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Makoplasty Robotic partial knee resurfacing is a less invasive solution designed to restore the feeling of a natural knee.

Evidence Based Treatments for Knee Osteoarthritis

September 21, 2018

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 […]

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Knee Osteoarthritis Treatment Ranked for Pain and Function

September 7, 2018

Non 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 […]

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Vitamin D, Knee Surgery and Sports

August 26, 2018

Vitamin 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 […]

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Mortality Following TKA is Declining

July 13, 2018

Research 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 […]

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Weight Loss Slowed Rate of Knee Degeneration

June 29, 2018

A 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 […]

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Unicondylar (Partial) Knee Replacement Comparable to Total Knee Replacement

June 15, 2018

In 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 […]

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Running Does Not Lead to Knee Arthritis

June 1, 2018

A 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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Robotic Knee Replacement Trends

May 11, 2018

A recent analysis of Utilization Trends show Robotic /Computer assisted Knee Replacement surgery is increasing in the US.  Approximately 12 % of Knee replacement cases in 2015 up from 4 % in 2008.   29 % of Facilities (hospitals, ASC) and 17 % of Orthopedics Surgeons use robots/computers for hip or knee replacement surgery.  This […]

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