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Archive for September, 2010

Osteotomy

Osteotomy

This blog post is part of a series about the Academy of Orthopedic Surgeons’ (AAOS) Full Treatment Guideline for Knee Osteoarthritis.

Recommendation 20 – The AAOS cannot recommend for or against an osteotomy of the tibial tubercle for patients with patello-femoral osteoarthritis.

No studies were available that investigated taking bone wedges from the tibial tubercle for patients with isolated patello-femoral osteoarthritis.  So the research team was unable to reach a definitive conclusion.



Arthritis literally means “joint inflammation,” and it causes varying levels of pain and loss of joint mobility. It also comes in more than 100 different forms, including rheumatoid and osteoarthritis. Many sufferers would benefit well from natural remedies for arthritis instead of depending on medications that may have adverse side effects.

One effective natural remedy for arthritis is drinking juices high in anti-inflammatory nutrients. These nutrients include beta-carotene, which can be found in parsley, broccoli and spinach; and copper which is found in carrots, apples, and ginger. A glass or two of pineapple juice is also a rich source of the enzyme bromelain, which has strong anti-inflammatory properties.



meniscectomy

meniscectomy

Recommendation 19 – Partial meniscectomy is an option for patients with knee osteoarthritis.  These patients must also have symptoms indicating a torn meniscus and / or a loose body in their knee joint.

There aren’t any published studies that confirm this recommendation but the expert opinion of the research team concludes that if you have a torn meniscus and knee osteoarthritis, it makes sense to have the tear or loose material removed by arthroscopy.



Knee Arthroscopy

Knee Arthroscopy

This post is one of a series of posts about the American Academy of Orthopedic Surgeons’ (AAOS) Knee Osteoarthritis TreatmentGuideline.

Recommendation 18 – The AAOS does not recommend arthroscopic debridement and lavage in patients with knee oa.

Since the North American Arthroscopy Association helped fund the AAOS Treatment Guideline, this recommendation is a big deal.  This is orthopedic surgeons telling other orthopedic surgeons that one of their bread-and-butter surgeries doesn’t work.

The research team concluded that arthroscopic debridement has no significant benefit for knee osteoarthritis.  Wow.