4. Maintain a Healthy Weight
• Excess weight puts undue stress on your joints
and speed up the deterioration of joint
cartilage.
• For those who have OA, excess weight can
exacerbate the symptoms.
• Losing weight has been proven to reduce pain
in legs and hips.
5. Exercise
• Exercise is essential to slowing and preventing
osteoarthritis.
• It maintains healthy joints, relieves stiffness,
reduces pain and fatigue, and increases
muscle and bone strength.
• Arthritis experts recommend low-impact
exercises that involve aerobic activity,
strength training, and stretching
6.
7.
8.
9. Diet
• A diet low in saturated fat and high in fiber-
rich food.
• whole grains, Fresh fruits, and vegetables will
optimize nutrition and help you avoid excess
weight.
• Avoid processed and fried food.
10. Rest
• While exercise can help develop healthy joints
and muscles, excessive overuse of joints can
increase the risk of developing OA.
• The key is balance. Also, for those who have
OA, fatigue has been shown to increase pain.
• Make sure you get eight to 10 hours of sleep
every night.
13. Non Surgical management of knee
arthritis
• Reduction of weight.
• Use of cane
• Limitation of activity
• Intraarticular cortisone injection.
• Swimming / bicycle.
• Knee cap / braces.
• NSAIDs.
• Physiotherapy and SWD.
14. When to consider a Total knee
replacement
• Only patient can make a informed decision.
• Constant pain / wheelchair bound – Needs
TKR.
• Responding to non operative treatment and
can walk long distance without a stick – Do
not need a TKR.
15. SOME FACTS ABOUT KNEE ARTHRITIS
• Grade 4 arthritis will never get better or
remains same but will gradually get worse.
• Gradually star affecting other knee and lower
back.
• Delay of surgery may start affecting other
side.
• Longer you sit around with arthritis softer
your bones and weaker your muscles.
• Total knee replacement has 96% success rate.
16. Metal used is Cobalt
Chromium.
High Density Polythelene
in the middle.
17.
18. MIS ( Minimally Invasive Surgery) knee
• Small Skin Insertion
• Minimal disruption of
extensor mechanism
• Shorter hospital stay
• Early mobilisation and quick
recovery
• Less blood loss
20. Why a woman’s knee?
Gender Total Knee
Orthopaedic surgeons have reported anatomical
•
differences in women’s and men’s knees for years.
Orthopaedic surgeons often have to consider
intraoperative adjustments during knee surgery to
accommodate women’s anatomical differences.
Women account for nearly two-thirds of knee
arthroplasties performed annually .
Women are three times more likely to need knee
arthroplasty.
21. • CT data documents
distinctive shape
differences in female and
male distal femurs.12,13
Female femurs are:
• More trapezoidal-shaped.
Narrower in the M/L
dimension when
compared to a male
femur of the same A/P
dimension
23. Unicondylar Knee Replacements
Localised Knee arthritis
Preservation of uninvolved
tissues and bone.
With appropriate patient
selection, careful surgical
technique, and proper implant
design long term excellent
results.
25. Computer Navigation in TKR
Mechanical Axis • The use of computer
navigation in total knee
replacement (TKR) has
resulted in consistently
accurate alignment of
prosthetic components.
• Helps surgeon in soft
tissue balancing in
difficult TKR
