Knee Surgery in San Jose – Dr. Pamela Mehta.
Dr. Mehta is an expert in treating all knee conditions. She specializes in arthroscopic knee surgery, which leaves a smaller scar and has a quicker recovery time compared to open knee surgery.
When you first visit Dr. Mehta, she will examine your knee joint, explain the cause of your knee problem, and work with you to create a personalized treatment plan to ease your knee pain and help you move better.
Conservative treatments for knee pain include knee exercises, physical therapy, and knee braces. However, if your knee pain is serious or your pain continues despite conservative treatment, she may offer a cortisone injection or knee surgery.
Knee Surgery in San Jose
At Resilience Orthopedics, Dr. Mehta performs minimally invasive surgical techniques to repair your knee condition. Knee surgeries she can offer include:
Arthroscopic ACL reconstruction
Primary ACL reconstruction is a treatment for anterior cruciate ligament (ACL) tear. The ACL cannot repair itself, so a new ligament is made from a tissue graft, and replaces the damaged ACL.
Arthroscopic Partial and Total Meniscectomy
Partial and total meniscectomy are both treatments for meniscus tear. Due to poor blood supply, your knee menisci are often unable to heal themselves in the event of a meniscus tear. Depending on the severity of your tear, Dr. Mehta will remove either part (partial) or all (total) of your damaged meniscus.
Arthroscopic Knee Meniscus Repair
Meniscus repair is a treatment for meniscus tear. Depending on the severity of your meniscus tear, Dr. Mehta may be able to stitch your meniscus back together rather than opt for meniscectomy.
Arthroscopic Loose Body Removal
Loose body removal is a surgery to remove small loose fragments of knee cartilage which can occur after injuries or due to arthritis. Removal of these loose bodies can lead to immediate pain relief.
Arthroscopic Articular Cartilage Restoration
Articular cartilage restoration is a treatment to repair damaged cartilage inside your knee. Dr. Mehta will use advanced surgical techniques to encourage new cartilage growth to replace lost cartilage in your knee joint.
Primary Patellar Tendon Repair
Those with either partial or complete patellar tendon tear are likely to require surgery to prevent mobility issues. A primary patellar tendon repair is the preferred option, though this depends on how quickly treatment was sought and how much damage there is to the patellar tendon.
Depending on the location of the tendon rupture, there are a few ways this procedure can be performed:
- For tears near the kneecap, a transosseous tendon repair can be performed. Dr. Mehta sutures one end of the ruptured tendon, drills small holes through the kneecap, and threads the sutures through these holes to secure the tendon in place for healing.
- For tears near the tibia (shinbone), each end of the ruptured tendon can be sutured together so that the tendon works as normal.
- For tears between this, an end-to-end patellar tendon repair can be performed.
Complete Patellar Tendon Reconstruction
For cases of chronic patellar tendon tear, significant chronic degeneration of the tendon, or when the tendon is too damaged to attempt a primary repair, Dr. Mehta will use tissue grafts to reconstruct the patellar tendon. This is a more complex procedure than a primary tendon repair.
Tendon tissue is harvested from another tendon or muscle in the body and used to reconstruct the patellar tendon. Options for tendon harvest include:
- Semitendinosus – a muscle in the back of your thigh.
- Gracilis – a muscle of your inner thigh.
- Central quadriceps tendon – one of the tendons which connect the patella (kneecap) to yourquadriceps muscle above the knee.
- Achilles tendon – the tendon which connects your calf to your heel.
What is a Knee Arthroscopy?
Knee arthroscopy is a form of knee surgery which allows Dr. Mehta to see inside your knee joint without having to make a big incision. Small incisions are made over your knee joint to allow the use of a camera and small surgical tools. A knee arthroscopy results in less pain, smaller scars, and a quicker recovery time than an open knee surgery.
Depending on the type of surgery that’s required, a knee arthroscopy can be performed in as little as an hour. To keep you comfortable and pain-free, Dr. Mehta may arrange for a nerve block to be performed during the surgery, which numbs the area for a short time after the procedure.
What to Expect After Arthroscopic Knee Surgery
For most procedures involving knee arthroscopy, you will be able to return home after a few hours of monitoring post-procedure. Dr. Mehta will arrange for appropriate pain relief and care instructions for your knee dressing.
You will have a few small scars over your knee following this procedure. Dr. Mehta will provide you with instructions on how to keep your knee scar clean and dry.
Arthroscopic knee surgery recovery time will depend on the type of surgery that has been performed. For simple procedures, you might be back to normal after 2-4 weeks – though for ligament repairs and meniscus surgery it may take longer than this.
Dr. Mehta will recommend exercises which you should do regularly for several weeks after your surgery, as well as arranging for physical therapy if appropriate.
Dr. Mehta provides concierge orthopedic care and will arrange for follow up visits with her at Resilience Orthopedics, as well as calling you to check up on you during your recovery.