More websites on knee problems

Websites related to this week's Clinical Review, reviewed by Dr Keith Barnard.

KNEE REPLACEMENT

I mention this site, not because you will learn anything vital, but because it shows you what goes on when you send a patient to the orthopaedic surgeon's tool shed, sorry, operating theatre.

This video is just the right length to view with your mid-morning coffee, although the blood might put you off your jam sandwiches.

It shows a minimally invasive knee replacement, and anyone who, like me, has been told that football, cricket and squash have knackered their knees will be interested.

We all poke fun at orthopods and their hammers, chisels and screwdrivers, and now you can see the jokes are justified as you see them in action.

I enjoy DIY, and after watching this I think I missed my vocation.

Why go there: to pass an interesting five minutes.
Downside: not relevant to everyday practice.
Information from: Utah Hip and Knee Centre.
Address: www. utahhipandknee.com

EXERCISES FOR KNEE ARTHRITIS

This is a simple illustrated guide to give to patients with knee osteoarthritis.

Each exercise is described in full with an accompanying colour drawing.

The exercises are designed to use basic equipment in the home, such as a chair or stool.

A helpful table instructs the patient how to build up the number and frequency of the exercises, the sort of advice that is often lacking.

This table will keep the patient occupied for the best part of two months.

Why go there: Brief and easy to understand.
Downside: None.
Information from: The Physician and Sports Medicine journal.
Address: http://edheads.org/ activities/knee/

ALTERNATIVE THERAPY FOR ARTHRITIS

Johns Hopkins University is of such repute that what it has to say about complimentary medicine (also called 'unconventional medicine' in the US) has to be worthy of attention.

These pages cover the use of acupuncture, glucosamine, chondroitin sulphate and magnetic therapy in arthritis. It is really a review of a series of research papers on these management strategies.

What is disappointing is that there is no summary for a quick read. I was also surprised that although this article was updated this year, the research referred to covers the period 1984 to 2001. Either there is little more to say, or more conclusive trials are needed.

Why go there: patients will ask about this.
Downside: no summary.
Information from: Johns Hopkins University.
Address: www.hopkins-arthritis.som.jhmi.edu/mngmnt/cam.html

PATIENT INFORMATION

This isn't the first time I've praised the BUPA factsheets for patients.

If you have a patient going in for an arthroscopy, the information provided by hospitals can be perfunctory. This straightforward explanation of the procedure, with a simple line drawing, saves you time and will reassure the patient.

Why go there: best of the bunch.
Downside: None.
Information from: BUPA.
Address: http://hcd2.bupa.co.uk /fact_ sheets/html/arthroscopy.html

- Dr Barnard is a former GP in Fareham, Hampshire

WEBSITE OF THE WEEK

This site fits all the main criteria for informing busy GPs - clear, concise and easy to use.

The topic is meniscal injuries in the knee and it covers everything from the basic anatomy to treatment and rehabilitation. The importance of the history and examination are not overlooked, and there is a liberal sprinkling of drawings, diagrams and arthroscopic images throughout.

Why go there: All you need.
Downside: Presentation could be improved.
Information from: AthleticAdvisor.com
Address: www.athletic advisor.com/Injuries/LE/
Knee/meniscal_injuries.htm

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