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Arthritis in initial stages can be managed by arthritis medicine. Anti-inflammatory drugs often suppress the pain and limit swelling. Once the joint cartilage has been damaged to an extent that any attempt to use it is very painful and X-rays confirm the severe destruction, surgical options need to be considered.
Surgery should be advised after a thorough general check-up of the patient. And peri-operative care is highly co-ordinate between surgeon, anesthetist, physician, physiotherapists or any other specialty depending on patient’s health status.
Various Surgical interventions are available for arthritis depending on the severity of patient's condition and the doctor's assessment. These include:
A telescope is inserted into the knee and products of wear and tear are removed for arthritis knee treatment.
The shin bone (tibia) is cut at the upper end and realigned to distribute the loads in a knee which is only partially arthritic.
Total knee replacement or 'Arthroplasty' is relining of the joint (bone end surfaces) with artificial parts called Prostheses. This has a new design called High Flexion Knees permitting near complete range of movement.
In some patients only one half of the knee joint is worn out. In these situations only one side of the knee is replaced. It can be done in specific conditions, which only the arthritis doctor can judge and advice. Unicondylar Knee Replacement is comparatively economical and since the operation is less extensive, the post-operative recovery is faster.
There are two major types of Total Hip Replacements: a cemented prosthesis and an un-cemented prosthesis. Both are widely used.
Patients must give a detailed account of their medical history to the Surgeon as it may have a bearing on their operation and its result.
