The Knee

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Anterior Cruciate Ligament ( ACL)
•    Key guide wire frequently torn.
•    Can be repaired if treated early or reconstructed.
•    Immediate rehabilitation exercises are important for early return to sports.


Articular Cartilage
•    Bearing surface of joints
•    Roughened with arthritis
•    Can now be paste grafted to regrow a new surface
•    Acute injuries can be stimulated to repair
•    Osteochondritis Dessicans Lesions (OCD) treatable with paste grafting
•    Responds to lubricating injections


Biologic Joint Replacement
•    Replaces arthritic knee surfaces with a new meniscus, articular cartilage paste graft
     and ligament reconstruction
•    Osteotomy sometimes required
•    Permits full sports unlike artificial joint replacement
•    Outpatient procedure


Joint Lubrication
•    New injections stimulate natural lubricant in the knee
•    Improves cartilage health
•    Decreases pain
•    Decreases cartilage breakdown
•    Glucosamine orally also stimulates lubrication


Meniscus Cartilage
•    Key shock absorber in knee
•    Can be repaired more often than is thought
•    Can be replaced with an allograft even in arthritis


Osteoarthritis of the Knee - General Information


Osteotomy
•    Bowlegs and Knock knees increase stress on joint surfaces and wear out knees
•    Corrected by rehabilitation exercises and heel wedges
•    Severe deformity corrected by osteotomy
•    Our preferred method avoids plates and external fixators by using an internal wedge


Avoiding Osteotomy


Pigmented Villonodular Sinovitis (PVNS)  -  Graphic Images
•    Common tumor of the joint. *Usually benign
•    Usually can be removed arthroscopically


Posterior Cruciate Ligament
•    Key posterior stabilizer.
•    Can be repaired or replaced. arthroscopically.


Knee Replacement
•    Introduction to Artificial Joint Replacements
•    Total Knee Replacement (TKR) Surgical Technique
•    Partial Knee Replacement (UNI) Surgical Technique
•    Options for Blood Transfusion
•    Understanding Postoperative Pain Medications
•    Postoperative TKR Physical Therapy Protocol


Rehabilitation Programs
Rehabilitation has undergone a complete revision from the old days of isolated knee exercises. Our clinic focuses on core strengthening with combination sports and rehabilitation exercises. This Total Motion Training technique is for people of all ages and athletes, from gold medalists to dog walkers.