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Many studies have been done comparing the two methods of anterior cruciate ligament (ACL) repair. Good to excellent results are reported with both the patellar tendon graft and the hamstring graft methods. This five-year study is one of the longest known follow-up periods comparing the results of these two ACL procedures. All operations were done by the same surgeon during this period. Surgical technique for graft fixation used was the same throughout. All patients followed the same prescribed rehab program. The major finding of this study was the increased number of patients with osteoarthritis (OA). OA was seen five years after ACL repairs using the patellar tendon graft method. A second finding reported was that permanent loss of knee extension can be avoided with an aggressive rehab program. Other measures of results such as pain, function, and motion were equal between the two groups. But 50 per cent of the patellar tendon group showed X-ray changes. These changes included joint na...
Do you feel stiff and achy? Do your joints hurt? If so, there is a good chance you have osteoarthritis or OA, one of the oldest and most common forms of arthritis. Often known as the “wear and tear” kind of arthritis, OA is a chronic condition in which the cartilage that cushions joints breaks down. Contributing factors may include age, obesity , injury, overuse, and genetics.
Why am I focusing on osteoarthritis today? Because tomorrow is World Arthritis Day and this week begins Bone and Joint National Action Week .
So, Lisa, what does this have to do with multiple sclerosis? Nothing directly. However, last week I, an MS patient living with RA, learned that I have early osteoarthritis developing in my knees. Remember that just because we have one disease doesn’t mean that we are exempt from developing another.
For the last few years, I have ignored the stiffness and slight swelling in my knees. ...
A recent publication in the New England Journal of Medicine, written by Nancy Lane, University of California at Davis, underscores many of the principles of osteoarthritis management we have discussed in this forum. Dr. Lane reviews the clinical problem of osteoarthritis in the United States, and discusses in detail the diagnostic modalities, treatment strategies and areas of controversy which surround its management. Let me take a moment to review the most important topics discussed by Dr. Lane. Epidemiology Osteoarthritis is the most common form of arthritis in American adults, but there is frequently little relationship between the appearance of osteoarthritic joints on X-ray and symptoms of pain in patients. Plain films demonstrate osteoarthritis in 5 percent of Americans over the age of 65. Approximately 200,000 hip replacement surgeries are performed in this country every year for both primary and secondary osteoarthritis (the latter is arthritis caused by anothe...
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