It is a very common pain. It is seen in nearly thirty percent of patients who apply to orthopedic clinics. Therefore, it is one of the important problems that concern the society. Anterior knee pain is pain felt in the front of the knee, especially when climbing stairs and squatting. While these symptoms are seen at the beginning, the complaints of the people change as the disease progresses. Generally, patients experience difficulties in movements such as squatting, where the knees are bent. Cracking or rubbing sounds are also heard in the knees.
Anterior knee pain on flat feet is a more common disease. The system from our hip to the tip of our toes is mechanically interconnected. There is a connection with anterior knee pain not only in patients with flat soles, but also in patients with low back problems, deformities in the knee, and protrusion of the big toe.
Because once the mechanic is broken, its upward or downward effects can be reflected as a chain. Therefore, anterior knee pain is more common in those with flat feet.
It is taken from the patient’s history, the patient’s examination, and imaging methods such as MRI, film, and x-ray. Listening to the patient is one of the most important parts. Sometimes a patient comes and says, ‘I don’t have much trouble walking on a normal straight road. Even if I walk a long way, there is no problem. But if he says, ‘I have pain while descending the stairs’, we think of anterior knee pain. Since more load is placed on the kneecap bone while descending the stairs, we warn the patient with anterior knee pain with this movement.
Likewise, the patient crouches down, for example; If he feels a pain in the kneecap while praying, we think of anterior knee pain and problems related to the kneecap. Anterior knee pain should not be neglected. Because one of the most important causes of anterior knee pain is imbalances of muscle groups; While there is weakness in the anterior group muscles, tension is observed in the posterior group muscles.
When we allow this, permanent damage occurs to the cartilage behind the kneecap. It is not possible to rectify the situation in question. The ideal is to go to the doctor and solve the problem early. The place of surgery in anterior knee pain is very limited. Eighty percent of patients are treated with non-surgical methods.
We try to relieve the patient for a month or two with regular exercise programs. We surgically treat mechanical and advanced diseases such as slippage, deformity and deformity of the kneecap. In other cases, we make recommendations to patients. We try to give elasticity to the muscles with exercises in non-surgical treatments in cases caused by the short and tightness of the posterior group muscles of the knee. We are trying to strengthen the muscles in the front of the thigh.
Thus, we provide the balance in front and back of the knee and relieve the pain to a great extent. We prevent the progression of the disease. Arthroscopic and open surgeries are at the forefront. Whatever the problem is, we are trying to fix it. If the problem is a deformity in the bone, if there is a crooked leg, it needs to be corrected. We can also cut the bone and perform corrective surgeries.
In the treatment of flat feet, appropriate insoles, foot exercises and pressure modification are needed. If there is a curvature of the kneecap, orientation surgery is attempted, which will replace the kneecap and change its direction. In case of slippage of the kneecap, bone cutting and correction operation is performed if necessary.
Arthroscopy was also initially used to diagnose. But now there are many advanced imaging methods such as MRI. That’s why we use arthroscopy for therapeutic rather than diagnostic purposes. With arthroscopy, we apply closed surgeries that strengthen the structures in the inner part of the knee, and if there is tension on the outside that may cause the kneecap to slide to the side, relaxing and closed surgeries are performed in anterior knee pain.
We achieve very successful results. It is a slightly more severe operation compared to arthroscopic surgery. It is a type of open surgery. In orientation surgery, when the direction of the bone is desired to be changed, the bone is cut and the bone is fused after the desired shape is given. By simple analogy, it takes as long as it takes to heal a knee fracture.
There are a few situations that the patient should pay attention to here. Pressure should not be applied to the incompletely healed area without the permission of the doctor. If the doctor recommends using a cane for six weeks, it should be followed. A number of drug supports can also be made. In the diet, calcium-rich foods should be consumed.