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Cartilage repair or knee replacementThe choice between cartilage repair and knee replacement hinges on whether damage is focal or diffuse. Isolated defects in otherwise healthy joints can be repaired; widespread bone-on-bone osteoarthritis affecting multiple compartments requires replacement instead.The choice between cartilage repair and knee replacement hinges on whether damage is focal or diffuse. Isolated defects in otherwise healthy joints can be repaired; widespread bone-on-bone osteoarthritis affecting multiple compartments requires replacement instead.
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Early signs your hip may need a replacementHip replacement is determined by quality-of-life impact—how much the joint restricts sleep, movement, and daily function—rather than by age or imaging; it sits at the end of a care pathway, reached only after conservative measures fail.Hip replacement is determined by quality-of-life impact—how much the joint restricts sleep, movement, and daily function—rather than by age or imaging; it sits at the end of a care pathway, reached only after conservative measures fail.
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Recovery After OATS for Ankle Cartilage RepairOATS (osteochondral autograft transfer) replaces damaged ankle cartilage and bone with a healthy graft from the knee, producing hyaline-like tissue rather than scar tissue; at ten years, graft survival reached 94.9% and functional scores improved from 51.9 to 75.3, though donor-site morbidity affected 6.7–10.8%.OATS (osteochondral autograft transfer) replaces damaged ankle cartilage and bone with a healthy graft from the knee, producing hyaline-like tissue rather than scar tissue; at ten years, graft survival reached 94.9% and functional scores improved from 51.9 to 75.3, though donor-site morbidity affected 6.7–10.8%.
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Which specialist to see for plantar fasciitisMost plantar fasciitis cases arise from movement imbalances, not structural foot problems. Physiotherapy is the fastest first-line treatment; specialist input is needed only if conservative management does not work.Most plantar fasciitis cases arise from movement imbalances, not structural foot problems. Physiotherapy is the fastest first-line treatment; specialist input is needed only if conservative management does not work.
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What to assess before your rotator cuff appointmentRoughly a quarter of adults over 50 have a rotator cuff tear, yet two-thirds cause no pain and only one in fifteen ever seek treatment.Roughly a quarter of adults over 50 have a rotator cuff tear, yet two-thirds cause no pain and only one in fifteen ever seek treatment.
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ChondroFiller duration vs hyaluronic acid and ArthrosamidChondroFiller's repair tissue outlasts the scaffold itself: the collagen dissolves within two years, but tissue built by the patient's own progenitor cells persists for three to five years.ChondroFiller's repair tissue outlasts the scaffold itself: the collagen dissolves within two years, but tissue built by the patient's own progenitor cells persists for three to five years.
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When Knee Alignment Must Come Before Cartilage RepairCartilage repair fails in a varus knee because the weight-bearing line runs through the damaged medial compartment instead of the joint's centre. High tibial osteotomy redirects that line toward the centre; expert guidance mandates combined surgery above 3° varus and forbids isolated repair beyond 5°.Cartilage repair fails in a varus knee because the weight-bearing line runs through the damaged medial compartment instead of the joint's centre. High tibial osteotomy redirects that line toward the centre; expert guidance mandates combined surgery above 3° varus and forbids isolated repair beyond 5°.
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When Achilles tendinopathy needs a specialistAchilles tendinopathy has two anatomically distinct subtypes — noninsertional and insertional — which respond differently to treatment: noninsertional cases typically improve with physiotherapy loading programmes, while insertional disease at the bone-tendon junction often resists standard rehabilitation and requires specialist input sooner.Achilles tendinopathy has two anatomically distinct subtypes — noninsertional and insertional — which respond differently to treatment: noninsertional cases typically improve with physiotherapy loading programmes, while insertional disease at the bone-tendon junction often resists standard rehabilitation and requires specialist input sooner.
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Distal femoral osteotomy for lateral knee cartilage damageKnock-kneed alignment directs excessive load through the outer knee compartment, accelerating cartilage wear over time. Distal femoral osteotomy corrects this by adjusting the lower thighbone angle to redistribute load and allow the damaged cartilage to survive or heal.Knock-kneed alignment directs excessive load through the outer knee compartment, accelerating cartilage wear over time. Distal femoral osteotomy corrects this by adjusting the lower thighbone angle to redistribute load and allow the damaged cartilage to survive or heal.
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When knee replacement pain needs specialist reviewOnce bacteria establish themselves on a knee implant, antibiotics cannot penetrate the protective layer they form, making surgery almost always necessary — catching infection early prevents this escalation.Once bacteria establish themselves on a knee implant, antibiotics cannot penetrate the protective layer they form, making surgery almost always necessary — catching infection early prevents this escalation.
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Who to see first for tennis elbowTennis elbow develops when a forearm tendon accumulates microscopic tears faster than it can self-repair; progressive loading through physiotherapy rebuilds the damaged structure, whereas anti-inflammatory treatments only mask pain.Tennis elbow develops when a forearm tendon accumulates microscopic tears faster than it can self-repair; progressive loading through physiotherapy rebuilds the damaged structure, whereas anti-inflammatory treatments only mask pain.
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Gluteal tendinopathy beyond self-managementGluteal tendinopathy — a condition in which hip tendons lose capacity to handle everyday load — self-perpetuates through geometry: compressive positions reload the sensitised structure, whilst rest removes stimulus and generic stretches worsen compression.Gluteal tendinopathy — a condition in which hip tendons lose capacity to handle everyday load — self-perpetuates through geometry: compressive positions reload the sensitised structure, whilst rest removes stimulus and generic stretches worsen compression.
