Knee Keyhole Surgery Explained| Dr. Yogeesh Kamat | KMC Hospital Mangaluru
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Dr. Yogesh Kamat from KMC Hospital Mangaluru explains that knee pain treatment must be highly personalized rather than applying a one-size-fits-all approach found on the internet or through general advice. He notes that patients often face a confusing array of options ranging from oil massages and stem cell injections to keyhole surgery and full knee replacements. The core message is that every patient is unique, meaning the appropriate treatment depends heavily on factors like age, the specific cause of pain, and the duration of the condition. For instance, a twenty-five-year-old suffering from swelling likely has issues related to ligament injuries or localized cartilage damage, whereas a sixty-five-year-old with chronic swelling for six months is dealing with severe arthritis that requires a different strategy.
The doctor clarifies that arthritis is essentially the wearing out of the cartilage coating on the knee, which acts as a shock absorber. In younger individuals, pain is frequently caused by these specific injuries or surface damage to the cartilage, conditions that can often be reversed through keyhole surgery, ligament repair, or stem cell treatments combined with injections. However, he emphasizes that this minimally invasive approach has limitations for older patients who suffer from severe arthritis or have legs that are permanently bent due to joint destruction. In these advanced stages, performing injections is considered unscientific and could potentially worsen the condition, as keyhole surgery cannot restore function when the structural integrity of the knee is too compromised.
Ultimately, Dr. Kamat asserts that knee replacement surgery remains a highly effective solution when indicated correctly for patients who are motivated to undergo the procedure. When performed under the right circumstances, it allows individuals to achieve their desired quality of life and mobility. His conclusion encourages patients to take charge of their own health by understanding the specific nature of their problem rather than blindly following popular trends. He advises seeking consultation with a qualified specialist to discuss the scientifically proven options available, ensuring that the chosen path aligns with the patient's age, condition severity, and personal goals for recovery.
Read the full video transcript
Hi, I'm Dr. Yogish Kamat. I am a hip and
knee specialist and I am at KMC Hospital
Joti in Mangalore where I have uh a team
uh comprising the comprehensive
specialist center for hip and knee care.
Now people come to us exclusively for
knee problems. And uh when people have
pain and arthritis in their knee, they
are shot with with multiple options of
treatment when they talk to different
people or more so look at the internet.
Everything from oil massages to knee
replacement surgery, keyhole surgery,
stem cell injections and the like. Now
we must understand here that all
patients are not alike. People with knee
pain are not necessarily having knee
pain at the same age and every aspect of
this must be customized.
It is not that treatment for a swelling
and knee injury in a 25 year old is
going to be the same as treatment for
swelling which has been there for 6
months continuously in a 65 year old.
Arthritis can be of various grades. You
arthritis is basically the coating of
your knee wearing out. It is the
cartilage wearing out. Now behind me in
the picture you can see various people
who are doing various activities. Young
people would have pain less because of
arthritis and more because of ligament
injuries or particular surface damage to
the cartilage. Now all that can be
reversed with keyhole surgery. that is
taking care of ligaments, taking care of
shock absorbing cartilagages or stem
cell treatments for their knees along
with injections.
Older people who have severe arthritis
or whose legs are bent will never
scientifically recover with keyhole
surgery. They can manage with exercises
but in those stages it is very
unscientific to do injections because
they can make matters worse. Keyhole
surgery will not benefit those
situations. You have to do something
which is scientifically proven or elect
not to do anything at all. Knee
replacement surgery works very well in
the right indication. When somebody is
motivated to have it, if they undergo it
properly, they can achieve their desired
quality of life. So at the end of the
day, take charge of your problem,
understand it properly and discuss it
with the right specialist in order to
get a good result.