Rupture of the anterior cruciate ligament is a disease that requires surgery for reconstruction of the anterior cruciate ligament

Rupture of the anterior cruciate ligament is a disease that requires surgery for reconstruction of the anterior cruciate ligament

As you know, anterior cruciate often injured, it is related to sports, namely when offset lower leg forward.

Anterior cruciate ligament is inside of the knee joint. So it will not heal without surgery. And after the cruciate ligament rupture, the knee joint is not stable due to this the meniscus begins to deteriorate. And further it causes degenerative arthritis of the knee.

Knee joints MRI
ACL ruptured knee MRI (left picture), Healthy joint MRI (right picture)

There are two methods of operation for the reconstruction of the anterior cruciate ligament

1) The use of your own ligament

2) The use of donor ligament

If you use a ligament from another part of your body, as the hip, then the period of rehabilitation will be much longer, and the pain will be for 6 months or more. For using a donor ligament, there is an only a little difference in the cost of operation, but better operation result.

The anterior cruciate ligament reconstruction surgery is minimally invasive and is not a complex operation. You do not need a whole body anesthesia, but only spinal anesthesia.

It is also important to do well rehabilitation exercises after surgery to restore knee function, as well as to strengthen it.

After the operation, sometimes the patients do bad rehabilitation exercises for the knee, which may lead to re-rupture of the anterior cruciate ligament.

After 6 months of rehabilitation exercises you may bring back a healthy knee joint. But the reducing period of the recovery can be shortened and the pain symptoms after surgery can be reduced, it is all depends on you!

Handwriting Wellton hospital's patient from Russia (Arthroscopic surgery)

Handwriting Wellton hospital's patient from Russia (Arthroscopic surgery)

My right leg became ill. I had a pain in area of patella of knee joint and under of it. On the advice of friends, I sent images taken in Vladivostok to Wellton hospital for consultation. Then I get completely answer with a full schedule by the day, with the name of all analysis and procedures. After consulting with the relatives, I decided to take treatment in Korea, namely Wellton hospital. Hospital seemed to me as a modest building, but the quality of service and diagnostic equipment is very impressive. The survey was done promptly and in the evening an operation was done. The medical staff is friendly so I didn’t feel language barrier. The doctor is very attentive, thoroughly consulted. I’d like to say thank you to the translator consultant who organized everything beforehand and quickly. Hopefully my leg will be like new. I wish others opt for the Wellton hospital without doubt. Work is clearly done.

Thank you! I hope that I opted for the Wellton hospital not in vain.

Plekhanova G

Hospitalization period: From November 3, 2015, until November 6, 2015

Farewell of Dr. Denis Afanasyev from Moscow, Russia

On September 15, 2015, Denis Afanasyev, finished his International Fellowship program of Wellton Hospital

Dr. Denis Afanasyev came to Wellton Hospital from Moscow, Russia as a part of Wellton International Fellowship Program (WIFP) in August 18, 2015. He spent last 1 month in Korea and participated in various meetings and conferences with other surgeons and observed Orthopedic cases, outpatient consultation, daily rounds and rehabilitation programs at Wellton Hospital.  He was impressed with the most advanced surgical techniques and rehabilitation program for hip replacement & knee replacement.

I want to express my deepest gratitude and sincere thanks to Dr. Song, and to all staff of the Wellton Hospital for the opportunity of International Arthroplasty Study. The technique of arthroplasty of hip joint and knee joint is perfected. In my practice course, for the first-time I have seen minimally invasive posterior approach for hip joint replacement. The advantages of this approach are indisputable. It is less blood loss during surgery, decreased pain, the ability to walk with a support on the operated joint the day after surgery.

I’m very interested in Dr. Song’s minimal invasive arthroplasty technique of knee joint. Awesome excellent knowledge of the biomechanics motion of the knee joint of the doctor, allows correctly orient the components of the endoprosthesis. The result is the maximum range of movement on the next day after surgery with minimal pain. In the training course by Dr. Song I got the answers to the question of how to get the maximum amount of knee flexion, and to avoid the effect of extrusion liner to the front as a result of the increased load on the posterior part.

Deserves respect a clear coordination of work of the team of Dr. Song, from the operating sisters and ending with marketing department.

I hope that many of the positive things which I have seen in Wellton Hospital will help me to improve work of my clinic in Russia in the future.

I understand that Dr. Song has done a very difficult and long way to achieve such a high level of joint replacement surgery. Many thanks to Dr. Song for sharing with me his invaluable knowledge and skills!

Farewell Dr. Chen Bing Peng from China

On July 9, 2015, Dr Chen Bing Peng, finished his International Fellowship program sponsored by Korean Health Industry Development Institute (KHIDI).  

He spent last 1 month in Korea and participated in various meetings and conferences with other surgeons and observed Orthopedic cases, outpatient consultation, daily rounds and rehabilitation programs at Wellton Hospital.  He was impressed with the most advanced surgical techniques and rehabilitation program for hip replacement & knee replacement.

Academic exchanges of Wellton Hospital with Beijing Tsinghua Changgung Hospital, and Beijing University International Hospital

Good day! It is Wellton Hospital

Wllton hospital is committed to accept the health system and professional medical knowledge of the latest trends through a variety of foreign exchange.

We also increase international awareness and international expansion through a network, such as academic, personnel exchanges

At June 3, the director of Wellton Hospital Ph.MD Sang Ho Song visited The 1^st Hospital of Peking University, Beijing Tsinghua Changgung Hospital, and Peking University International Hospital for academic exchanges on theme “minimal invasive surgery of joint replacement”

The Chinese hospital were very interested in presentation of Wellton hospital “minimal invasive surgery of joint replacement”, because there are a lot of difficult cases in china for joint replacement.

Wellton Hospital is delighted to welcome Dr. Hubert Paulino Del Rosario to join our Arthroplasty fellowship training program

On February 23, 2015, Dr. Hubert Paulino Del Rosario came as a Orthopedic fellow to Wellton Hospital for International Fellowship Program from Philippine Orthopedic Center . He will study in Wellton hospital surgical techniques and rehabilitation program for hip replacement and knee replacement.

Arthroscopic procedure & joint diseases

Arthroscopic Surgery / Wellton Hospital Korea

Arthroscopy is

(1)Achieves a high level of accuracy in diagnosis through high definition digital endoscope.

(2)A perfect alternative to conventional open surgical techniques, and causes considerably less tissue damage.

Arthroscopy

The arthroscope is a fiber-optic telescope, which is inserted into the joints (knee, shoulder or ankle) to evaluate and treat the conditions.  Most arthroscopic surgery is performed as day surgery with epidural  anesthesia.  The Arthroscopy is commonly performed for many sports injuries. 

Arthroscopy is useful for

 (1) torn floating cartilage (meniscus)

 (2) Torn surface (articular) cartilage

 (3) Removal of loose bodies and cysts.

 (4) Reconstruction of the Anterior Cruciate Ligament (ACL)

 (5) Patello-femoral (knee cap) disorders

 (6) Washout of infected knees

 (7) General diagnostic purposes

Diagnosis

Standing weight-bearing view X-ray of the knee is usually required.

MRI scan is needed if the diagnosis is unclear.

Meniscal Cartilage Tears:

Following a twisting type of injury the medial (or lateral) meniscus can tear. This results either from a sporting injury or may occur from a simple twisting injury when getting out of a chair or standing from a squatting position. Our cartilages become a little brittle as we get older and therefore can tear a little easier. The symptoms of a torn cartilage include

•Pain over the torn area i.e. inner or outer side of the knee

•Knee swelling

•Reduced motion

•Locking if the cartilage gets caught between the femur a tibia

CARTILAGE TEARS

Once a meniscal cartilage has torn it will not heal unless it is a very small tear that is near the capsule of the joint. Once the cartilage has torn it predisposes the knee to develop osteoarthritis (wear and tear) in 15 to 20 years. It is better to remove torn pieces from the knee if the knee is symptomatic.

Torn cartilages in general continue to cause symptoms of discomfort, pain and swelling until the loose, ragged pieces are removed. Only the torn section is removed and the knee should recover and become symptom free. If the entire meniscus is removed, the knee will develop osteoarthritis in 15 to 20 years. It is standard to remove only the torn section of cartilage in the hope that this will delay the onset of long-term wear and tear osteoarthritis.

Occasionally, provided the knee is stable and the tear is a certain type of tear in a young patient (peripheral bucket handle tear), the meniscus may be suitable for repair. If repaired, one has to avoid sports for a minimum of three months.

Articular Cartilage (Surface) Injury:

If the surface cartilage is torn, this is most significant as a major shock-absorbing function is compromised. Large pieces of articular cartilage can float in the knee (sometimes with bone attached) and this causes locking of the joint and can cause further deterioration due to the loose bodies floating around the knee causing further wear and tear. Most surface cartilage wear will ultimately lead to osteoarthritis. Mechanical symptoms of pain and swelling due to cartilage peeling off can be helped with arthroscopic surgery. The surgery smoothes the edges of the surface cartilage and removes loose bodies.

Anterior Cruciate Ligament Injuries:

Rupture of the Anterior (rarely the posterior) Cruciate Ligament (ACL) is a common sporting injury. Once ruptured the ACL does not heal and usually causes knee instability and the inability to return to normal sporting activities. An ACL reconstruction is required and a new ligament is fashioned to replace the ruptured ligament. This procedure is performed using the arthroscope.

Bakers Cysts:

Bakers cysts or popliteal cysts are often found on clinical examination and ultrasound / MRI scan. The cyst is a fluid filled cavity behind the knee and in adults arises from a torn meniscus or worn articular cartilage in the knee. These cysts usually do not require removal as treating the cause (torn knee cartilage) will in most cases reduce the size of the cyst. Occasionally the cysts rupture and can cause calf pain. The cysts are not dangerous and do not require treatment if the knee is asymptomatic.