A specialist in the management of
sports-related knee injuries, Dr Herve Ouanezar uses a unique and
advanced approach to anterior cruciate ligament surgery
Dubai, United Arab Emirates-Tuesday 17 September 2019 [ AETOS Wire ]
In
line with the UAE’s aim of providing leading healthcare services,
Consultant Orthopaedic Surgeon Dr Herve Ouanezar uses his expertise in
knee surgery and sports medicine to treat athletes at Emirates Hospital
Day Surgery and Medical Center, Motorcity and EMIRATES SPORTSMED – a leading sports and human performance clinic in Dubai.
In the past
five years, there has been considerable progress in anterior cruciate
ligament (ACL) reconstruction, and Emirates Hospital Day Surgery and
Medical Center, Motorcity has integrated these advances into its care
protocol.
For this
passionate French Consultant Orthopaedic Surgeon, the prerequisite for
successful surgery is a technique that preserves the patient's biology
to the greatest possible extent and that best reproduces the
biomechanics of the knee combined with a personalised multidisciplinary
approach that takes the specifics of each case into consideration.
“Many people
think that if their knee is affected, they will suffer for a long time,
if not for the rest of their lives,” said Dr Ouanezar. “We want to
improve patients’ overall care before, during and after surgery.”
Dr Ouanezar
presented innovative clinical results based on his research at the
International Congress for Joint Reconstruction Middle East 2019 and the
7th Emirates International Orthopaedic Congress in Dubai.
Native ACL Preservation and Meniscal Repair
Dr Ouanezar’s
unique approach to reconstructing a torn ACL – the ligament that
stabilises the knee in rotation – involves using an autograft by taking
tissue from the patient's thigh or hamstrings. The torn native ACL,
which would have been removed in the past, is now preserved to
facilitate the new transplant’s biological integration by serving as a
tutor.
The second
advancement is the improved diagnosis and repair of unstable meniscal
lesions known as meniscocapsular tears. This advancement allows for
better preservation of the menisci, which act like shock absorbers and
play a major role in stabilising the knee. Now patients can hope to
delay the onset of early osteoarthritis.
Dr Ouanezar
explained, “Two or three years ago, in two out of five patients, these
lesions were not visible using an MRI or even during the surgical
procedure”.
A ‘New’ Ligament
Dr Steven
Claes, a Belgian surgeon, contributed to the third major evolution of
this subspecialty in orthopaedic surgery by highlighting the existence
of a ‘new’ knee ligament – the anterolateral ligament (ALL).
Reconstructing this ligament at the same time as the ACL increases knee
stability and protects the ACL graft.
“With ACL,
this ligament plays an important role in the rotational stability of the
knee. The rate of re-rupture of the ACL after surgery is usually 10%,”
Dr Ouanezar explained. “Based on an analysis of 600 patients with a
minimum of two years’ follow-up, the combined reconstruction of these
two ligaments substantially reduces the rate of re-rupture.”
In the UAE
today, athletes between 16 and 32 years of age are most likely to
experience knee injuries. “Footballers are most likely to be affected,
and those who play basketball, volleyball, squash and martial arts or do
CrossFit,” said Dr Ouanezar.
Although age
has long been an important criterion for operations – operations were
not usually performed on patients aged 40-45 years – this is less likely
to be the case today. “Except for cases involving a very degenerative
knee with advanced osteoarthritis, there is no major contraindication to
surgical treatment,” Dr Ouanezar explained.
Repair vs Reconstruction: Save the ACL
If ACL repair
is possible, patients undergo a minimally invasive arthroscopic
procedure that focuses on maintaining the patient's native tissue and
avoiding the use of grafts. Shorter, less invasive and less painful than
reconstruction, this procedure has fewer complications. The patient
regains their range of motion more rapidly with minimal atrophy,
dramatically reducing the recovery time.
“Surgery is
not everything,” Dr Ouanezar emphasised. “We integrate the patient into a
personalised rehabilitation program with physical trainers, sports
physicians and physiotherapists. After using crutches for one month and
adapted physiotherapy for three months, the patient can return to a
pivoting sport after six to eight months. The post-surgery results are
very promising; more than 90% of the patients report that they are
satisfied and more than half are able to play their preferred sports at
pre-injury levels.”
At Emirates
Hospital Day Surgery and Medical Center, Motorcity, the length of stay
is one day, with a significant reduction in post-operative pain thanks
to the new compressive cryotherapy system.
Contacts
SAHARA Communications
Farah Al Obaidi, Head of Media Relations, +97143298996, +971503323158
f.ahmed@saharapr.com / www.saharagcc.com
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Knee Surgery In Dubai