“Helping Osteoarthritis Patients Regain Mobility”

Arthritis affects over 70 million AmericansArthritis 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

•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 ArthritisOsteoarthritis is most common form of Arthritis

Rheumatoid arthritis Post-traumatic arthritis Inflammatory arthritis Septic arthritis

All result in loss of joint cartilage

Rheumatoid arthritis Post-traumatic arthritis Inflammatory arthritis Septic arthritis

All result in loss of joint cartilage

Healthy

Diseased

Factors that influence the onset of arthritisFactors that influence the onset of arthritis

Heredity / Family history Age Weight Gender Trauma / Repetitive

stress High impact sports Other illnesses

Heredity / Family history Age Weight Gender Trauma / Repetitive

stress High impact sports Other illnesses

Diseased compartmentDiseased compartment

The Knee is the #1 Joint Affected by ArthritisThe Knee is the #1 Joint Affected by Arthritis

Stiffness

Swelling

Deformity (“knocked-knee”/ “bow-legged”)

Crepitus (clicking, crunching, grinding)

PAIN Start-up

Activity limiting

Nighttime

Stiffness

Swelling

Deformity (“knocked-knee”/ “bow-legged”)

Crepitus (clicking, crunching, grinding)

PAIN Start-up

Activity limiting

Nighttime

Symptoms of Knee Arthritis

Initial Conservative TreatmentsInitial Conservative Treatments

Aspirin NSAID’s

(non-steroidal anti-inflammatory drugs)

Physical Therapy

Aspirin NSAID’s

(non-steroidal anti-inflammatory drugs)

Physical Therapy

Activity Modification

Weight Loss

Nutritional Supplements

Corticosteroid injections

Activity Modification

Weight Loss

Nutritional Supplements

Corticosteroid injections

Surgical Options for Knee ArthritisSurgical 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)

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 ReplacementTotal Knee Replacement

Most common joint replaced

First performed in 1968

Nearly 470,000 TKR’s performed per year in US

Most common joint replaced

First performed in 1968

Nearly 470,000 TKR’s performed per year in US

Total Knee ReplacementTotal Knee Replacement

Patient satisfaction typically 85-90% Relieves pain

Restores mobility

Durability well documented at ~90% survivorship @10yrs

Improvements in materials and techniques continue

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?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

Many patients that could be helped by knee replacement don’t know about it or do not seek care Lack of knowledge

Misconceptions

Fear28%

11%

16%

26%

19%

Less than 1 year

1-2 years

2-3 years

3-5 years

More than 5 years

How long do patients wait before they see their surgeon?How long do patients wait before they see their surgeon?

Common Misconceptions Delaying Knee Replacement SurgeryCommon 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.

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 TrendsImportant 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.

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 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

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 SpecialistWhen 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

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 EffectsPostponing 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

Bones serving as the foundation for the implant will continue to deteriorate.

Reduce chance of regaining full functionality

Life After Knee Replacement SurgeryLife 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

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 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.

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 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.

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

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

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

Thank YouSponsored by

www.kneereplacement.com

Thank YouSponsored by

www.kneereplacement.com