Dr Ackermann is an Orthopaedic surgeon with a niche in hip and knee surgery. While he performs hip and knee replacements, for younger patients he aims to preserve the natural joint for as long as possible and provides joint preservation surgery for this reason.
The knee is one of the largest and most complex joints in the body, joining the femur t the tibia, with ligaments and tendons to allow the stability and functioning of the joint. Various conditions such as osteoarthritis and abnormalities in knee alignment can cause issues with weight-bearing and functioning of the knee joint, causing wearing of the joint. Dr Ackermann provides joint restoration techniques and joint preservation surgery for those who suffer with pain, mobility and functioning issues of the knee joint, which if left untreated would require total joint replacement surgery. Knee joint preservation treatment is thus advised as a way of prolonging the longevity of the natural knee for younger, more active patients, opting for knee replacement surgery only in severe cases.
Knee joint preservation is tailored to each patient individually and would depend on the current state of the patient and his or her age and health. Knee preservation treatments may involve physical therapy, intraarticular injections, arthroscopic or open surgery.
Joint preservation surgery is aimed at addressing knee pain and ill-functioning of the joint by treating damage to cartilage, tears of the meniscus and realigning the knee to avoid replacement of the entire joint. The most common form of joint preservation surgery is arthroscopic. This may be done to remove irritating synovium, release scar tissue and contractures or to remove loose fragments or spurs from the knee joint to relieve pain and enhance mobility of the knee joint
In other cases, surgery may be aimed at localised treatment of the cartilage in the knee joint, an autogenous osteochondral transfer or autologous chondrocyte implantation. Other preservation treatment options include a fresh allograft in addition to a proximal tibial or distal femoral osteotomy. A meniscus transplant may also be necessary for realignment of the knee joint. A knee osteotomy may be considered for cases in which a single compartment of the knee is affected by osteoarthritis.