The consultant orthopedic surgery and sports injuries, Dr. Abdul-Zahir Abdul-Ghaffar Saati said that sitting and social habits are the main reason for the spread of knee stiffness, which has reached 35% among Saudis over the age of 50 years. He also indicated that the quality of food has no direct effect on it. Injury, but weight gain is at the forefront of the factors causing it, and he confirmed that patients who undergo knee replacement surgery return to their normal life by up to 90%, and that oily needles are used in the first two degrees of injury, as for cortisone needles, they are to calm pain only temporarily, as he mentioned Dr. Saati referred to many important aspects related to knee roughness injury and how to treat it.
What are the causes of roughness?
Various factors contribute to stiffness of the knee, most notably the genetic factor, motivation and sitting a lot on the ground, then injuries, especially for those with old fractures, and also excess weight, is a very important factor that comes at the forefront of the causes of roughness, in addition to the frequent rise and fall of the stairs.
Does the quality of eating affect the roughness?
The quality of eating has no direct relationship to roughness, but increased eating is a cause of weight gain, and therefore the effect of body mass on the knee is a cause of roughness, and it is known that every kilogram on the top of the body s by 7 kilograms on the knee, and we deduce from this the size of the great effect of weight on the joints . That is, reducing the weight by one kilogram reduces the effect by 70 kilograms on each knee.
• What are the stages of knee roughness treatment?
There are four degrees in the treatment of knee roughness, in the first and second levels we depend on exercises and physical therapy while giving the patient painkillers, and if there is an internal or external knee deviation, an adjustment process is made in order to avoid roughness in the future, and there is a treatment given to some patients, a treatment that showed good results Despite the reservations of some countries that do not allow this drug to be given, and in the third stage, the patient is treated with oily needles and some treatments or through binoculars, and it is emphasized that he should not sit on the ground at all. In the fourth stage, the knee replacement surgery is the best option, given that the intensity of the pain reaches 6 or 7 degrees, which is a severe degree, and the patient in this case cannot walk 100 meters, and therefore the artificial joint is the best treatment for his condition, and there are some patients who reach the fourth stage of roughness And he is asked to undergo an arthroscopic operation for him and he is afraid of the artificial joint operation, and unfortunately, the endoscope in this advanced stage of the injury does not have any benefit and the best is the process of changing the joint, and this is what many of the injured submit to request the operation with complete conviction, but some of them come And he is asked to undergo the operation directly.
• Tell us about the artificial joint?
Usually I ask the patient for whom an artificial joint replacement has been decided to search on the Internet for these operations and learn about them, and the artificial joint is divided into three pieces, one of which is installed at the end of the thigh bone, and a plastic piece in the middle and this must be of high quality in order to be able to bear the weight The body, methods, temperature, and a piece of the top of the leg bone, and the ion of the joint must be accurate to suit the patient''s weight and the shape of the knee, all of which depend on the skill of the doctor.
• Will the patient return to life normally after the operation?
Some patients return to normal life by 80 to 90%, and the pain resolves by 90%. The first and most important advice for those who undergo an artificial joint replacement is not to sit on the ground, in order to prolong the life of the prosthetic knee, which is currently up to 25 years old, and certainly post-operative physiotherapy is of utmost importance equal to the importance of the operation, and I previously prayed behind an imam who had an operation He changed two knees 7 years ago and is now practicing his life as normal.
• Some patients are afraid of needles, what do you say about this type of treatment?
In the first and second degrees of roughness, oily needles are useful and used periodically, as for cortisone needles, they are to calm pain only temporarily, and when the case reaches the third or fourth degree, the needles do not give any positive results, but we sometimes have to give them to the patient who refuses the operation until he is satisfied It is useless, because he comes back after three or four months, complains of pain, and asks for a joint replacement.
• Are there any recommended exercises for those who feel the onset of knee pain?
The permanent and first recommendation is to strengthen the quadriceps muscle, and to prevent sitting on the floor «squad», and these instructions are given to all sufferers of roughness at all levels, and these recommendations are also to prepare the patient for after the operation, and the advice that I give to anyone who feels pain in the knee is to go to an orthopedist To examine his knee and make the necessary x-rays to determine the degree of roughness.
• What is the incidence of knee stiffness in the Kingdom?
In the Kingdom, the largest percentage of stiffness in the knee is in the knee, while in America the largest percentage of hip stiffness occurs, and this is due to the nature of life and daily practices, as alcoholic drinks cause roughness in the hips, and our percentage of knee roughness ranges between 30 and 35% in people over the age of For the past 50 years or more, for example, at the Saudi German Hospital in Jeddah, we perform two to three detailed change operations per week, as is the case in the rest of the Kingdom''s governmental and private hospitals.
Are all governmental and private hospitals able to perform this operation?
Many governmental and private hospitals are able to perform this operation, which requires special and advanced equipment, and thankfully, they are available in our country.
How much does a knee replacement surgery cost?
The price of the knee ranges between 12 and 15 thousand riyals, and the cost of the entire operation is between 45 and 60 thousand riyals.
• What are the most prominent countries that manufacture industrial joints?
America is the first in this field, in addition to Germany, which is a very difficult and delicate industrial.
• It is rumored that there are joints made of gold, especially the hip joint. Is this true?
There is no, some of them may be golden in color, but they are not made of gold. They are made of a material called "titanium".
• Do operations require a precise specialization? Or can any orthopedic surgeon perform it?
The Saudi Commission for Health Specialties has done a very excellent job, focusing on the subspecialty, so we have 7 subspecialties in bone alone, and the solution is no longer like the previous general orthopedic surgeon, and this gives more quality.
Does the Saudi Commission for Health Specialties have a list of doctors in each specialty?
Yes, it has a list of doctors in every subspecialty, but there are some doctors who practice administrative work more than medical practice work.
How do you evaluate the level of Saudi doctors?
They are something that raises the head, what the Saudi doctors have achieved in terms of excellence in performing their job duties, making them a destination for many patients, and most of our patients have preferred to undergo the operation inside the Kingdom instead of traveling abroad, and this is due to the skill of the Saudi doctor.
Everyone who knows His Excellency Dr. Abdel-Zahir Al-Saati, a consultant in orthopedic and joint surgery
In Al-Noor Hospital in Makkah Al-Mukarramah and the Saudi German Hospital in Jeddah, he knows that dexterous, skilled, highly qualified doctor in orthopedics and sports medicine, who is highly qualified from Canada and who has the experience he gained from practicing the most difficult surgeries in some hospitals in the Kingdom and in Canada, from which we indicated that he was highly qualified His fame, reputation, and good remembrance of him reached me before I met him and before he put my fate in his hands at the Saudi German Hospital in Jeddah when I slipped and suffered a fracture of the hip and upper thigh, and I was subsequently transferred to the Saudi German Hospital in Jeddah for surgery in the middle of last month.
I personally did not see the watch doctor until after I woke up from anesthesia, and I saw him standing over my head smiling and reassuring me that my operation is on its way. .
Then he visited me again every morning at eight o''clock to ask me about my situation and to make me relax and encourage me to overcome my health condition, and to hear me from the forms of advice and encouragement, so that I thought that he was performing the role of a psychiatrist besides his work as a skilled surgeon.
And it is not strange for His Excellency Dr. Abdel-Zahir Al-Saati to be at this level of politeness, high morals and soul, goodness and he is the son of Mecca, the sacred country and its love, the heart and the place of prophethood and the qiblah of Muslims in the east and west and above that is what I learned about him later that he is the son of a sister That great and beloved man, his daughter’s husband and a mother, his children and I mean by him His Excellency Prof. Dr. Mahmoud Asadullah Al-Kazemi (may God have mercy on him), a professor of geography, well-known and the first vice president of Umm Al-Qura University after its independence from King Abdulaziz University. He is loved by his students, colleagues, loved ones and all. They know him, and he is the maternal uncle of our doctor Abdul Zahir Al-Saati and the grandfather of his children, and as it is said: Uncle is a father. And the truth about which I have no princes is that my uncle, Sayyid Mahmoud Asad God (may God have mercy on him), and his nephew, Abd al-Zahir Saati, are those whom God has graciously taught them of morals. They are those to whom the poet’s saying applies:
Do not think that knowledge will benefit alone unless its Lord is creatively crowned
They are among those whom God has crowned knowledge of with kindness and generosity of morals, may God have mercy on Mr. Mahmoud Asad God
And he made his grave a kindergarten from the gardens of paradise, and God extended the happiness of his sister’s son and daughter’s husband to the orthopedic consultant Dr. Abdul Zahir Al-Saati, helped him, comprehend him, and paid him.
Punish us all, He is Hearer and responds to invitations.
Through a video recording posted on YouTube on the Internet for everyone to see, Uncle Ahmed Al-Zahrani, who underwent a knee joint operation, praised the capabilities of the orthopedic consultant Dr. Abdel-Zahir Al-Saati, and said: About 8 years ago I felt very difficult to bend the knee, especially when performing prayer, What prompted me to go to a health center and I was transferred to the orthopedic department at Al-Noor Hospital in Makkah Al-Mukarramah and there I met Dr. Abdul-Zahir Al-Saati, and I contacted him in treatment for eight years, after which he decided to perform two operations on my knee to replace the joints in them, and after a month and a week of the operation, I became thankfully Able and able to walk and pray in congregation in the mosque.
And Ahmed Al-Zahrani stated that he made the recording in which he appears while walking normally to show his gratitude and appreciation to Dr. Abdul Zahir.
