Max Institute of Orthopaedics & Joint Replacements, Patparganj offers comprehensive care for arthritis, with its team of highly qualified, experienced and world renowned doctors including joint replacement surgeons, orthopaedicians, physiotherapists and rheumatologists. The treatment of knee arthritis varies, depending upon the severity of the condition. In early stages, simple measures like anti-inflammatory medications, dietary supplements, physical therapy (exercises) and lifestyle modification might help to relieve your symptoms. Injections might be given in the knee to control joint inflammation and give temporary relief in some cases. When this ‘conservative treatment’ fails to relieve your symptoms, it is the time to think of surgery. Your doctor may offer you one of the following surgical options:
Arthroscopy (‘key-hole’ surgery)
In this, the joint is thoroughly washed out of the inflammatory mediators, the degenerated cartilage is shaved/smoothened, degenerative tears of the ‘meniscus’ debrided and any loose bodies in the joint removed, relieving the symptoms and increasing the movements.
Joint salvage surgery
In younger patients, some surgical procedures can be undertaken to correct the bony and soft tissue alignment of the knee, relieving the pain and improving function. Such procedures are called ‘osteotomies’, and preserve the natural cartilage and ligaments of the knee, with no activity restrictions following the surgery.
Joint replacement surgery
In the most severe cases, where other treatment options have failed, joint replacement is the only option. A joint replacement or ‘arthroplasty’ is actually a resurfacing surgery, wherein the worn out surfaces of the bones are shaved and replaced with artificial metallic components (prosthesis) fixed with a special cement. In advanced cases, all the three bone surfaces forming the knee might need to be replaced in a ‘total knee replacement’, whereas in less severe cases, only a part of the knee might need replacement as a ‘partial knee replacement’ (unicondylar or patellofemoral knee replacement). Several designs of prostheses are available in the market, and your surgeon would suggest you one best suited to your needs and anatomy. Max hospital boasts of the topmost joint replacement surgeons in the country, with an extensive experience of primary, complex and revision knee replacements. The hospital has world-class modular operation theatres using laminar air flow systems and body exhaust suites, to minimize the risk of infection.
With improvements in prosthetic designs, materials and surgical techniques, an ‘artificial knee’ can last for your lifetime. Modern research has shown that the prosthetic knees function continue to function well, without any significant pain or loosening, even after 25 years in more than 90% of the patients. Newer materials such as highly cross-linked polyethylene have further increased the survivorship of prosthetic implants. Modern techniques like computer navigation enable the surgeons to implant the new joint in accurate alignment to restore the biomechanics and kinematics of the knee. PINLESS computer navigation is the latest technology in navigation, and is available at our hospital. Do ask your surgeon about PINLESS navigation and its advantages.