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International Patient CareAdvanced Patellectomy Surgery Hospital with Comprehensive Knee Care
At Medicover Hospitals, our orthopaedic team, with qualifications like MS and DNB, performs open patellectomy to address knee issues. This procedure involves removing the kneecap to relieve pain and improve mobility. Patients often experience shorter hospital stays and reduced recovery times.
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What is Patellectomy?
Patellectomy is a surgical procedure involving the removal of the patella (kneecap). The patella is a small bone located in front of the knee joint. It plays a crucial role in knee movement and stability. During a patellectomy, the surgeon removes part or all of the kneecap to alleviate pain or improve knee function.
This surgery is often needed for severe knee injuries, chronic patellar pain, or degenerative conditions like osteoarthritis. If left untreated, these conditions can lead to significant pain and mobility issues. Modern surgical approaches for patellectomy include minimally invasive techniques and arthroscopic surgery. These methods aim to reduce recovery time and improve surgical outcomes.
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Complete Guide To Patellectomy
Everything you need to know about the procedure, preparation, and recovery
Patellectomy Surgery Indications
Doctors may recommend patellectomy when the kneecap (patella) is severely damaged or causing significant pain and dysfunction. This procedure is considered when other treatments do not provide relief.
Severe Patellar Fractures
Patients may experience intense knee pain and inability to straighten the leg. X-rays or CT scans show complex fractures. Surgery is advised when the fracture cannot be repaired with other methods.
Chronic Patellar Dislocation
Frequent dislocations cause pain and instability. Physical exams reveal abnormal kneecap movement. When braces and therapy fail, surgery may be necessary.
Patellar Osteoarthritis
Patients suffer from knee pain and swelling, worsening with activity. Imaging shows significant cartilage loss. Surgery is considered when medications and physical therapy do not help.
Patellar Tumours
Symptoms include knee pain and swelling. Imaging or biopsy confirms a tumour. Surgery is needed when the tumour affects knee function or is malignant.
Severe Patellar Tendonitis
Patients report pain below the kneecap, especially during movement. Physical exams and imaging show tendon damage. Surgery is an option when rest and therapy do not improve symptoms.
How to Prepare for Patellectomy?
Proper preparation for a patellectomy is crucial to ensure a smooth surgery and recovery. It helps minimise risks and enhances the healing process.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements at least one week before surgery.
- Fasting Guidelines: Do not eat or drink anything for at least 8 hours before the procedure.
- Pre-Surgery Exercises: Practice leg strengthening exercises as advised by your physiotherapist.
- Clothing: Wear loose, comfortable clothing on the day of surgery for easy dressing post-operation.
- Transport Arrangement: Arrange for someone to drive you home after the surgery.
- Medication List: Bring a list of all medications with dosages to the hospital.
- Pre-Op Instructions: Follow any additional instructions given by your surgeon or healthcare team.
- Home Preparation: Prepare your home for easy mobility post-surgery, such as clearing pathways.
Patellectomy Surgery (Step-by-Step)
Patellectomy is performed by orthopaedic surgeons. The surgery typically lasts 1-2 hours. It is usually done under general anaesthesia to ensure the patient is asleep and pain-free.
- Preparation: The patient is positioned on the operating table. The surgical area is cleaned and sterilised. Anaesthesia is administered to ensure comfort.
- Incision: A vertical incision, about 8-10 cm long, is made over the knee to access the patella. Care is taken to avoid surrounding tissues.
- Exposure: The skin and subcutaneous tissues are carefully retracted. The surgeon uses a curette to clear any soft tissue around the patella.
- Patella Removal: The patella is carefully detached from the quadriceps tendon and patellar tendon. Instruments like a harmonic scalpel may be used to minimise bleeding.
- Closure: After ensuring no bleeding, the incision is closed in layers using sutures. A coblation wand may be used to seal small blood vessels.
- Post-Operative Care: The knee is bandaged. The patient is moved to the recovery room. Pain management and monitoring continue as the patient wakes from anaesthesia.
Who Performs Patellectomy Surgery?
Patellectomy is performed by orthopaedic surgeons. These specialists are trained in surgeries involving bones and joints. They ensure the procedure is done with precision and care. Please contact the hospital for current details as insurance panels may change.
Recovery After Patellectomy Surgery
Recovery from a patellectomy can vary based on individual health and adherence to post-operative care. Expect a gradual improvement in mobility and strength. Following your surgeon's advice is crucial for optimal recovery.
Day 1-3:
- Rest is essential. Keep the leg elevated to reduce swelling.
- Ice packs can help manage pain and swelling.
- Start with a liquid diet, progressing to soft foods like curd and soups.
Day 4-7:
- Begin gentle physiotherapy exercises as advised by your physiotherapist.
- Incorporate light meals such as dal-rice or khichdi for easy digestion.
- Continue using crutches or a walker for support.
Day 8-14:
- Increase activity gradually, focusing on strengthening exercises.
- Introduce more solid foods like moong dal and vegetables.
- Avoid strenuous activities and heavy lifting.
Phase 2 (Week 3-6):
- Continue physiotherapy to improve range of motion and strength.
- Most patients can resume light work or school activities by the end of this phase.
- Follow dietary recommendations to support healing and energy levels.
When to Seek Urgent Help:
- Severe pain unrelieved by medication.
- Excessive swelling or redness around the surgical site.
- Fever or chills indicating a possible infection.
- Sudden difficulty in breathing or chest pain.
Benefits of Patellectomy Surgery
Patellectomy is a surgical procedure to remove the kneecap (patella) and is performed to relieve pain and improve knee function.
- Pain Relief: Reduces chronic knee pain caused by patellar fractures or arthritis.
- Improved Mobility: Enhances knee movement, allowing better flexibility and function.
- Reduced Inflammation: Decreases swelling and irritation in the knee joint.
- Enhanced Quality of Life: Allows patients to resume daily activities with less discomfort.
Risks and Complications of Patellectomy Surgery
Like any surgical procedure, patellectomy carries certain risks and potential complications. It is important to be aware of these before undergoing the surgery.
- Post-surgical pain and swelling in the knee area.
- Limited knee strength and stability post-surgery.
- Infection at the surgical site.
- Blood clots forming in the leg veins.
- Nerve damage leading to numbness or tingling.
- Delayed wound healing.
Cost of Patellectomy Surgery
The cost of Patellectomy Surgery at Medicover Hospitals varies depending on the ward category chosen. Prices range from Rs.27,500 to Rs.44,000 across different ward types. This ensures that patients can select a suitable option based on their preferences and budget.
Medicover Hospitals offers transparent pricing and supports insurance and TPA services, including CGHS, ESI, and major TPAs. A cashless facility is also available for added convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Patellectomy surgery cost at Medicover Hospitals?
The cost of Patellectomy surgery at Medicover Hospitals ranges from Rs.27,500 to Rs.44,000 depending on the type of accommodation and services.
2. Is Patellectomy surgery covered under health insurance at Medicover?
Patellectomy surgery may be covered under CGHS, ESI, and major TPAs with cashless options. Please contact the hospital for current panel details.
3. Will I need crutches after Patellectomy?
Yes, crutches are often needed post-Patellectomy to support mobility. They help reduce weight on the healing knee.
4. Can I kneel after Patellectomy surgery?
Kneeling may be challenging after Patellectomy due to knee sensitivity. Consult your doctor for personalized advice on resuming activities.
5. Will my knee be unstable after Patellectomy?
Some patients experience knee instability post-Patellectomy. Physical therapy can help improve strength and stability over time.
6. Can I play sports after Patellectomy?
Returning to sports post-Patellectomy may require several months of rehabilitation. Consult your doctor for a tailored recovery plan.
7. What foods aid recovery after Patellectomy?
Include protein-rich foods like dal, curd, and lean meats. These help in tissue repair and muscle strengthening post-surgery.
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