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Intra-articular injections

Knee Injections

I had a mentor in residency who used to say we can offer a patient three things when they come to the office:
1. 🔪 (Surgery)
2. 💉 (Injection)
3. 👋 (Physical Therapy)

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Hip anatomy acetabulum

Hip Anatomy – Acetabulum

The acetabulum (from the Latin for “little vinegar cup”) is the hip socket. Yesterday we looked at the femoral head, which is the ball that fits within this socket.

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Hip anatomy femoral head

Hip Anatomy – Femoral Head

The hip joint is made up of two parts, the ball and the socket. The ball is known as the “Femoral Head”. This is the top of the femur (thigh bone).

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Subcuticular skin closure with glue

Closing an Incision Without Stitches

We get asked by patients all the time, “Do you close with glue?” What they usually are asking is, will there be stitches or staples after the surgery to remove?

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Play Dough total knee replacement

Play Dough – Total Knee Replacement

ere we see the incision through skin and subcutaneous tissue. Next is the “arthrotomy” incision through the knee joint capsule revealing the knee joint (femur, tibia, and patella). They refer to the medial parapatellar approach which means incision next to the knee cap on the medial side (toward the body’s midline). This is the most common approach for a total knee.

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Arthritis affects 1 in 4

Arthritis Affects 1 in 4 Adults

What is the scope of the problem of arthritis? Roughly 1 in 4 adults. With many millions affected, and a large proportion of those still of working age, arthritis is one of the biggest reasons for lost work time and reduced quality of life.

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Play Dough Hip Replacement Surgery

Play Dough Hip Replacement

Such an excellent demonstration of total hip replacement surgery (posterior approach). The implants and tools shown in an easy to understand manner.

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New York Times future of joint replacement surgery

New York Times – Future of Joint Replacement

Was thrilled to discuss my research with John Hanc from the @nytimes regarding projections of the number of total joint replacements in the United States in the next decade.

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Knee anatomy fibula

Knee Anatomy – Fibula

We don’t talk about the fibula much in knee replacement, because it does not usually play much of a role in surgery. It is not resurfaced or replaced, and doesn’t actually touch the knee joint itself.

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Knee anatomy femur

Knee Anatomy – Femur

The femur (thigh bone) is the upper bone of the knee joint. With the knee extended straight, the tibia (shin bone) fits at the very end of the femur (distal). With the knee flexed the tibia fits at the back side of the femur (posterior).

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