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Category Archives for Damaged joint cartilage

Knee injections into the joint

knee injection

Knee injections are not all the same. In this study Prof Raju Vaishya and his colleagues compared the efficacy of three different injections commonly administered into the knee joint – an anti-inflammatory steroid (triamcinolone), a lubricant (hyaluronic acid) and platelet-rich-plasma (blood derivative).These injections are commonly used both for osteoarthritis and for inflammatory arthritis like rheumatoid […]

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Injuries to the Growth Plate in Children: Why are they Important?

Children’s bones face the same propensity for injury and fracture as adults though the bones of children have are viewed in a very different manner as they are still dynamic with growth until sometime between 15-18 years of age when the physis or “growth plate” fuses and their injury approaches that of their adult counterparts.Growth […]

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Non-surgery factors affecting knee replacement

The AAOS (American Association of Orthopaedic Surgeons) have published guidelines for those non-surgery factors influencing the outcome of total knee arthroplasty (TKA) – also called total knee replacement (TKR). I have summarised these for you to make items easy to refer to and remember.Positive influence on outcome Local infiltration analgesiaPeripheral Nerve BlocksNeuraxial AnaesthesiaTourniquet Use (for […]

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Why do so many knee replacement patients end up with a stiff knee?

It’s common for the knee replacement patient to have to wait many years before undergoing their surgery because the classical wisdom is that the knee replacement will eventually wear out sufficiently to require revision, so the longer it can be put off the smaller the likelihood of such a revision becoming necessary. By the time […]

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