Knee

First Report on the Surgical Treatment of Hamstring Tendinopathy

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Athletes suffer their fair share of tendon problems. Most often there's knee pain from patellar tendon disorders or ankle pain from Achilles tendinopathy. Tendinopathy is another term for any disorder affecting the tendon.




Improvements in Surgery for Unicompartmental Knee Osteoarthritis

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Sometimes osteoarthritis of the knee only affects one side of the joint. When that happens, it's called unicompartmental knee arthritis. Although either side of the joint can be involved, the medial joint (side closest to the other knee) is affected most often.




Surgeons Choose Repair Over Removal for Osteochondritis Dissecans

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Patients and surgeons faced with how to treat a grade IV osteochondritis dissecans (OCD) defect have two choices: remove it or screw it back in place. In this article, the long-term results of a small number of patients (12) are reported following surgical fixation with a screw.




Cartilage Damage with ACL Rupture: Should These Defects Be Treated?

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When surgeons are reconstructing the anterior cruciate ligament (ACL) of the knee, they often see damage to the joint surface. The area affected is called the articular cartilage. This is the cartilage that covers the joint and makes it possible for the two sides of the joint to slide and glide smoothly across each other.




What's the difference between an open wedge and a closed wedge osteotomy? The surgeon explained it to me, but I don't think I caught it all on the first go-round.

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The osteotomy procedure is most often used for patients who have osteoarthritis in only one side of their knee joint. The operation helps realign the knee joint and shifts the weight off the load bearing side. This operation may increase the life span of the joint and prolong the time before a knee replacement surgery becomes necessary.




It looks like I'm wearing down the inside edge of my knee. At 44, I'm too young for a joint replacement. The surgeon explained that an osteotomy might work well for me. Are there any reasons why I shouldn't do this?

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Sometimes (like in your case) osteoarthritis of the knee only affects one side of the joint. When that happens, it's called unicompartmental knee arthritis. Although either side of the joint can be involved, the medial joint (side closest to the other knee) is affected most often.




I have a torn ACL and a small piece of joint cartilage that has come loose but is not detached. The surgeon thinks the cartilage will heal on its own. I keep thinking I should have surgery to repair both problems at the same time. What's the thinking on this kind of knee problem?

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Damage to the articular cartilage is fairly common with ACL tears. This is especially true in young, active athletes. Most of the lesions occur on the femoral condyle (bottom knob of the femur or thigh bone). Cartilage doesn't have a very good blood supply so it doesn't heal well. And we don't have very good treatments yet to encourage proper healing.




If you have a torn ACL and damage to the joint cartilage, should you have both repaired at the same time? Or do one and then have the other fixed later?

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You have asked the very same question that has come to light recently in a study from Poland. When surgeons are reconstructing the anterior cruciate ligament (ACL) of the knee, they often see damage to the joint surface. The area affected is called the articular cartilage. This is the cartilage that covers the joint and makes it possible for the two sides of the joint to slide and glide smoothly across each other.




Our 15-year-old son is an avid snowboarder. When he isn't out snowboarding, he's in the back yard practicing on his home made jumps. Unfortunately, he was just diagnosed with OCD of the knee. No more snow boarding or practice for a while. How long does it take to get over this problem?

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Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). A joint surface damaged by OCD doesn't heal naturally. OCD mostly affects the femoral condyles of the knee. The femoral condyle is the rounded end of the lower thighbone, or femur.




I'm a little disappointed with my knee replacement. I thought at age 59, I would be able to get back to all my former activities (golf, tennis, horseback riding). But that hasn't been my experience at all. I still have a fair amount of pain (less than before surgery but it's not all gone) that limits what I can do. Should I have expected less?

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More and more younger adults (younger than 60 years old) are getting total knee replacements (TKRs). Severe, disabling pain from degenerative joint disease is the main reason given for this type of surgery. And early reports indicate great success so far -- a survival rate of the implant that was 82.2 percent for the first 15 years.





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