Knee

Offering State-of-the-Art Non-Surgical,
Surgical & Rehabilitation Treatments.

OrthoNeuro knee specialists offer the latest technology for knee surgery as well as a wide range of non-surgical options to build back your strength and range of motion getting you back to your life.

(614) 890-6555

Knee

Offering State-of-the-Art Non-Surgical & Surgical Treatments.

OrthoNeuro knee specialists offer the latest technology for knee surgery as well as a wide range of non-surgical options to build back your strength and range of motion getting you back to your life.

(614) 890-6555

Common Knee
Conditions & Treatments

The Knee

The knee is the body’s largest joint. It consists of the femur and the tibia, which meet to form a hinge joint. The joint is protected by the patella (kneecap), and cushioned by articular cartilage that covers the ends of these bones.

Knee Pain
In many cases, knee pain is the result of overexertion or muscle soreness and subsides within a few days with ice and rest.
When knee pain does not subside and persists for more than a few days, or when the knee is difficult to move or swollen, it is important to consult one of the Board Certified Orthopedic Knee Specialists at OrthoNeuro to find the underlying cause of the pain.

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Knee Arthritis
Osteoarthritis of the knee, which is often referred to as just knee arthritis, is one of the most common orthopedic conditions, especially in the older population. Osteoarthritis is a condition that causes inflammation of the bones and soft tissues of the joints which causes the bones within the knee to rub together.

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ACL Repair
ACL repair or reconstruction are well-known arthroscopic procedures used to repair a torn ACL and is one of the most commonly performed in orthopedic surgery. The goal of this procedure is to repair or reconstruct the torn ACL to restore stability to the knee. The ACL is repaired using small sutures and a graft from either your own hamstring or patella tendon to reinforce the newly repaired ligament. The repaired ligament is then threaded through small tunnels in the knee and reattached to its intended position in the knee using small screws. 

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Meniscus Tear
The menisci are two C-shaped pieces of cartilage on either side of the knee that cushions the knee by evenly distributing weight while standing, walking, running, and jumping. When the meniscus is torn it can cause pain within the knee as well as a feeling of “locking” of the knee. Meniscus repair or resection is arthroscopic procedures that treat a torn meniscus and relieve painful symptoms. 

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MCL & PCL Tear

The MCL (medial cruciate ligament) and PCL (posterior cruciate ligament) are two of the four ligaments (ACL, MCL, PCL, and LCL) that provide stability to the knee as well as prevent the knee from extending too far in a specific direction.  The MCL and/or PCL are often injured during sports or activities when the knee is forcefully twisted to one side or is pushed back due to a direct blow to the knee. The MCL and/or PCL can also be injured when there is a simultaneous injury to the ACL.

If you have an MCL or PCL injury the symptoms can include:

  • Pain in the knee
  • Swelling 
  • Bruising
  • A feeling of “catching” or “buckling” of the knee
  • An audible “pop” at the moment of injury

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Stress Fracture
A stress fracture is one of the most common sports injuries and although they can occur in many of the bones within the body, they are most common in the lower leg and foot. 

Stress fractures have three main causes. 

Cause 1. When the muscles are fatigued and can no longer absorb stress.  This stress is then transferred into the bones which causes tiny cracks to form in the bone.

Cause 2. Repetitive impact while using improper footwear or form.

Cause 3.  Weakened bones due to osteoporosis.

If you have a stress fracture the most common symptom is pain or sensitivity in a specific area during activity. 

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Patella Tendon Tear
The patella tendon is a fibrous band of tissue that connects the kneecap (patella) to the top of the shinbone (tibia) and allows the knee to bend and straighten.  The patella tendon can be damaged or torn in several ways but, in most cases, the tear occurs at the point where the tendon attaches to the kneecap.

Many patella tendon tears occur over time as the result of small micro tears in the tendon due to overuse or repetitive strain.  This is known as patella tendonitis and is also commonly referred to as Runner’s Knee or Jumper’s Knee.

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Patella Instability
The patella (kneecap) attaches to the femur (thigh bone) and tibia (shin bone) via the patella tendon which allows the patella to sit in the trochlear groove in the knee as well as to slide up and down when the knee is bent or flexed.  Patella instability is most often seen in children and occurs when the patella does not stay within the groove in the knee and seems to slide in and out of position.

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Muscle & Tendon Strains

Sprains and strains are very common injuries that share very common causes and symptoms. However, they both involve different parts of the body.

Sprain

A sprain occurs when ligaments are stretched or torn beyond their normal range. Ligaments are tough bands of fibrous tissue that connect bone to bone. Sprains occur in the ankles, knees, wrists, and thumbs. The ankle is the most common joint to be sprained.

Strain

A strain occurs when a muscle or tendon is stretched or torn beyond its normal range. A tendon is a fibrous cord of tissue that connects muscles to bones.  The lower back and hamstrings are the most common muscles to be strained.

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Robotic Assisted Total Knee Replacement

More than 600,000 total knee replacement procedures are performed each year in the U.S. and more than 90% of these patients experience dramatic relief in knee pain and are better able to perform common activities.1 The NAVIO Surgical System delivers robotics-assisted tools designed to help tailor your knee replacement surgery to the unique shape and motion of your knee.

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Joint Dislocations
A joint dislocation occurs when one or more of the bones within a joint is pushed forcefully out of its correct anatomical position and is common in the shoulder, elbow hip or knee.  Most joint dislocations are caused by either an accident or a direct blow to the joint. It is important to seek immediate medical attention after a dislocation occurs as other trauma to the joint, ligaments or soft tissue may also have occurred.  Attempting to relocate the joint yourself is dangerous and should not be attempted.

If you have a joint dislocation the symptoms can include:

  • Pain in the joint
  • A visible deformity in the joint
  • Reduced mobility of the joint
  • Numbness or tingling around the joint

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Hamstring Injury

Hamstrings are the strong muscles and tissue fibers that begin in the pelvis and run through the thigh and into the knee where they are attached to the bone.  

There are three hamstring muscles:

  • Semitendinosus
  • Semimembranosus
  • Biceps femoris

Most hamstring injuries occur as the result of muscle overload where the hamstring is stretched beyond its capacity during running or quickly changing direction.  In other instances, the hamstrings can be damaged due to small micro tears that do not have time to properly heal which causes them to grow larger. An injury to the hamstring can be either a strain, a partial tear or a complete tear away from the bone (avulsion).

If you have a hamstring injury the symptoms can include:

  • A feeling of “pulling” or “tearing” at the back of the leg
  • Bruising or swelling 
  • Weakness in the leg

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Partial Knee Replacement
Partial Knee Replacement is a procedure that removes the bone and cartilage of the knee that has been damaged due to arthritis and replaces them with metal and plastic components. These components mimic the anatomy and function of a healthy knee so that you can return to activities without the pain caused by arthritis.
This procedure differs from a Total Knee Replacement in that only the damaged bones of the knee are removed and replaced. In many cases, arthritis will only affect one side (also known as a “compartment”) of the knee and therefore only that compartment needs to be replaced and the undamaged portion of the knee can remain intact.
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Total Knee Replacement
Total Knee Replacement (also known as Total Knee Arthroplasty) is a procedure that removes the bone and cartilage of the knee that has been damaged due to arthritis and replaces them with metal and plastic components. These components mimic the anatomy and function of a healthy knee so that you can return to activities without the pain caused by arthritis. The procedure is one of the most well-known and most effective in orthopedic surgery because it dramatically improves knee pain and quality of life.
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Robotic Assisted Partial Knee Replacement

For people suffering from knee pain caused by osteoarthritis, whose damage is limited to a single compartment or area of the knee, partial knee replacement may be an option because it preserves healthy bone and ligaments while replacing the damaged area.1, 2 The NAVIO Surgical System uses robotics-assisted technology to help tailor partial knee replacement procedures to the unique shape and motion of each patient’s knee anatomy.

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Meet Our Knee Team

Carl C. Berasi, DO

Orthopedic Surgeon

Michael B. Cannone, DO

Orthopedic Surgeon

B. Rodney Comisar, MD, FAAOS

Orthopedic Surgeon

Timothy P. Duffey, DO

Orthopedist

Mark E. Gittins, DO, FAOAO

Orthopedic Surgeon

J. Mark Hatheway, MD

Orthopedic Surgeon

Keith A. LaDu, DO

Orthopedic Surgeon

Jeremy R. Mathis, DO

Orthopedic Surgeon

Ryan M. Palmer, DO

Orthopedic Surgeon

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