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The Young(ish) Patient With Knee Pain: How to Treat Patients "Too young...but too old"

We Chicagoans are becoming ever more active and are enjoying athletic activities, not just in our 20-30s, but well into "middle age". All too often, patients in the 40-50 year age range are told they are "too old" for arthroscopy but "too young" for knee procedures such as arthroplasty.

I was recently invited to participate in an "Athletico University" lecture and spoke on this subject. The audience was about 40 highly skilled physical therapists from all over the city and interest was high in learning about the different ways to treat these patients! It was clear for the evening that we can do better for this patient population in our city.

We spoke extensively on treatment for patients including the outcomes of younger patients who get unicompartmental arthroplasty, total knee arthroplasty, and spoke about the new technologies on the horizon such as computer navigation and robotic-assisted technologies.

We also touched on non-operative treatments and the identification of extra-articular pathology (PTs were experts here, I learned a lot!) as well as some of the injectables available for use today.

To flip through the slides yourself please click below!

Dr. Karas's Talk at Athletico University Feb 2019


For any questions or to make an appointment, please call Veronica direct at 773.433.3123, email

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