Monday, January 6, 2025

True Knee Joint Preservation with arthroscopy in Osteoarthritis of Knee Joint

Arthroscopy plays a role in the management of osteoarthritis (OA) by:

1. Diagnosing OA: Confirming the presence and severity of OA
2. Debridement: Removing loose cartilage fragments, bone spurs, and inflamed tissue
3. Lavage: Rinsing the joint with a saline solution to remove debris
4. Chondroplasty: Smoothing or reshaping damaged cartilage
5. Osteophyte removal: Removing bone spurs that can cause pain and limited mobility
6. Synovectomy: Removing inflamed synovial tissue
7. Cartilage repair: Stimulating cartilage regeneration or repairing cartilage defects

Benefits of arthroscopy in OA management:

1. Minimally invasive
2. Reduced recovery time
3. Less pain and inflammation
4. Improved joint mobility and function
5. Delayed or avoided joint replacement surgery

However, arthroscopy is not suitable for all OA cases, particularly:

1. Advanced OA with significant joint damage
2. Severe bone-on-bone contact
3. Joint instability or malalignment

Arthroscopy is often combined with other treatments, such as:

1. Physical therapy
2. Pain management
3. Lifestyle modifications (weight loss, exercise)
4. Medications (NSAIDs, corticosteroids)
5. Alternative therapies (
acupuncture, 
hyaluronic acid injections)
6. High Tibial Osteotomy (HTO)

Consult your joint preservation arthroscopic surgeon to determine if arthroscopy is appropriate for your OA condition.

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