Knie-artrose

Fietsen verstandig?

Feit

Bij hardlopen wordt de knie belast met 6x uw lichaamsgewicht bij elke stap

Máxima Medisch Centrum

Value-Based Health Care

ESSKA Accredited Teacher

Orthopedie Groot Eindhoven

Goede uitleg is essentieel voor juiste keuze behandeling

Meniscus-scheur

Voorste kruisbandreconstructie

Achterste kruisbandletsel

Zorg op maat

YouTube kanaal dr RPA Janssen

Internationaal wetenschappelijk onderzoek

Kruisbandoperaties knie

RPA Janssen MD PhD

Kruisbandoperaties

Waardegedreven zorg

Last van knie-artrose?

Spreekuur / Policlinique / Outpatient clinic

Nederlandse Vereniging voor Arthroscopie

Máxima Medisch Centrum

Kruisbandoperaties bij kinderen

Veel pijn bij ernstige knie-artrose?

Samen met uw arts gekozen voor een knie-operatie?

Eenzijdige knie-artrose knie en actief leven?

Máxima Medisch Centrum Eindhoven-Veldhoven

Kwaliteit van leven

Samen kiezen voor de beste behandeling

Sporten met plezier

Oplossingen voor de lange termijn

Associate Professor Knee Reconstruction

Fact

Kneecap pain is a regular occurrence in fitness knee rehabilitation

Knee osteoarthritis

Cycling wise?

Fact

When running, the knee is loaded with 6x your body weight with each step

Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trial

Abstract OBJECTIVE: To compare outcomes from...

Sabine J A van der Graaff, Susanne M Eijgenraam, Duncan E Meuffels, Eline M van Es, Jan A N Verhaar, Dirk Jan Hofstee, Kiem Gie Auw Yang, Julia C A Noorduyn, Ewoud R A van Arkel, Igor C J B van den Brand, Rob P A Janssen, Wai-Yan Liu, Sita M A Bierma-Zeinstra, Max Reijman
British Journal of Sports Medicine. E-pub ahead of print - 8 Jun 2022. http://doi.org/10.1136/bjsports-2021-105059
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A tailored intervention does not reduce low value MRI’s and arthroscopies in degenerative knee disease when the secular time trend is taken into account: a difference-in-difference analysis

Abstract Purpose: To evaluate the effectiveness...

T. Rietbergen, P.J. Marang-van de Mheen, J. de Graaf, R.L. Diercks, R.P.A. Janssen, H.M.J. van der Linden-van der Zwaag, M.E. van den Akker-van Marle, E.W. Steyerberg, R.G.H.H. Nelissen, L. van Bodegom-Vos (Corresponding author), P. Pander, D.J. Hofstee, R.C.I. van Geenen, K.L.M. Koenraadt, J. P.A.H. Onderwater, Y. V. Kleinlugtenbelt, T. Gosens, T.V.S. Klos, P. C. Rijk, B. DijkstraShow lessA.V.C.M. Zeegers, R.A.G. Hoogeslag, M.H.A. Huis in't Veld, A.A. Polak, N.R. Paulino Pereira, T.M.J.S. Vervest, H.C. van der Veen, N. Lopuhaä
Knee Surgery, Sports Traumatology, Arthroscopy, E-pub ahead of print - 7 Apr 2022. https://doi.org/10.1007/s00167-022-06949-w
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PCL Injury

An acute lesion of the posterior cruciate ligament is frequently misdiagnosed. The posterior cruciate ligament is one of the most important stabilizing ligaments of the knee. It has a good healing potential if recognized and treated within 2 weeks after the injury. No surgery is necessary in that case. A case report of a 25 year old woman is illustrated.

I went to a water parc to learn how to flow surf. It looked supercool, a watercourse on which surfing happens on an “ideal” wave (a thin layer of water is projected at 70 km/hour on a ramp). Things went great. It feels a lot like snowboarding which is my favourite! 

Ten minutes before the end, I fell on my knee while turning. I had an immediate excruciating pain and realized something was very wrong. My lower leg was angled compared to my upperleg. I was frightened and thought: this should be straightened right away. I pulled my lower leg to straighten it without thinking. It worked but the pain made me vomit. The attendant of the flow surf company immediately said: that’s broken. My knee looked strange. I noticed that I could walk on my leg but it felt unstable. The pain was bearable and I was relieved…..luckily it did not feel broken! 

A colleague surgeon recommended dr Janssen, orthopaedic surgeon at Máxima Medical Center. A very friendly and professional docter who rapidly assessed the situation. My foot seemed colder and I had less sensation on the side of my foot. Dr Janssen was worried about a potential bloodvessel injury and made a scan right away. I was fortunate, the bloodvessels were intact. The physical examnination and MRI showed an acute posterior cruciate ligament injury. I thought it would be best to get surgery at once, to be able to start the rehabilitation as soon as possible, in order to continue my professional career. Of course, my tennis and snowboard sports worried me. Rob Janssen made it very clear to me that treatment with cast and brace would be better than surgery. When the cast was put on, he pulled my lower leg forward in order to relocate the knee. X-rays were taken to check the knee position at each cast treatment. 

The cast was changed several times in the next few weeks. My knee felt much better. In the beginning, I felt the lower leg dropping with cast removal (a nauseating feeling). After 6 weeks, the cast was removed and the lower leg stayed in place and felt good!  The first steps were terrifying, I felt as if I would never be back to sports. My leg was very thin and difficult to control. This al disappeared soon with a brace and physiotherapy. One year after the incident, I was back snowbarding! I am so grateful that I made a film at that time to thank my orthopaedic surgeon, dr Janssen.