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“Helping Osteoarthritis Patients Regain Mobility”. Arthritis affects over 70 million Americans. • 2 nd only to heart disease in causing disability • 1 million new patients diagnosed each year • Affects 50% of people 65 yrs or older. Osteoarthritis is most common form of Arthritis.
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Arthritis affects over 70 million Americans •2nd only to heart disease in causing disability •1 million new patients diagnosed each year • Affects 50% of people 65 yrs or older
Osteoarthritis is most common form of Arthritis • Rheumatoid arthritis • Post-traumatic arthritis • Inflammatory arthritis • Septic arthritis All result in loss of joint cartilage Healthy Diseased
Factors that influence the onset of arthritis • Heredity / Family history • Age • Weight • Gender • Trauma / Repetitive stress • High impact sports • Other illnesses Diseased compartment
The Knee is the #1 Joint Affected by Arthritis Symptoms of Knee Arthritis • Stiffness • Swelling • Deformity • (“knocked-knee”/ “bow-legged”) • Crepitus (clicking, crunching, grinding) • PAIN • Start-up • Activity limiting • Nighttime
Aspirin NSAID’s (non-steroidal anti-inflammatory drugs) Physical Therapy Activity Modification Weight Loss Nutritional Supplements Corticosteroid injections Initial Conservative Treatments
Surgical Options for Knee Arthritis • Arthroscopy • Debridement • Meniscectomy • Chondroplasty • Osteotomy • Bone cut and re-aligned onto remaining good cartilage • Joint Replacement • Uni-compartmental knee replacement (partial knee replacement) • Tri-compartmental knee replacement (total knee replacement)
Total Knee Replacement • Most common joint replaced • First performed in 1968 • Nearly 470,000 TKR’s performed per year in US
Total Knee Replacement • Patient satisfaction typically 85-90% • Relieves pain • Restores mobility • Durability well documented at ~90% survivorship @10yrs • Improvements in materials and techniques continue
Total Knee Replacement: Who’s a candidate? • Many patients that could be helped by knee replacement don’t know about it or do not seek care • Lack of knowledge • Misconceptions • Fear How long do patients wait before they see their surgeon?
Common Misconceptions Delaying Knee Replacement Surgery • Myth #1- Arthritis pain is just part of the aging process…live with it. • Myth #2- It won’t feel natural. • Myth #3- Too young for a knee replacement. • Myth #4- Should wait as long as possible to undergo knee replacement surgery • Myth #5- It doesn’t matter how long I wait to have knee replacement surgery.
Important Patient Demographic Trends • Over 65 yr group is the most rapidly expanding segment of our population • Increasing individual longevity will result in a greater number of individuals living long enough to be diagnosed with arthritis • Average age of today’s total knee replacement patient is 67 yrs.
Important Patient Demographic Trends • 36% of knee replacement patients are between ages 40-64 • This group of younger patients requiring knee replacement is increasing • Those individuals requiring treatment for their arthritis will need solutions with even greater durability
When to Refer to an Orthopaedic Specialist • Pain and limitations alter quality of life • Night time pain and sleep disturbance • When conservative treatments no longer resolve activity limiting pain caused by osteoarthritis
Postponing Knee Replacement Surgery Can Have Detrimental Effects • Bones serving as the foundation for the implant will continue to deteriorate. • Reduce chance of regaining full functionality
Life After Knee Replacement Surgery • Patients encouraged to resume a healthy, active lifestyle, including participating in low-impact sports such as: • Walking • Swimming • Cycling • Golfing • More aggressive sports or activities should not be attempted without a doctor’s approval
Unique Joint Replacement Option:Rotating Platform Knee System • Articulates like the natural knee • Allows the knee to slightly twist and turn, as well as flex and extend • Outstanding clinical results for over 25 years • Demonstrated 97 percent survivorship at up to 20 years.
Rotating Platform Knee System • This procedure is not for everyone. As with any surgery, there are risks. Recovery takes time and hard work. The life of a joint replacement depends on weight, activity level, age and other factors. Each patient responds differently.
Solutions for Arthritis of the Knee Summary • The number of patients suffering from arthritis of the knee is steadily growing • Of the patients suffering from knee arthritis nearly half may not seek treatment due to poor information or fear • Total knee replacement is an effective treatment for end-stage knee arthritis