Knee

Brace for Knee Arthritis Gets an 'A'

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There are many different types of braces on the market for the knee. Prophylactic braces are used to prevent or decrease the risk of a knee injury. Functional braces stabilize a wobbly knee when the anterior cruciate ligament (ACL) is deficient or after surgery to repair the ligament. Rehabilitative braces limit the amount of knee motion that's allowed during recovery and rehab after knee surgery.




Surgery for Patellar Instability in Athletes

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Patients with chronically dislocating or otherwise unstable kneecaps have a condition called patellar instability. This condition poses a treatment challenge because of the unique and complex anatomy and biomechanics of the patellofemoral joint (where the kneecap articulates or moves against the leg bones). And this problem is fairly common, especially among the young, athletic population.




What's the best treatment for chondrolysis of the knee? I've been diagnosed with this problem and I'm searching for some solutions. It may be related to an ACL repair I had done two years ago.

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Chondrolysis refers to the loss of articular cartilage, the smooth cartilage that allows the two joint surfaces to slide and glide against each other easily. Thinning of the cartilage narrows the joint space, putting more pressure on the joint and causing painful symptoms that eventually lead to joint arthritis.




I'm not a super athlete but I do like to compete in several areas such as soccer, cross country, and tennis. I notice whenever it's soccer season, I seem to have the most problem with my patellar tendon. I keep tweaking it and it never heals all season long. This doesn't happen with any of the other sports I engage in. Can you help me figure out what I'm doing wrong?

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Sports injuries command a lot of attention in the orthopedic world. Keeping athletes in tip top shape and in playing or competitive mode is a top priority for sports medicine specialists. Toward that end, researchers are trying to understand what causes tendon problems (called tendinopathies) in this group of individuals.




Can you tell us what chondrolysis is? All we know is that our 21-year-old daughter has this after a previous ACL injury. It's putting an end to her basketball career.

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Chondrolysis refers to the loss of articular cartilage, the smooth cartilage that allows the two joint surfaces to slide and glide against each other easily. Thinning of the cartilage narrows the joint space, putting more pressure on the joint and causing painful symptoms that eventually lead to joint arthritis.




Pain Pump Linked to Damage to Knee Cartilage

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After years of using pain pumps to control joint pain after surgery, surgeons are getting an inkling that the drug used (bupivacaine) may be the cause of cartilage damage called chondrolysis. Chondrolysis refers to the loss of articular cartilage, the smooth cartilage that allows the two joint surfaces to slide and glide against each other easily.




Help! I tore my ACL mountain biking last week. I'm supposed to have surgery but I'm also getting married in six weeks. I don't want to walk down the aisle on crutches or wearing a brace. Can I put the surgery off until after the honeymoon? Will waiting two months make a big difference?

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Anterior cruciate ligament (ACL) injuries are often accompanied by damage to other soft tissue structures of the knee. Patients are advised to have surgery sooner than later, especially when there are combined injuries, but also to prevent additional injuries. Surgeons are advised to carefully evaluate the joint for any additional ligament or cartilage tears before doing surgery for the ACL.




I'm 47-years old and in a bit of a bind. I reinjured my left knee while out hauling rocks for my garden. I haven't had any trouble with that old injury from years ago until now. I put off having surgery back then. I was young enough to rehab the ACL tear. But what about now?

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Age may or may not be against you. It's natural to assume that the older you are, the less likely you will heal or recover quickly and completely. But, in fact, age may not be the main factor. That doesn't mean that the consequences of a repeat ACL tear aren't there.




Ideal Timing for ACL Surgery

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It's clear now that unrepaired anterior cruciate ligament (ACL) injuries are often accompanied by damage to other soft tissue structures of the knee. Patients are advised to have surgery sooner than later. And surgeons are advised to carefully evaluate the joint for any additional ligament or cartilage tears before doing surgery for the ACL. But sometimes patients opt out of surgery and decide to wait before having the operation.




Last week I had a procedure called osteochondral transplantation. Basically, the surgeon took a plug of bone and cartilage from one part of my knee and moved it to fill in a big hole along the place where I put the most weight. I guess they ended up using three bone plugs instead of one because of the size of the hole. I was only expecting to lose a little of the normal cartilage and bone for this graft. Will having three plugs make a difference in my recovery?

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There has been some concern that the number of grafts or the graft size harvested makes a difference in the final results of osteochondral transplantation. It's possible that taking larger grafts or a greater number (sometimes as many as three plugs are transplanted) could negatively affect the outcomes.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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