Injury
/ Condition |
Treatment
Options |
Torn Knee Ligaments:
- Anterior Cruciate
- Posterior Cruciate
- Medial Collateral
- Lateral Collateral
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- Knee Bracing and
Structured Rehabilitation
- Primary Suture-Repair
- Surgical Reconstruction using autograft
or allograft tendon tissue
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Meniscus Derangement
(torn "knee cartilage")
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- Meniscus Repair
- Meniscus Excision (meniscectomy)
- Meniscus Replacement (allograft transplantation)
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Knee Arthritis
(a.k.a. osteoarthritis, or "degenerative joint disease")
|
- Weight Loss, Oral Anti-Inflammatory
Medication, Nutritional Cartilage Support Therapy, Special Bracing/Orthotics
- Injection Treatment (Synvisc, Hyalgan,
cortisone)
- Arthroscopic Debridement and Chondroplasty
(joint "housecleaning")
- Realignment Osteotomy (femur or tibia)
- Joint Replacement or Hemi-Replacement
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Articular (joint
surface) Defects
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- Arthroscopic Chondroplasty (cartilage
shaving/smoothing)
- Local Abrasion Arthroplasty
(bone surface abrasion)
- Drilling or "Microfracture"
treatment of bone surface
- "O.A.T.S." Procedures (osteo-articular
auto-transplantation surgery)
- "A.C.I." Surgery (cartilage
biopsy with cell culture and re-implantation)
- Osteo-articular Allografting
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Patellar Malalignment
/ Instability
(maltracking, subluxation, dislocation)
|
- Structured Rehabilitation and Knee Bracing
- Lateral Retinacular Release
- Medial Retinacular . Repair/Reconstruction
vs. Thermal Retinacular Tightening
- Patellar Realignment Surgery
(distal and/or proximal)
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Patellar Chondromalacia
|
- Weight loss, Oral Anti-Inflammatory
Medication, Nutritional Cartilage Support Therapy
- Structured Rehabilitation
- Arthroscopic Chondroplasty
- Lateral Retinacular Release
- Tibial (distal) Extensor Mechanism Realignment
Osteotomy
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Knee Tendon Conditions:
Jumper's Knee (patellar tendinitis)
Iliotibial Band Friction Syndrome
Quadriceps/Patellar Tendon Rupture
Snapping Biceps, Hamstring or Popliteus Tendons
|
- Physical Therapy/Rehabilitation
- Injection Treatment
- Surgical Tendon Repair
- Tendon Grafting / Reconstruction
- Tendon Release vs. Tenodesis
|
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Synovial (joint
membrane) Disorders:
Traumatic Synovitis
PVNS (pigmented villonodular synovitis)
Rheumatoid Synovitis
|
- Anti-Inflammatory Medication and Physical
Therapy
- Injection Treatment (cortisone, Synvisc,
Hyalgan)
- Arthroscopic Synovectomy
|
|
Osteochondritis
Dissecans
("O.C.D.")
|
- Activity Reduction, Observation
- Arthroscopic Drilling / Debridement
- Osteochondral Plug Grafting
- Internal Fixation, with or without Retrograde
or Anterograde Bone Grafting
- Removal of Loose Bone/Cartilage Fragments
from Joint
|
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Knee Arthrofibrosis
/ Contracture
(stiff or "frozen" joint syndrome)
|
- Joint Manipulation (forcible stretching)
under anesthesia followed by intensive Physical Therapy
- Arthroscopic Scar Removal
- Arthroscopic Retinacular Release
- Open Capsular Release
- Tendon Lengthening / Release
|
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Reflex Sympathetic
Dystrophy
("R.S.D")
|
- Non-Operative Treatment (physical therapy
and anesthesia pain management)
- Arthroscopic Treatment of concomitant
internal joint problems that are causing local pain and thereby
stimulating the R.S.D. condition
- Continuous Passive Motion Treatment
under Epidural Blockade
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Prepatellar
or other Bursitis
|
- Fluid Aspiration (drainage) and Injection
Treatment
- Surgical Removal of Bursa (arthroscopically
if possible)
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Popliteal ("Baker's")
Cysts;
Ganglion Cysts
|
- Fluid Aspiration (drainage) and Injection
Treatment
- Surgical Cyst Removal
|
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Meniscus Cysts
|
- Injection Treatment
- Arthroscopic Cyst Decompression with
Partial Meniscectomy
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Fat Pad Hypertrophy/Impingement
Syndrome (Hoffa's Disease)
|
- Injection Treatment
- Arthroscopic Fat Pad Reduction
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Knee Joint Fractures
|
- Arthroscopic Bone Fragment Repositioning
and Fixation using pins or screws
- Open (non-arthroscopic) Bone Fragment
Repositioning and Fixation with pins or screws
- Bone Grafting
|
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Osgood-Schlatter's
Disease
|
- Activity Modification vs. Splinting,
followed by Physical Therapy (children)
- Patellar Tendon Debridement with Removal
of Painful Bone Ossicles (symptomatic adults)
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"Loose Bodies"
(free-floating pieces of cartilage
or bone in the knee)
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Knee Plica Syndrome
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- Physical Therapy / Injection Treatment
- Arthroscopic Plica Removal
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Avascular Bone
Necrosis
(femur, tibia or patella)
|
- Arthroscopic Drilling / Decompression
- Osteochondral Auto- or Allo-grafting
- Joint Replacement Surgery
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