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The Ottawa knee rules are a set of rules used to help physicians determine whether an x-ray of the knee is needed. [1]They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following:
The Thomas test is used to detect excessive tightness of the iliotibial band. In this test the patient holds the unaffected leg to their chest while the examiner straightens and lowers the other leg to a horizonal position, inability to fully straighten and lower the leg indicates excessive band tightness. [13] [14] [15]
The human body's own cartilage is still the best material for lining knee joints. This drives efforts to develop ways of using a person's own cells to grow, or re-grow cartilage tissue to replace missing or damaged cartilage.
Effective treatments for knee pain include physical therapy exercises, [28] pain-reducing drugs such as ibuprofen, joint stretching, [29] [30] knee replacement surgery, and weight loss in people who are overweight. [27] Overall, a combination of interventions seems to be the best choice when treating knee pain.
If the joint cannot be reduced in the emergency department, then emergency surgery is recommended. [2] In those with signs of arterial injury, immediate surgery is generally carried out. [3] If the joint does not stay reduced external fixation may be needed. [2] If the nerves and artery are intact the ligaments may be repaired after a few days ...
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved.
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