Knee arthritis is a potentially devastating condition that affects millions of individuals worldwide. Osteoarthritis (degeneration of joint cartilage and underlying bone) usually affects middle-aged and elderly people, but post-traumatic arthritis can happen to anyone who has suffered a knee injury. In general, knee arthritis involves the breakdown or degeneration of the joint lining (articular cartilage) on the ends of the bones in the knee ...
Knee arthritis is a potentially devastating condition that affects millions of individuals worldwide. Osteoarthritis (degeneration of joint cartilage and underlying bone) usually affects middle-aged and elderly people, but post-traumatic arthritis can happen to anyone who has suffered a knee injury. In general, knee arthritis involves the breakdown or degeneration of the joint lining (articular cartilage) on the ends of the bones in the knee joint and may also involve loss of the normal amount of space between these bones.
Conservative treatment is usually attempted first in order to avoid surgery and there are many exercises, special diets, and medications (pills and injections) that are typically prescribed for osteoarthritis and post-traumatic arthritis. Unfortunately, these conservative methods do not always work to resolve pain, swelling, and limitations with sports or daily activities and surgery becomes necessary. This is especially true for patients who have lost a great deal of joint lining. There are no magical medications, diets, or cures to stimulate growth of normal cartilage in the knee joint. Cartilage does not have the ability to heal or repair itself and, once injured, the process of deterioration will gradually continue.
Currently, few eBooks exist that provide detailed information on the different operations that are recommended by physicians and surgeons for knee arthritis for patients of all ages. After treating patients for nearly 4 decades with this problem, we decided to write this eBook to try to help individuals understand the different operations that are currently used after conservative treatment has failed, and what to realistically expect as a result of these operations. While most people think of total knee replacement as the operation used for knee arthritis, there are in fact many other options. This is because the amount of arthritis may be mild, moderate, or severe and may involve one portion of the knee joint or several areas. These operations include arthroscopic debridement, microfracture/abrasion, osteochondral autograft transfer, autologous chondrocyte implantation, osteochondral allograft, high tibial osteotomy, femoral osteotomy, meniscus transplantation, unicompartment (partial) knee replacement, and total knee replacement. Patients who sustained knee injuries may also require other operative procedures done at the same time, such as a knee ligament reconstruction or patellar realignment.
This eBook provides information on basic knee anatomy, how arthritis is diagnosed and measured in the knee, the factors that go into deciding whether or not to have surgery, what types of operations are available and what to expect from these procedures, and physical therapy that is required after surgery. In addition, exercises to do at home and in a fitness club are described in detail.
Dr. Frank Noyes is an internationally renowned orthopaedic surgeon and researcher and Founder of the Cincinnati SportsMedicine and Orthopaedic Center and its Research Foundation. He has conducted landmark research on the biomechanics of ligaments, prevention of ACL injuries in the female athlete, the diagnosis of knee injuries and problems, and the results of treatment for a variety of knee disorders. Dr. Noyes has won awards from the American Academy of Orthopaedic Surgeons, the American Orthopaedic Society of Sports Medicine, the Orthopaedic Research and Education Foundation, and the University of Cincinnati. He was inducted into the American Orthopaedic Society for Sports Medicine’s Hall of Fame in 2008, was selected as one of the 25 Best Knee Surgeons in the U.S. by Becker’s Orthopedic & Spine Review in 2010, and has been selected as one of the Best Doctors in America every year since 1992. Dr. Noyes is an author on more than 260 scientific articles.
Sue Barber-Westin is the Director of Clinical Research at the Cincinnati SportsMedicine Research Foundation. Her work has focused on the clinical outcome of knee operations, methods used to determine the results of studies, differences in neuromuscular indices between male and female athletes, effects of neuromuscular training in female athletes, and prevention of ACL injuries in female athletes. She is an author on 144 scientific articles. Noyes and Barber-Westin are editors of 2 textbooks: Noyes’ Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes and ACL Injuries in the Female Athlete: Causes, Impacts, and Conditioning Programs. They have written 4 other eBooks on knee ligament, meniscus, and kneecap problems designed for both patients and medical professionals.