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Avoiding Total Knee Replacements

Avoiding a Total Knee Replacement Stone Clinic
This year, in the US alone, the number of total knee replacements will exceed 600,000. Eighty percent of these are unnecessary. Here is why.

Arthritis: The Preventable Disease?

Arthritis: The Preventable Disease? The Stone Clinic
Arthritis affects 27 million Americans, with knee arthritis alone affecting 9 million. Most of it may be preventable. Here’s why.

The Bias of Your Surgeon

The Bias of Your Surgeon
Every surgeon has a different skill set—and it’s important that their preferences align with yours.

How to Avoid a Total Knee Replacement

How to Avoid a Total Knee Replacement
Arthritis is preventable. Yet until recently most people thought it was inevitable. Here are some examples of how to best treat your injured knee.

The Posterior Cruciate Ligament

The Posterior Cruciate Ligament
Hard to reach, the Posterior Cruciate Ligament was often ignored or left ruptured after injury. New techniques now permit effective reconstruction.

Why Kneecapping Your Opponent Works

 Why Kneecapping Your Opponent Works
Injuries to the kneecap—also called the patella or patella femoral joint— heal poorly, if at all. Here is why.

Regrowing your knee

Collegen Meniscus Implant
How a biological device can act as a trellis for new meniscus tissue to grow into, reconstructing missing segments of the meniscus shape.

Missing a meniscus? No need to miss out on an active life.

Study shows meniscus transplants can get athletes back to sport
Don’t give up on your knee. Even if you had your meniscus cartilage removed, even if you have developed osteoarthritis and can barely walk without pain, there is still a chance that your knee can be restored. This study confirms how.

No meniscus surgical procedure should ever be standard

Meniscus surgery should never be standard
When I hear a patient say, “The doctor told me it is a standard procedure,” I often think that means there isn’t much thought being put into it. Each knee is different. Each torn meniscus cartilage is different.

Why surgically fix a torn meniscus?

Fix a meniscus to avoid arthritis
A recent study suggested that meniscus surgery doesn't help. Studies can be misleading. Even small losses of meniscus tissue lead to big changes in force concentration on the tibia (shin bone) and eventually arthritis.

Why fix or replace a meniscus?

Why fix or replace a meniscus?
Losing a meniscus is tough on the body. Without a meniscus, the covering of each of the bones, called the articular cartilage, rub up against one another, which leads to pain and, eventually arthritis. Patients often ask me "Isn't there a shock absorber you can put back into the knee joint?"

Biology trumps bionics: An alternative to total knee replacement

alternative to a knee replacement-avoid-a-knee-replacement-bioknee
We like to do everything possible to rebuild the knee joint with biologic tissues rather than artificial materials to help delay the time in which an artificial joint replacement is necessary.

Knee replacement: Partial can be just as good as total

Knee replacement: Partial can be just as good as total
Knees do not necessarily wear out evenly, sometimes one part of the knee is perfectly fine while another part is completely destroyed. If only part of the knee joint is worn out, why replace all of it?
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