Physical therapy often just as good as surgery for knee problem

Either physical therapy or arthroscopic surgery can relieve pain and improve mobility in patients with a torn meniscus and arthritis in the knee, according to researchers from Washington University School of Medicine in St. Louis and six other centers. But the results are not simple because many of the patients assigned to physical therapy eventually had surgery.

Orthopaedic surgeons preserve hip joint in young adult patients

Surgeons cut and reposition hip bones to reduce pain.When an older person has a hip problem, surgeons often replace the damaged hip with an artificial one. But that’s not a good option for someone in their 20s or 30s, so orthopaedic surgeons at the School of Medicine are repairing damage to the hip to prevent arthritis without having to replace the hip joint.

Rotator cuff repair with smaller incisions and sturdier stitches

Strong stitches attach the rotator cuff directly to the shoulder bone.Each year in the United States, nearly 300,000 people have surgery to repair their rotator cuff. The rotator cuff is made up of several muscles that allow us to lift our arms or to rotate them during sports activities such as golf, tennis and swimming. The rotator cuff also is used during lifting, washing windows and working in the garden. In the past, surgical correction of the rotator cuff involved an incision through the deltoid muscle on the outside of the shoulder, a lot of pain for weeks after surgery and a long period of recovery. But Washington University orthopaedic surgeons have begun using a minimally invasive system that eliminates the need for the incision through the muscle and limits the amount of post-operative pain. The system allows surgeons to strengthen the repair with a suturing device that sews the muscle right into bone where it can heal more quickly, with less pain.