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The Arthritic Knee ~ Treatment Options ~

The Arthritic Knee ~ Treatment Options ~. A. John Campbell FRCS. Surrey and Sussex NHS Trust. U.K. 20% people > 45 years old. U.S.A. 55% people > 60 years old. Be active. Live longer. REDUCE THE RISK OF ARTHRITIS. Pick the right parents. Weight reduction. Modify activities.

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The Arthritic Knee ~ Treatment Options ~

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  1. The Arthritic Knee ~ Treatment Options ~ A. John Campbell FRCS Surrey and Sussex NHS Trust

  2. U.K. 20% people > 45 years old U.S.A. 55% people > 60 years old

  3. Be active Live longer

  4. REDUCE THE RISK OF ARTHRITIS Pick the right parents Weight reduction Modify activities

  5. SURGICAL MEASURES ARTHROSCOPY • partial meniscectomy • meniscal repair STABILISE LIGAMENT DAMAGE

  6. LOCALISED ARTICULAR CARTILAGE DAMAGE

  7. MICROFRACTURE MOSAICPLASTY AUTOLOGOUS CHONDROCYTE TRANSFER

  8. NO JOINT DEFORMITY LOCALISED DEFECT ONE SURFACE

  9. CONSERVATIVE MEASURES WEIGHT REDUCTION PHYSIOTHERAPY BRACES / HEEL WEDGES

  10. MEDICATION ANALGESICS ANTI-INFLAMMATORY DRUGS

  11. GLUCOSAMINE 1500mg COLLAGEN

  12. INJECTION • steroid • viscosupplementation • hyaluronic acid

  13. ARTHROSCOPY • assess wear pattern • resect degenerative meniscal tear • remove loose body

  14. DEBRIDE ARTICULAR CARTILAGE WASH OUT DEBRIS AND CRYSTALS

  15. OSTEOTOMY Varus / valgus deformity

  16. PUDDU • opening wedge • osteotomy

  17. UNICOMPARTMENT REPLACEMENTS

  18. NEED • intact ACL • intact lateral compartment • minor fixed deformity

  19. ADVANTAGES • small incision • rapid rehabilitation • greater mobility

  20. PATELLA ARTHROPLASTY

  21. PAIN / SWELLING GOOD FLEXION PAIN ON STAIRS / SLOPES

  22. TOTAL KNEE ARTHROPLASTY

  23. INSALL NEW YORK

  24. UNCONSTRAINED CONDYLAR PROSTHESIS

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