If you are suffering from knee arthritis, and need a knee replacement Virginia Beach now has the option of cutting edge techniques and implants, offered at Oceana Sports Medicine and Orthopaedic Center.  Read on to learn more about the condition and its treatment.

Knee Arthritis and Knee Replacement Surgery

The knee joint is made up of three bones: the thigh bone (femur), the shin bone (tibia) and the kneecap (patella). The end of each of these bones is covered by a smooth, shiny, white, gristle-like layer of tissue called articular cartilage. This layer allows these bones to glide smoothly over each other during knee motion. Articular cartilage damage and wear that accumulates over time results in arthritis. Arthritis development or exacerbation can be induced by minor or major trauma to the joint, and is strongly correlated with body weight, activity level and occupation (amount of weight bearing). Genetic predisposition also plays a role in the development and symptomatology of arthritis. Various coexistent pathology can be present, including meniscus tears, loose bodies and bone spurs. Involvement can be localized to one section of the joint or spread diffusely though the entire joint.

It can be present without any symptoms, but usually causes pain, loss of motion, deformity and functional limitation, generally worse with weight-bearing. Patients may also notice intermittent swelling in the knee and/or a grinding sensation with knee movement. As the arthritis progresses, there may be a loss of range of motion or stiffness in the knee. Some patients complain of pain associated with weather changes
The diagnosis of osteoarthritis of the knee is typically made by a combination of the patient’s history, the findings on physical examination, and X-rays.
Treatment for osteoarthritis of the knee depends upon the severity of the arthritis and the patients symptoms. Initially, non-surgical treatment methods are recommended, including activity modifications, weight loss for patients who are overweight, use of assistive and corrective devices (such as a shoe inserts, a brace or cane, or a walker), nutritional supplements (such as glucosamine and chondroitin), and anti-inflammatory medications are helpful. If these options fail to control the symptoms, cortisone injections or visco-supplementation injections (eg. Synvisc or Euflexxa ) may be attempted.

If conservative measures fail, surgery is an option. Sometimes minimally invasive arthroscopic surgery can be considered, if the disease is not too advanced. Arthroscopy can provide relief for a long period of time, especially if torn meniscus and cartilage fragments are effectively debrided, and irritated and inflamed synovium (joint lining tissue) is thinned down. Arthroscopy can also provide visual information on the degree of cartilage damage, and help with forming a prognosis on the condition.

In patients with severe disease, deformity and functional limitation, Total Knee Replacement is the surgery of choice. In this surgery the arthritic cartilage surfaces of the bones are removed and replaced with metallic surfaces and a plastic articulating insert. Depending on the degree or arthritis and the location of involvement, among other factors, a Partial Knee Replacement can be considered. Some patients can also benefit from a MAKOplasty procedure, which is a robotic assisted 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 knee arthritis, tailored to each individual patient.

Some of the procedures include Modern Total Knee Replacement Surgery utilizing cutting-edge, 3-D Print Cement-less Implants, Robotic Assisted MAKOplasty Surgery, as well as Partial Knee Replacement and Patellofemoral Knee Replacement procedures.