1.
Advanced Orthopaedic Centre
Information
On
Arthritis

2.
Types of arthritis
After injury or accident
Rheumatoid
Wear and tear
Gout

3.
Behaviour of Arthritic joint
Initially like a dry hinge
Gradually progressing to
a rusted hinge

4.
Stages of arthritic knee
Stage 1 Stage 2 Stage 3 Stage 4

5.
Treatment options
Medicines
Physiotherapy – Yoga
Brace, footwear modification

6.
knee brace
Reduces load on the joint
Hence reduces pain
Wear while standing
And walking

7.
Walking stick
Use in the same hand as
the arthritic knee

8.
Shoe modification
Outer half of the sole to be
thicker by 5mm
Reduces load on joint

9.
Stair climbing
Climbing up
Less painful knee up first
Climbing down
More painful knee down first

10.
Medication
 NSAIDS
 Steroids
 Analgesics
 Calcium / vitamin D
 HRT
Always take under medical
supervision

11.
Newer Drugs
 Glucosamine and chondroitin
 Anti oxidants
 Hyaluronic acid
Always take under medical
supervision

12.
Yoga and physiotherapy
 Helps in maintenance of joint
mobility
 Has no role in cure or prevention
of further degeneration

13.
Heat application
Moderate pain
Should be bearable
Avoid in diabetics

14.
Simple Generic Implant
Made in India
Inexpensive

15.
Ice application
When the joint is
Warm
Very painful

16.
Diet
Avoid
Non veg food
Alcohol
 (Sour things if they do not suit you)

17.
Avoid

18.
Avoid
Use

19.
Simple exercises

20.
Simple exercises

21.
Knee caps help relieve pain

22.
Simple modular implant
Used for Prime Minister

23.
Complex Modular Implant
Femoral Augment
Required for difficult cases

24.
One stage bilateral knee
replacement
 Bilateral knee involvement is common
 Identical deformities in both knees
 Changed gait pattern

25.
Exclusion criteria
Bilateral surgery avoided in;
 on steroids
 on methotrexate
 gross osteoporosis
 gross flexion deformity
 poor nutritional status

26.
Prevention of Failure
 Ultra clean O.T
 Space suit
 Experience

27.
Ultra clean operation theatre
Laminar air flow

28.
Space suit

29.
For more information
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