ARTICLES
Makoplasty Robotic partial knee resurfacing is a less invasive solution designed to restore the feeling of a natural knee.
What works: Strengthening Exercises with neuromuscular education* NSAID (pills such as ibuprofen and naproxen) Appropriate weight loss if BMI > 25 Total or partial Knee Replacement Cannot Recommend for or against: IA steroid injection Acetaminophen Manual therapy, electrotherapeutics Knee arthroscopy for meniscus Cannot Recommend: IA Hyaluronic Acid (viscosupplementation) Braces Arthroscopy – clean out Glucosamine and […]
Read MoreNon surgical treatment for osteoarthritis of the knee is most successful for mild to moderate disease. Usually the pain and function from severe knee OA requires partial or total knee replacement surgery. Patients need to know how likely a particular treatment is. This study ranked the effectiveness of oral pill treatment and intra articular injections […]
Read MoreVitamin D has hypothetical and proven benefits for orthopedic surgery patients and athletes. I advise my joint replacement patients to begin 800 IU of VitaminD3 one week prior to continuing for 3 weeks total due to theoretical benefits for reduced infection risk. Vitamin D has been shown to increase muscle strength, reduced injury rates and […]
Read MoreResearch on outcomes for joint replacement surgery has led to targeted patient selection for Total Knee Replacement surgery. Risk factors for poor outcomes include obesity, uncontrolled diabetes, smoking and cardiovascular disease. Great emphasis has been placed on modifying risk factors PRIOR to knee replacement surgery. Many patients are willing undergo an intervention which lowers their […]
Read MoreA 4 year study using MRI to look at knees showed the rate of knee degeneration/wear. The more weight loss, the slower the rate of knee destruction. Another study showed that combining weight loss with exercise with dietary modification improved exercise tolerance (walking) and improved weight loss. Finally, the proportion of obese patients with artificial […]
Read MoreIn properly selected patients with isolated, single compartment arthritis of the knee success at 2 years post op is similar. Young age, BMI > 30, and low surgeon volume are associated with decreased implant survivorship and higher failure rate. Makoplasty Robotic Partial knee replacement is an great alternative to full knee replacement. Read this link […]
Read MoreA 2018 report in the JBJS found a lower incidence of knee and hip damage (osteoarthritis) in active marathon runners. 675 Marathoners were questioned. These runners on average had run for 19 years logging an average of 36 miles per week. Arthritis prevalence was only 9 % for runners vs. 18 % for the US […]
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