2. The Arthritic Knee ~ Treatment Options ~ A. John Campbell FRCS Surrey and Sussex NHS Trust

4. U.S.A. 55% people > 60 years old U.K. 20% people > 45 years old

5. Be active Live longer

8. REDUCE THE RISK OF ARTHRITIS Pick the right parents Weight reduction Modify activities

9. SURGICAL MEASURES ARTHROSCOPY  partial meniscectomy  meniscal repair STABILISE LIGAMENT DAMAGE

13. LOCALISED ARTICULAR CARTILAGE DAMAGE

16. MICROFRACTURE MOSAICPLASTY AUTOLOGOUS CHONDROCYTE TRANSFER

18. NO JOINT DEFORMITY LOCALISED DEFECT ONE SURFACE

19. CONSERVATIVE MEASURES WEIGHT REDUCTION PHYSIOTHERAPY BRACES / HEEL WEDGES

20. MEDICATION ANALGESICS ANTI-INFLAMMATORY DRUGS

21. GLUCOSAMINE 1500mg COLLAGEN

22. INJECTION  steroid  viscosupplementation hyaluronic acid

23. ARTHROSCOPY  assess wear pattern  resect degenerative meniscal tear  remove loose body

24. DEBRIDE ARTICULAR CARTILAGE WASH OUT DEBRIS AND CRYSTALS

28. OSTEOTOMY Varus / valgus deformity

31. PUDDU  opening wedge osteotomy

33. UNICOMPARTMENT REPLACEMENTS

38. NEED  intact ACL  intact lateral compartment  minor fixed deformity

39. ADVANTAGES  small incision  rapid rehabilitation  greater mobility

40. PATELLA ARTHROPLASTY

43. PAIN / SWELLING GOOD FLEXION PAIN ON STAIRS / SLOPES

47. TOTAL KNEE ARTHROPLASTY

49. INSALLNEW YORK

50. UNCONSTRAINED CONDYLAR PROSTHESIS

55. PAIN >> NIGHT ~ REST MOBILITY LIMP PATIENT MOTIVATION

56. PATIENT EXPECTATIONS

57. BEST RESULT WELL INFORMED / MOTIVATED PATIENT ACCURATE SURGERY INTENSIVE REHABILITATION

58. THE A. John Campbell FRCS Surrey and Sussex NHS Trust The Arthritic Knee ~ Treatment Options ~ END