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Knee Surgery Options

Arthroscopic surgical procedure to trim cartilage in the knee is a nugatory procedure. I’ve seen many sufferers who have had cartilage removed by surgeons for an average charge of $5000 and then they should have a knee alternative a number of years later. The surgeon should know concerning the hurt he’s doing as a result of he has to see the identical sufferers for followup when they require knee alternative surgery.

A report in the New England Journal of Medicine (July 11, 2002) reveals that knee surgery to remove cartilage is worse than doing nothing. The headline from Baylor Medical School, where the landmark study was performed, is that “Examine Finds Common Knee Surgical procedure No Better Than Placebo.” Patients with osteoarthritis of the knee who underwent placebo arthroscopic surgery have been simply as prone to report pain aid as those who acquired the real procedure. The researchers say their outcomes problem the usefulness of one of the vital widespread surgical procedures performed for osteoarthritis of the knee. Lead investigator Dr. Elda P. Way states, “The truth that the effectiveness of arthroscopic lavage or debridement in sufferers with osteoarthritis of the knee is no higher than that of placebo surgery makes us question whether or not the one billion plus dollars spent on these procedures won’t be put to higher use.

In the study, a hundred and eighty sufferers with knee ache were randomized into three groups. One group obtained debridement, wherein worn, torn, or loose cartilage is lower away and removed with the help of a pencil-thin viewing tube referred to as an arthroscope. The second group underwent arthroscopic lavage, wherein loose cartilage is flushed out. The third group underwent simulated arthroscopic surgical procedure; small incisions were made, but no devices were inserted and no cartilage removed. The people who did not have surgical procedure on their cartilage did higher than the people who had some of their cartilage removed.

In the United States, more than 650,000 arthroscopic procedures are performed every year, at a value of about $5,000 each.

The knee is simply two sticks held together by four bands known as ligaments. Bones are delicate, so the ends of bones are covered with a tough gristle known as cartilage. Cartilage serves as a padding to guard the ends of bones. As soon as cartilage is damaged, it will probably by no means heal. And once you break a small amount of cartilage in your knee, your knee cartilage can by no means fit together properly, and every time you put force on the knee, you break off extra cartilage.

When surgeons remove cartilage, they go away much less cartilage than the person had earlier than the surgery. Ultimately the knee joint runs out of cartilage and when bone rubs on bone, it hurts all the time and a peson should have a knee substitute just to be able to sleep at night. Surgery to remove cartilage just hastens knee replacement. However, doctors can exchange torn ligaments, which stabilizes the knee joint. They can also remove a free piece of cartilage that is blocking the movement of the joint. Folks with free cartilage have sudden locking of the knee once they walk or the can not totally straighten or bend their knees.

As a result of this study and my very own impression from treating a whole lot of damaged knees, I recommend that you do not get knee surgery unless you have a torn ligament that must be repaired or you have sudden locking of the knee during walking or you can’t fully straighten or bend you knee. In any other case surgery is more likely to hasten your need for an additional main surgery, knee replacement.

At you will [learn about|find out about|find info [about|on|regarding] knee replacement surgeries and partial knee surgery.

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