#1 Ranked Children’s Hospital by U.S. News & World Report
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Boston Children's has launched the world's 1st program dedicated to offering hand transplants to children who qualify.
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There are many ways you can help children and their families get the care they need.
When a joint is injured, the body releases enzymes that may further break down the already damaged articular cartilage.
• Injuries to the cartilage that do not extend to the bone generally do not
heal on their own.
• Injuries that penetrate to the bone may heal, but the type of cartilage that
is laid down is structurally unorganized and does not function as well as the
original articular cartilage.
Defects smaller than two centimeters have the best prognosis and treatment options. Those options include arthroscopic surgery, which can remove damaged cartilage and increase blood flow from the underlying bone (e.g. drilling, pick procedure.) For larger defects, it may be necessary to transplant cartilage from other areas of the knee (joint).
For patients with osteoarthritis:
• physical therapy
• lifestyle modification (e.g. reducing activity)
• supportive devices
• oral and injection drugs (i.e. non-steroidal anti-inflammatory drugs, cartilage protective drugs)
• medical management
Surgery often only provide short-term relief, and depend on the severity of the osteoarthritis:
• Tibial or femoral osteotomics (cutting the bone to rebalance joint wear) may reduce symptoms, help to maintain an
active lifestyle, and delay the need for total joint replacement.
• Total joint replacement can provide relief for the symptom of advanced osteoarthritis, but generally requires changes
in a patient's lifestyle and/or activity level.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”