The knee osteoarthritis is recognized as an occupational disease

Since 1 July 2009 may be the osteoarthritis of the knee (gonarthrosis) claimed as an occupational disease if it has been shown to caused by work. Able to demonstrate for the recognition the affected 13 000 hours kniebelastende activities.

A recent comparative study (1) showed the Knieteilendoprothesen (unikondylär) in the long run a greater proportion with sustained good function than kinematical Knietotalendoprothesen (bikondylär). The functionality has been awarded the Bristol score assesses the function, pain, mobility and deformation implies. Revisions were also less in the patients with knee endoprosthesis unidondylären required. (1) Newman J et al, J Bone Joint Surg Br 2009, 91:52

This is the result of an international pilot study of the WHO, which is now in the New England Journal of Medicine was published. The study shows that by introducing a one-sided checklist of questions, before and after the operation of anesthetist and surgeon have been through, the frequency of serious complications from 11 to seven percent could be lowered. A decline that is more than one third!
The result also shows how important the review of 'obvious' is.
Also we have in our practice has been used by our strict quality management processes established to continuously review. This makes it possible for us a high quality of work for the benefit of our patients to maintain and optimize.

At this very general statement, a study by the University of Western Ontario in Canada. Here, half of 188 patients with an average age of 60 years with moderate to severe osteoarthritis of the knee joint arthroscopic (cartilage smoothing, removal of cartilage fragments and rinsing of the abrasive particles) and the other half is conservative (analgesics, injection of hyaluronan into the knee and 1x Physiotheraüpiie / week for 3 months) treatment. After three months there were no more differences between the treatment groups.

Important facts are unfortunately in the statement of this study does not take into account:
Basic problems such as obesity (BMI 30-32kg/cm2 average) and chronic injury of the knee joint to remain even after the surgery there, so after initial improvement, the same complaints after 3 months occurred again.

From the study were also excluded all patients with meniscus injury, inflammatory arthritis, axis deformities, patients with previous accidents and so on.
Especially the group of patients young and middle-age benefit in a pronounced mass of the arthroscopy, because immediately after the diagnosis is the reorganization of the established internal knee damage can occur.

So important is the indication for arthroscopy to correct.

With today's diagnostic possibilities should be a purely diagnostic arthroscopy no longer be carried out.

MRSA Free! In our clinical practice and there has never been a MRSA infection where.

State insurance companies often refuse to pay for orthopaedic aids on the grounds of them not being medically necessary. Especially when patients have already received and aid and wish for a "better" one, the companies do not show acceptance.

For years the open removal of the calcaneal spur has been the only therapy alternative next to the preservative or the alternatively applied shock-wave treatment.

For patients with severe rheumatoid arthritis there is hope. Every second patient responds well to the treatment with the antibody Rituximab.