A randomized controlled trial found that sturdy supportive shoes improve knee pain on walking and knee-related quality of life compared with flat flexible shoes.
Primary total knee arthroplasty (TKA) is one of the most commonly performed orthopaedic procedures in the US. The same cannot be said for partial knee arthroplasty: According 2020 Annual Report from the American Joint Replacement Registry (AJRR), unicompartmental knee arthroplasty (medial and lateral UKA) accounted for just 4.1% of knee replacements in 2019, compared with 8.2% in 2012, and patellofemoral arthroplasty decreased from a high of 1.7% in 2016 to 0.04% in 2019.
Managing a patient with degenerative disease in both the hip and the lumber spine – the hip-spine syndrome – presents a challenge: Which procedure should be done first? Should the surgeon start with a total hip arthroplasty (THA), or should the patient be referred to a spine surgeon for spinal fusion before THA?
Orthopaedic surgeons have traditionally been taught that certain types of knee symptoms indicate damage to specialized structures called the menisci. But these "meniscal" and "mechanical" symptoms do not reflect what surgeons will find at knee arthroscopy, reports a study in The Journal of Bone & Joint Surgery.