Knee

My mother had torn a cartilage many years ago and it was removed. Do doctors still do that?

in

Yes, sometimes when a cartilage is torn, it is removed - this is called a meniscectomy (removal of the meniscus, which is another name for cartilage). A meniscal repair or ligament repair is just that - the surgeon repairs the damaged ligament or he or she can do a ligament reconstruction.




I tore the cartilage in my knee but I'm not sure what the cartilage does. Is it the same thing as a tendon?

in

While both the cartilage and tendon are soft tissues in the knees, they play different roles. The tendons are the very strong, fibrous tissues that attach muscles to bone. They are what allow you to move you knee back and forth - and have it stop where it should. They also help your knee maintain its stability. The cartilage joins two bones together, acting almost like a tether.




When my father's knee got infected, they did a surgery where they cleared out the dead and infected tissue and then bathed the knee in antibiotics. Can you explain how they did that?

in

Clearing out dead and infected tissue from a joint is called debriding it. It's a job that must be done meticulously to ensure that no dead or infected tissue is left behind at all.




My mother's knee replacement got infected and now it's a huge problem trying to get it cleared up. How can an infection be so hard to cure?

in

Infections can happen any time to anyone. Unfortunately, infections in joint replacements can be hard to treat for a variety of reasons. First, it isn't always easy to tell what type of bacteria is causing the infection. This means that it can be difficult to choose the best type of antibiotic.




Choosing the Right Management for Infected Knee Replacement

in

Total knee replacements (TKAs) that become infected can be very difficult to treat effectively. Despite a high cost for the treatment, the outcome may not always be ideal, leaving patients with pain and decreased mobility.

As with most complications, prevention is the best medicine. This involves identifying patients who may be at higher risk of developing infections following TKAs. That being said, the appropriate treatments must be identified once infection has set in.




Use of Autologous Chondrocyte Implantation in the Knee

in

Athletes are known to be at high risk of developing osteoarthritis of the knee due to increased weightbearing activities and high impact "loading." These injuries first present as articular cartilage defects of the knee, mostly lesions found on the femur, or thigh bone.




Pes Anserine Bursitis of the Knee

in

A Patient's Guide to Pes Anserine (Goosefoot) Bursitis

Introduction




I've been told that I need to exercise my poor arthritic knees. But how can I do that when they hurt so much?

in

Your situation is common for many people with arthritis. Pain limits motion, which limits function. The less you move, the more it hurts. The more it hurts, the less you want to move. It can create a vicious cycle.

But it's also true that motion is lotion. And strengthening the muscles around the knee improves general joint stability. The more stable the knee, the more functional it will be.




I think I might have arthritis in both my knees. How can I know for sure?

in

A physician will be able to diagnose your problem. Using a series of questions, X-rays, and clinical tests, the diagnosis of knee osteoarthritis (OA) is fairly straightforward.




I'm very frustrated because I spent six months in physical therapy and still ended up having knee surgery. I was having a loud and very painful snapping along the outside of my knee. Nothing seemed to help until the surgeon disconnected a tendon and moved it some place else. Wasn't there some way they could have figured this out sooner?

in

Finding out the cause of painful snapping along the lateral (outside edge) of the knee can be very challenging. It's actually a fairly common problem with many possible causes.

No matter what the cause, conservative (nonoperative) care is still always recommended first. So even if they were able to identify the problem, you would have still been advised to try physical therapy first. Most of the time, the symptoms resolve and surgery isn't needed.





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