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There are different ways to surgically repair damaged knee cartilage. The type of cartilage being considered here is the hyaline cartilage that lines the joint and covers the bone. Damage to this layer of cartilage can result in full-thickness lesions that are like small potholes in the surface of the joint. The defect goes all the way down to the bone. The person with this type of injury experiences knee pain and loss of knee motion and function. One method of repair that has been successful for large, full thickness, painful cartilage lesions is called autologous chondrocyte implantation (ACI). In this technique, a number of healthy chondrocytes (cartilage cells) are harvested (removed) from a nonweight-bearing area of the joint. These chondrocytes are then taken to the lab where they can be stimulated to grow even more healthy cells. When there are enough intact and healthy chondrocytes to patch up the hole, surgery is done to implant them in and around the lesion. Studies have been ...
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. ...
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