Dr Fred Nouh

Knee

Chronic knee pain can make everyday activities like walking and climbing stairs difficult and painful.

This constant discomfort can prevent you from enjoying life’s special moments, affecting both your mobility and mental well-being.

Total knee replacement surgery can relieve your pain and restore your mobility. With advancements in medical technology, the surgery is now safer and more effective than ever.

Dr. Nouh, a leading orthopaedic surgeon, specializes in total knee replacement, ACL reconstruction, and knee arthroscopy meniscus repair. He helps individuals with arthritis and active lifestyles recover and return to their favorite activities.

Ready to take the first step towards a pain-free life? Let’s explore how total knee replacement surgery can transform your future.

  • Total Knee Replacement
  • Anterior Cruciate Ligament Reconstruction
  • Arthroscopic meniscal surgery

Total Knee Replacement

Total knee replacement surgery is a very effective treatment option in minimizing or eliminating knee pain caused by arthritis when other conservative treatment methods have failed.

A total knee replacement operation involves the joint being approached through an incision at the front of the knee. The damaged parts of the knee joint and cartilage are removed and replaced with metal and durable plastic components.

Knee surgery may be right for you if severe knee pain or joint stiffness limits everyday activities, such as climbing stairs, walking, and sitting down on or rising from chairs.

Knee surgery helps you manage pain, improve your attendance and performance at work, reduces complications like obesity and a sedentary lifestyle, and can be performed at any age.

robotic knee replacement surgery

Anterior Cruciate Ligament (ACL) Reconstruction

ACL reconstruction is a surgery to replace the ligament in the center of the knee connecting the Femur and Tibia (the anterior cruciate ligament or ACL) with a new ligament. The ligaments prevent the knee joint from moving sideways and thus provide stability

The procedure is usually done by knee arthroscopy. Oher small incisions are made around the knee to place the new ligament.

The aim of the surgery is to provide you with a stable knee which in turn prevents further internal damages to the knee joint. This may protect you from developing degenerative arthritis in the long term.

Anterior Cruciate Ligament Reconstruction

Arthroscopy – Meniscus Surgery

Meniscal surgeries are one of the most commonly performed procedures in the knee. There are two meniscus in the knee.

  • Medial meniscus (inner side of the knee)
  • Lateral meniscus (outer side of the knee)

The meniscus have the following functions:

  • Assist with stability of the knee joint
  • Reduce wear
  • Protect against arthritis, and
  • Help disperse synovial fluid around the knee joint effectively

A meniscal tear is a tear in the cartilages, or menisci, that are located between the femur and tibia bones in the lower leg.

The meniscus can tear as a result of trauma, age related wear, or a combination of both factor.

Knee pain can significantly impact your quality of life. If you’re struggling with knee arthritis, an ACL tear, or a meniscus injury, Dr. Fred Nouh, a knee orthopaedic surgeon, and his team are here to help. With his expertise and personalized approach, Dr. Nouh can provide effective solutions to alleviate your knee pain and restore your mobility. Don’t let knee pain limit you. Contact us today to schedule a consultation and take the first step towards a pain-free life.

You should consider knee replacement if medications and other non-operative methods fail to control your symptoms, you have poor quality of life due to arthritis, daily activities are severely limited by knee pain, and you wish to regain the ability to participate in low-impact sports or activities.
Arthritis, particularly osteoarthritis, leads to thinner or absent protective cartilage in the knee joint. This can result in severe pain that limits daily activities, swelling, deformity, loss of function, and stiffness.
Activities like walking, slow dancing, bike riding, golf, swimming, and low-impact aerobics are recommended. However, high-impact sports such as running, downhill skiing, and contact sports like soccer and football are not advised.

Patients may experience clicking of joint surfaces with movement, stiffness after periods of inactivity, numbness on the outside of the knee, and activation of metal alarms in certain settings. These disturbances tend to diminish over time.

Early mobilization/rehabilitation with a physiotherapist should begin on day one after surgery

Pain management and a pain team review are initiated on day one. Pain medication should be taken before exercise sessions and with increased activity.

Antibiotics are used for the first 24 hours, and injections are given to prevent blood clots

Postoperative X-rays of the knee are usually done in recovery after the surgery.

A blood test to check your blood levels is done on day one, and wound care and review are also part of the protocol.