the arthritic knee ~ treatment options ~ a. john campbell frcs surrey and sussex nhs trust
TRANSCRIPT
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The Arthritic Knee~ Treatment Options ~
A. John Campbell FRCSSurrey and Sussex NHS Trust
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U.S.A. 55% people > 60 years old
U.K. 20% people > 45 years old
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Be active
Live longer
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REDUCE THE RISK
OF ARTHRITIS
Pick the right parents
Weight reduction
Modify activities
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SURGICAL MEASURES
ARTHROSCOPY
partial meniscectomy
meniscal repair
STABILISE LIGAMENT DAMAGE
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LOCALISED ARTICULAR
CARTILAGE DAMAGE
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MICROFRACTURE
MOSAICPLASTY
AUTOLOGOUS CHONDROCYTE
TRANSFER
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NO JOINT DEFORMITY
LOCALISED DEFECT
ONE SURFACE
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CONSERVATIVE MEASURES
WEIGHT REDUCTION
PHYSIOTHERAPY
BRACES / HEEL WEDGES
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MEDICATION
ANALGESICS
ANTI-INFLAMMATORY DRUGS
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GLUCOSAMINE 1500mg
COLLAGEN
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INJECTION steroid
viscosupplementation
hyaluronic acid
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ARTHROSCOPY
assess wear pattern
resect degenerative meniscal tear remove loose body
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DEBRIDE ARTICULARCARTILAGE
WASH OUT DEBRISAND CRYSTALS
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OSTEOTOMY
Varus / valgus deformity
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PUDDU opening wedge osteotomy
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UNICOMPARTMENT
REPLACEMENTS
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NEED
intact ACL
intact lateral compartment
minor fixed deformity
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ADVANTAGES
small incision rapid rehabilitation greater mobility
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PATELLAARTHROPLASTY
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PAIN / SWELLING
GOOD FLEXION
PAIN ON STAIRS / SLOPES
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TOTAL KNEE
ARTHROPLASTY
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INSALL NEW YORK
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UNCONSTRAINEDCONDYLAR PROSTHESIS
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PAIN >> NIGHT ~ REST
MOBILITY
LIMP
PATIENT MOTIVATION
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PATIENT EXPECTATIONS
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BEST RESULT
WELL INFORMED /
MOTIVATED PATIENT
ACCURATE SURGERY
INTENSIVE REHABILITATION
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THE
A. John Campbell FRCSSurrey and Sussex NHS Trust
The Arthritic Knee~ Treatment Options ~
END
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