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.