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Osteoarthritis impacts over 70 million Americans, causing pain and disability. With over a million new diagnoses each year, this condition particularly affects those aged 65 and older. Symptoms include stiffness, swelling, and severe pain, particularly in the knee. Options range from conservative treatments like physical therapy and medications to surgical interventions like total knee replacement, which offers high patient satisfaction. Many who could benefit remain unaware or fearful, underscoring the importance of education. Explore solutions to enhance mobility and quality of life for those with knee arthritis.
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Arthritis affects over 70 million Americans •2nd only to heart disease in causing disability •1 million new patients diagnosed each year • Affects 50% of people 65 yrs or older
Osteoarthritis is most common form of Arthritis • Rheumatoid arthritis • Post-traumatic arthritis • Inflammatory arthritis • Septic arthritis All result in loss of joint cartilage Healthy Diseased
Factors that influence the onset of arthritis • Heredity / Family history • Age • Weight • Gender • Trauma / Repetitive stress • High impact sports • Other illnesses Diseased compartment
The Knee is the #1 Joint Affected by Arthritis Symptoms of Knee Arthritis • Stiffness • Swelling • Deformity • (“knocked-knee”/ “bow-legged”) • Crepitus (clicking, crunching, grinding) • PAIN • Start-up • Activity limiting • Nighttime
Aspirin NSAID’s (non-steroidal anti-inflammatory drugs) Physical Therapy Activity Modification Weight Loss Nutritional Supplements Corticosteroid injections Initial Conservative Treatments
Surgical Options for Knee Arthritis • Arthroscopy • Debridement • Meniscectomy • Chondroplasty • Osteotomy • Bone cut and re-aligned onto remaining good cartilage • Joint Replacement • Uni-compartmental knee replacement (partial knee replacement) • Tri-compartmental knee replacement (total knee replacement)
Total Knee Replacement • Most common joint replaced • First performed in 1968 • Nearly 470,000 TKR’s performed per year in US
Total Knee Replacement • Patient satisfaction typically 85-90% • Relieves pain • Restores mobility • Durability well documented at ~90% survivorship @10yrs • Improvements in materials and techniques continue
Total Knee Replacement: Who’s a candidate? • Many patients that could be helped by knee replacement don’t know about it or do not seek care • Lack of knowledge • Misconceptions • Fear How long do patients wait before they see their surgeon?
Common Misconceptions Delaying Knee Replacement Surgery • Myth #1- Arthritis pain is just part of the aging process…live with it. • Myth #2- It won’t feel natural. • Myth #3- Too young for a knee replacement. • Myth #4- Should wait as long as possible to undergo knee replacement surgery • Myth #5- It doesn’t matter how long I wait to have knee replacement surgery.
Important Patient Demographic Trends • Over 65 yr group is the most rapidly expanding segment of our population • Increasing individual longevity will result in a greater number of individuals living long enough to be diagnosed with arthritis • Average age of today’s total knee replacement patient is 67 yrs.
Important Patient Demographic Trends • 36% of knee replacement patients are between ages 40-64 • This group of younger patients requiring knee replacement is increasing • Those individuals requiring treatment for their arthritis will need solutions with even greater durability
When to Refer to an Orthopaedic Specialist • Pain and limitations alter quality of life • Night time pain and sleep disturbance • When conservative treatments no longer resolve activity limiting pain caused by osteoarthritis
Postponing Knee Replacement Surgery Can Have Detrimental Effects • Bones serving as the foundation for the implant will continue to deteriorate. • Reduce chance of regaining full functionality
Life After Knee Replacement Surgery • Patients encouraged to resume a healthy, active lifestyle, including participating in low-impact sports such as: • Walking • Swimming • Cycling • Golfing • More aggressive sports or activities should not be attempted without a doctor’s approval
Unique Joint Replacement Option:Rotating Platform Knee System • Articulates like the natural knee • Allows the knee to slightly twist and turn, as well as flex and extend • Outstanding clinical results for over 25 years • Demonstrated 97 percent survivorship at up to 20 years.
Rotating Platform Knee System • This procedure is not for everyone. As with any surgery, there are risks. Recovery takes time and hard work. The life of a joint replacement depends on weight, activity level, age and other factors. Each patient responds differently.
Solutions for Arthritis of the Knee Summary • The number of patients suffering from arthritis of the knee is steadily growing • Of the patients suffering from knee arthritis nearly half may not seek treatment due to poor information or fear • Total knee replacement is an effective treatment for end-stage knee arthritis