Osteoarthritis - Singapore Orthopaedic Surgeon
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Osteoarthritis - Singapore Orthopaedic Surgeon

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Visit our website for more details:
http://www.orthopaedicsurgeon.com.sg/patients-education/general/osteoarthritis/

Tel: +65 64712674
Email: kevin@orthopaedicsurgeon.com.sg

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  • 1. Liberty From Aches and Pain Dr. Kevin M. H. Yip Singapore Orthopaedic Surgeon
  • 2.
    • Causes of knee osteoarthritis
    • Diagnosis
    • Prevention
    • Conservative treatment
    • Medication
    • Surgical treatment
  • 3. A progressive disease
  • 4. Natural progression Of OA
    • Acute inflammation phase
      • Intermittent
    • Loose bodies
    • Osteophytes
    • Loss of Cartilage and Meniscus
    • Deformity-accelerated
  • 5. Video
  • 6. Video
  • 7.  
  • 8. Progression of OA Knee
  • 9. Causes of early knee degeneration
    • age, recurrent inflam
    • Sports is better or worse for the knee?
  • 10. Inflammation damages Joints
    • Rheum Arthritis, Gouty Arthritis, Haemophilia
    • ACL Deficient knee
  • 11. Causes of early knee degeneration
    • Cruciate ligament tear
    • Meniscus tear
    • Cartilage Damage
    • Immobilization
  • 12. Other Causes of Knee Pain
    • Bursitis
    • Tendinitis
    • Mal Tracking Patella
    • Gouty Arthritis
  • 13. Diagnosis-Clinical and XR
  • 14. Diagnostic Arthroscopy
    • GoutyArthritis
    • Patella
    • Mal-Tracking
    • Plica
  • 15. Exercise
  • 16.  
  • 17. Meniscus Repair
    • Importance of the meniscus - an important cushioning mechanism
    • Need early repair to prevent extension of the tear
  • 18.  
  • 19. Meniscus Injuries
  • 20. Cartilage Injury
    • Osteochondral lesions - Fixation or removal of loose bodies
  • 21. Do we need to treat OA Knee?
    • Suffering the symptom of pain
    • Morbidity
    • Quality of life
    • Treatment depends of the symptoms and XR
    • Need to explain the pros and cons of the treatment options and to help the patient to make a correct option.
  • 22. Treatment for OA knee
    • Medication
    • Arthroscopic washout
    • Knee joint Injection
    • Bone realignment
    • Joint replacement
  • 23. Treatment of OA knee
  • 24.
    • Acute phase - Rest, Ice, Compression, Elevation, Medication
  • 25. Anti-Inflammation Medicine
    • eg Vioxx, Arcoxia (MSD)
    • Celebrex, Bextra(Pfizer)
    • Cox 2
    • Safe and effective
    • Low GI effect
  • 26.
    • Miacalcic Nasal 2000
    • (Calcitonin)-Novartis
  • 27.  
  • 28.
    • 3 injections, one week apart
    • Multicenter
    • Prospective
    • Randomized
    • Controlled (arthrocentesis)
    • Double-blind
    • All patients received arthrocentesis
    • Intent-to-treat population
      • hylan G-F 20: 31 knees
      • NSAID 34 knees
      • NSAID + hylan G-F 20 : 37 knees
    Hylan G-F 20 vs. Continuous NSAID Therapy Adams et al. (1995), Osteoarth Cartil 3
  • 29.  
  • 30. Initial Treatment of Knee inflam
    • Aspiration, Physiotherapy
    • Arthroscopic Washout of loose bodies
  • 31. Arthroscopic washout
    • Recovery is faster and less invasive.
  • 32.
    • Cartilage - Abrasive therapy
    • Soft tissue - shaving, synovectomy
    Surgical Procedures
  • 33.  
  • 34.  
  • 35. High Tibial Osteotomy
  • 36.  
  • 37.  
  • 38.  
  • 39.  
  • 40. Joint Replacement
    • Remarkable pain relief
    • Range of motion is good
    • Lasts for 20-25yrs
  • 41. Treatment of OA knee
  • 42. Discussion
    • Degen Arthritis is treatable.
    • Recurrent inflammation can damage cartilage
    • Arthroscopic washout and debridement for moderate OA
    • Joint replacement has good long term results
  • 43.
    • Thank You