understand what is osteoarthritis.

Osteoarthritis is a degenerative process of joints and the weight bearing joints of the body always prone to get osteoarthritis. Knee joint is the common joint which gets osteoarthritis. Females are more prone for knee osteoarthritis because of many factors. Knee osteoarthritis divided into 4 stages:

  • Stage 0 (Normal). If you’re at stage 0, your knees are healthy
  • Stage 1 (Minor). Stage 1 means that you’ve got some wear and tear in your knee joint
  • Stage 2 (Mild)
  • Stage 3 (Moderate)
  • Stage 4 (Severe)

The grade 1 & 2 can be easily managed with medication and daily exercise, but grade 3 & 4 requires surgery. When patient suffers from grade 3 & 4 your surgeons advice you for high tibial osteotomy and knee replacement surgery. The knee replacement surgery where the surgeons changes the surface of thigh bone and leg bone with metal surface and in between that place a highly crossed linked polyethylene spacer(it’s a high quality plastic). The post operative rehab process after joint replacement is most important to get a successful knee replacement says Dr Dibya Singha Das, a leading joint replacement surgeon, Bhubaneswar, Odisha. With the increasing numbers of knee replacement in odisha surgeons are bringing new techniques to get better results. Dr Dibya also said today’s advancements have made it possible for more personalised knee replacement surgeries with small incisions without cutting the muscles and ligaments.We use the latest titanium knee implants with vitamin E polyethylene which are of the highest quality and comes in various sizes for a long lasting comfortable fit. For more info you can visit

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