The term ‘Arthritis’ is pretty familiar to most of us, yet a very few understand the disease.Although arthritis is seen in both genders, women are more commonly affected. Unlike the popular belief that arthritis affects the elderly people, in reality, it can affect people of all age groups. In joints affected by arthritis the cushions at the ends of the bones wear out. This results in pain and in course of time leads to deformity of the legs. Knee joint is the most common joint affected by arthritis because of its crucial role in day to day activities.
The most common types of arthritis are the Osteo-arthritis (age related wear and tear) and Rheumatoid-arthritis (seen in middle aged patients caused by malfunction in one’s immune system).
Other less common types of arthritis include a) Gouty arthritis (caused by increased uric acid in blood), b) post-traumatic arthritis (due to old fracture), c) septic arthritis (because of infection) etc…
Some of the earliest symptoms of knee arthritis are a) pain while climbing up and coming down the stairs and b) pain while getting up from sitting position. Other symptoms of arthritis include the following.
In most cases examination of the patient’s knees and X-rays of the knee (AP standing & Lateral) is all it requires to clinch the diagnosis. In special cases the following additional x-rays would be useful to plan the treatment. X-ray helps to confirm the diagnosis and to grade the severity of arthritis.
While grade 1 and 2 (early stage) arthritis are managed by medical (non-surgical) treatment, grade 3 and 4 (late stage) arthritis are manages by one of the advanced surgical treatment options.
The basic treatments to get relief from the knee arthritis are:
Although biological treatments such as Platelet Rich Plasma (PRP) have shown promising results, the current studies are based on patients followed for short term (18 to 24 months) and long term results are yet to come. We recommend such therapy for patients who are actually not candidates for surgery for various reasons and in patients who want to post pone surgery for one or two years.
It is a form of biological treatment but done through Key-Hole technique. Similar to PRP, the current studies are based on patients followed for short term (18 to 24 months) and long term results are yet to available. We recommend such therapy for patients who are actually not candidates for knee replacement for various reasons and in patients who want to post pone knee replacement for one or two years.
(We are one of the very few centres in Asia to use Cutting edge Technology such as computer assisted surgery for total and partial knee replacement, which helps us in delivering unmatched results ) Surgical treatment for arthritis includes one of the following depending on the extent of arthritis.
1) Total knee Replacement is done a) when the arthritis involves more than one third of the joint surface, b) when the knee is deformed severely or c) in cases like rheumatoid arthritis. Performing Total Knee Replacement with Computer Navigation has various established advantages.
2) Partial Knee Replacement is done when the arthritis involves less than one third of the joint surface and when the ligaments are preserved well. When the inner compartment alone is wornout we replace only that compartment which is called Uni-compartmental Knee Replacement. Sometimes when the knee cap alone gets affected then we recommend knee cap replacement which is called as Patello-Femoral Replacement. We are one amongst very few centres globally to do Computer Assisted Partial knee Replacement surgery.
I met with an accident on Nov 8, 2017. My bone got smashed into 4 pieces heavily. I thought i wont reappear by walk, but with his auspicious treatment i just got completely cured in 2 months and i am on running on my leg now. He has returned back my normal life. Congrats and well done Sir.
My mother in law had her second knee replacement surgery and she is walking fine now,and Dr. Raj Kanna sir is very good at explaining the do's and don't s to the patient.
I had meniscus tear on my right knee. Thanks to Dr. Rajkanna. He explained the exact details of the status of injury, procedure to be done and do's & don't s after surgery. He didn't demand much as fees. I am feeling good like before the occurrance of injury. I would recommend him for Ortho related problems.