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Alternative Names Total knee replacement; Knee arthroplasty; Knee replacement - total; Tricompartmental knee replacement; Subastus knee replacement; Knee replacement - minimally invasive; Knee arthroplasty - minimally invasive References Crockarell JR, Guyton JL. Arthroplasty of the knee. In: Canale ST, Beatty JH, eds. Campbell 's Operative Orthopaedics . 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 6. Jones CA, Beaupre LA, Johnston DW, Suarez-Almazor ME. Total joint arthroplasties: current concepts of patient outcomes after surgery. Rheum Dis Clin North Am . 2007; 33(1): 71-86. Leopold SS. Minimally invasive total knee arthroplasty for osteoarthritis. N Engl J Med . 2009;360:1749-1758.
As the Baby Boomers are creeping over-60 age group, the number of people affected by knee osteoarthritis is exploding. Everyone has two knees, which automatically doubles the numbers of arthritic knees proportionate to the number of people. Some feel pain and stiffness after sitting for long periods of time, others feel pain while moving. Knee pain is literally bringing the world to its knees.
Most people want to avoid surgery as long as possible because, quite frankly, amputating a knee joint is a big deal that takes months of recovery. In the effort to keep moving and stay comfortable, medicines like NSAIDs or opioids offer relief but the side effects are not worth the pain relief sometimes. Supplements like fish oil are not all that they are claimed to be. And nobody wants to use walking sticks or canes . So what is a Baby Boomer to do if he/she wants to avoid surgery?
Try acupuncture . People around the world rely on acupuncture to help relieve pain from head to toe. A...
It isn't a common problem, but when a patient has an intra-articular extraskeletal osteochondroma , it's important that it be recognized and treated and not mistaken for a more serious one. Extraskeletal means not in the bone, but in the soft tissue, and osteochondroma is a benign (not cancerous) tumor that contains both soft body tissue and bone. The authors of this article first describe a patient with this type of osteochondroma. He is a 59-year-old male how has been complaining of a dull pain and decreasing range of motion in his right knee over the past three years. He claimed to be managing well, even with his job as a heavy worker, until a mass formed behind the knee, preventing him from bending it any more than 90 degrees, a right angle. When the doctors examined the patient, they were able to feel the mass, but it was only mildly painful. In x-rays, the only thing that could be seen that was out of the ordinary was a mass of soft tissue behind the knee. The patient also had a bi...
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