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Injury / Condition Quick Link

Injury / Condition Treatment Options

Torn Knee Ligaments:

  • Anterior Cruciate
  • Posterior Cruciate
  • Medial Collateral
  • Lateral Collateral

  • Knee Bracing and
    Structured Rehabilitation

  • Primary Suture-Repair

  • Surgical Reconstruction using autograft or allograft tendon tissue

Meniscus Derangement
(torn "knee cartilage")

  • Meniscus Repair

  • Meniscus Excision (meniscectomy)

  • Meniscus Replacement (allograft transplantation)

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

Articular (joint surface) Defects

  • 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

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)

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

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

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

  • 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

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

Reflex Sympathetic Dystrophy
Note: Treatment is rendered in "team" fashion (orthopedic and anesthesia pain management)

  • 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

Prepatellar or other Bursitis

  • Fluid Aspiration (drainage) and Injection Treatment

  • Surgical Removal of Bursa (arthroscopically if possible)

Popliteal ("Baker's") Cysts;
Ganglion Cysts

  • Fluid Aspiration (drainage) and Injection Treatment

  • Surgical Cyst Removal

Meniscus Cysts

  • Injection Treatment

  • Arthroscopic Cyst Decompression with Partial Meniscectomy

Fat Pad Hypertrophy/Impingement Syndrome (Hoffa's Disease)

  • Injection Treatment

  • Arthroscopic Fat Pad Reduction

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

Osgood-Schlatter's Disease

  • Activity Modification vs. Splinting, followed by Physical Therapy (children)

  • Patellar Tendon Debridement with Removal of Painful Bone Ossicles (symptomatic adults)

"Loose Bodies"
(free-floating pieces of cartilage
or bone in the knee)

  • Arthroscopic Removal

Knee Plica Syndrome

  • Physical Therapy / Injection Treatment

  • Arthroscopic Plica Removal

Avascular Bone Necrosis
(femur, tibia or patella)

  • Arthroscopic Drilling / Decompression

  • Osteochondral Auto- or Allo-grafting

  • Joint Replacement Surgery
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Dr. Alexander Sapega was the only Sports Medicine Surgeon south of Princeton cited in NEW JERSEY MONTHLY MAGAZINE'S "Top Docs" issue.

® 2007. The Knee and Shoulder Centers of New Jersey and Pennsylvania.