Treatment for osteoarthritis of the knee depends upon the severity of the arthritis and the patients symptoms. Initially non-surgical treatment methods are recommended; options include: activity modifications, weight loss for patients who are overweight, use of assistive and corrective devices (such as a shoe inserts, a brace, a cane, or a walker), nutritional supplements (such as glucosamine and chondroitin), and medications (such as Tylenol or anti-inflammatory medications).
If these options fail to control the symptoms, injections into the knee, either in the form of a steroid (such as cortisone) or visco-supplementation injections (eg. Synvisc or Euflexxa ) may be attempted. If conservative measures fail, knee replacement surgery is recommended. In this surgery the arthritic ends of the bones are cut away and replaced by metal and plastic components.
When the primary site of arthritis involvement is the patellofemoral articulation (the cartilage of the patella and the underlying groove of the femur), a patellofemoral partial knee replacement can be considered. This allows for preservation of the native anatomy and mechanics of the majority of the knee, and resurfacing of the diseased areas only. Patients report a more “natural feeling” knee, and tend to recover faster.
Some patients can benefit from a MAKOplasty procedure, which is a robotic assisted patellofemoral partial knee replacement surgery, which helps restore the anatomy and alignment of the joint with a high degree of accuracy.
At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka provides innovative treatments for segmental patellofemoral knee arthritis, tailored to each individual patient, with added qualification and certification in robotic assisted MAKOplasty surgery, as well as Patellofemoral Partial Knee Replacement procedures.