Total knee arthroplasty (TKA) is increasing among patients age 65 and younger, with 1 study projecting a potential increase of 183% in the number of TKA and revision TKA surgeries in that age group by the year 2030. Concerns have been raised about poorer clinical outcomes, lower patient satisfaction, and diminished joint survival in a younger compared with an older patient population.
Dr. Stephen Howell answers ICJR’s questions about calipered kinematic alignment total knee arthroplasty, including the learning curve, how to set the femoral and tibial components, and how to reduce the risk of complications.
In a study from the John D. Dingell VA Medical Center in Detroit, veterans who received acupuncture treatment before undergoing total hip arthroplasty (THA) reported less postoperative pain and need far fewer opioids than veterans in the control group who did not receive acupuncture. Veterans in the acupuncture group also reported that they were more satisfied with their pain control.
According to the findings of new study presented at the ACR Convergence 2020, the annual meeting of the American College of Rheumatology: Patients with knee OA who had corticosteroid injections did not show faster progression of OA or of needing TKA than patients who had hyaluronic acid injections, which have not been associated with cartilage loss.
The symptom of a knee giving out is most often due to a ligament injury. The knee is held together by ligaments, structures that connect two bones. There are four major and many secondary ones. The sensation of instability—the feeling of your knee giving out—is often due to an injury to at least one of them, which leads to the bones not being held tightly enough in position.