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The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation

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Is It Time to Bring Back Knee Washout?

Robert W Ike¹, Kenneth C Kalunian²

¹R.W. Ike, Emeritus Associate Professor, Department of Internal Medicine, Division of Rheumatology, University of Michigan Health System, Ann Arbor, Michigan; scopydoc52@yahoo.com.

The Journal of Rheumatology

|May 15, 2022

Summary

This summary is machine-generated.

Joint washout, a simple procedure, can effectively manage knee joint issues like osteoarthritis and septic arthritis by removing inflammatory material. This cost-effective intervention should be reconsidered as an adjunct therapy for various joint disorders.

Keywords:

arthritis arthroscopy crystal arthropathies knee osteoarthritis therapeutic irrigation

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Area of Science:

Orthopedics
Rheumatology
Surgical Procedures

Background:

Joint washout involves removing knee joint contents via arthrotomy, arthroscopy, or percutaneous methods.
Phlogistic material removal is key to addressing joint problems.

Purpose of the Study:

To evaluate the utility of joint washout as an intervention for various joint conditions.
To advocate for the reconsideration of joint washout as an adjunctive management strategy.

Main Methods:

Review of historical observations and multiple clinical trials.
Assessment of washout applicability at the bedside with minimal resources.

Main Results:

Joint washout has historical and trial-based support for managing osteoarthritis, inflammatory arthropathies, crystal arthritis, and septic arthritis.
The procedure is applicable at the bedside with minimal cost, preparation, or expertise.

Conclusions:

Joint washout is a valuable intervention for managing several knee joint disorders.
This minimally invasive and cost-effective procedure warrants reconsideration as an adjunct therapy.