Surgical Options For Knee Osteoarthritis Surgical Options

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Surgical options for the management of knee osteoarthritis other than total knee replacement are discussed in detail.
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[@phillebo]

Thanks so much for doing this. You certainly don't need to do this, but you do it anyway. You help a lot of people with your explanations and advice. Thanks again.

[@TalkingWithDocs]

Hi Phil. You are very welcome. Thanks for taking the time to comment and for watching our videos.

[@tahirhashmi9832]

Excellent work in educating general public

[@TalkingWithDocs]

Thanks Tahir. Thanks for watching and subscribing if you did

[@شنوتعلمتاليوم]

I love this channel, keep up the great work

[@TalkingWithDocs]

Thanks Hamza! We are trying.

[@darlenericotta7550]

Thanks for the great information on all your videos!

[@TalkingWithDocs]

Very welcome Darlene

[@alidavalentinagosgnach700]

Love this channel docs! Keep up the good work!😊

[@TalkingWithDocs]

Thanks Alida! Thanks for watching and subscribing

[@leegilmour8090]

I have a bipartite pittella and it is causing me major pain is there any kind of knee clean up operation that can be done

[@evelynbarton6349]

Thank you Doctors for your expert advice & taking the time to help us. I have osteoarthritis & cpd, I have been told I need a replacement, I've NEVER been offered hyluronic gel, just steroids that don't give relief anymore. Respectfully ask, how do I choose a orthopedic surgeon for replacement & or how do I converse with the Doctor in asking for the gel, I choose not to take pain meds & anti-inflammatory meds are hard on my stomach. Sincerely, thank you. P.S. apprehensive about any surgery.

[@TalkingWithDocs]

Hi Evelyn. You are very welcome and we are very glad to hear that you found the videos helpful. Finding a surgeon can be difficult. Looking online is one option and reading the reviews. Asking your family doctor who they recommend. Or best of all is word of mouth from someone you know and trust who has their own surgeon. With respect to asking about injections, simply ask if you can have one. It is always possible that it may not provide you with relief but ultimately it is up to the patient. Hope that helps. And thanks for watching.

[@darrenvictor2648]

Thank you for taking your time to help us all, great work! I have a question... I have just had meniscus surgery and they have found out that I also have osteoathritis. I have been given medication but they are also planning to inject my knee with some kind of gel, which they plan to do once a year... What can you say about this gel? Thank you in advance!

[@TalkingWithDocs]

Hi victor Darren. Glad to hear you are recovering. The gel is likely hyaluronic acid. This is a very safe and effective treatment for osteoarthritis. It does not cure or reverse your arthritis but will help reduce the symptoms. Response is variable with respect to the amount of relief and the duration but most people get something out of it. Good luck!

[@darrenvictor2648]

@@TalkingWithDocs thanks a lot! Real happy for what u do!!!

[@TalkingWithDocs]

Hi victor. You are very welcome. We are trying to do everything we can to help as many people as we can.

[@rachelgrant8661]

Dear talking with docs hi i want to know how to fixed a weak quad muscle in the leg by what type of surgey do they do for it from rachel grant

[@TalkingWithDocs]

Usually no surgery unless it is ruptured. We have a video on that

[@rachelgrant8661]

Dear talking with docs hi i want to know what type of knee replacement surgery can they do on a 46 years old women whose been in so much pain for a while now and it been very soreness and also it's been hurting for a while now ps thanks Rachel Grant

[@TalkingWithDocs]

Hi Rachel. It really depends on the location of your disease but often the same implant that is used in older patients

[@willowmorst8861]

Can you do one on Stem? It’s so alluring, but I can’t find anything legit to support it. It’s also not covered by insurance and very expensive. Like $5000 for a shot and supposedly in has to be cord blood? Is it suppose to work permanently? Are you guys seeing studies or cases where it works longer term. Currently what percentage of the time does it work? That is a lot of money but I would do it if the odds were better than 50/50 and it’s permanent. How far off do you think we are? Major confusion on this topic. Keep up the good work. Thank you.

[@TalkingWithDocs]

Hi Becky. I think at this point it is difficult to endorse stem cell therapy for arthritis. There are many ongoing studies and many different techniques but there is no solid evidence that it can halt or reverse progression at this point. We will continue to review the topic as evidence presents itself. Good luck.

[@Squirrelfriends22]

I had it & it’s been 3 months & so far knee is no better.But my knees are in very bad shape & dr said if this doesn’t help,I’d have to have knee replacement

[@BodyBreak]

What are your thoughts on Micro Fracture surgery for the knee and have you done a video on it?

[@TalkingWithDocs]

Hi BodyBreak. Microfracture is a successful treatment in reducing pain related to more focal areas of advanced arthritis. During arthroscopy, a sharp awl is used to penetrate exposed bone in hopes of encouraging blood supply to allow the formation of a scar type cartilage. It is not a perfect solution but often helps improve symptoms depending on the clinical situation. Yes, we have done it and most surgeons would have done this if arthroscopy is part of their clinical practice. Thanks for your question and for watching.

[@liangjin1893]

Hello Dr.Zalzal. I am a patient in Oakville. Thanks so much for the information. I am interested in the HTO. How can I contact you? Really thanks.

[@TalkingWithDocs]

Referrals are through your family doctor

[@liangjin1893]

@@TalkingWithDocs Thanks

[@elizabethseiden8386]

The P.A. said congrats you've fast tracked your way to osteoarthritis. Then he said I broke of 2 pieces of cartilage in my right knee. Also, I will need two months of physical therapy. He said you will never walk the same way again and offered me a knee brace. I forgot to ask for it as I left his office. He was a jerk. When I asked can they take the pieces out he said no the doctor won't take them out. Any thoughts on this?

[@TalkingWithDocs]

Hi Elizabeth. If there are loose bodies in your knee they can be taken out. This will not cure your arthritis so you may still have ongoing dull aching pain but there are still some options. A second opinion is always a reasonable choice. Thanks for watching.

[@danielsonscott3038]

At age 57 underwent tibial osteotomy and it wasn't worth, spent 5 weeks on crutches before started to support the operated leg,recovery was hard, slow and after all didn't help at all, I wouldn't recommend it, there is a lot of trauma since they literally cut your bone to insert bone tissue from a cadaveric donor!

[@TalkingWithDocs]

So sorrry to hear that. Our experience has thankfully been different with an HTO giving 8-10 years of improvement before TKR. Thanks for watching and subscribing

[@bettyjohnson1209]

I had injections and 3 arthroscopic procedures on both knees over a 6 year period and this last procedure and and injections made it worse and my meniscus on the right has torn 3 x from falling but this time no fall but the pain in back and excruciating my doctor now says I need both knees replaced 58 with severe arthritis in different body parts surgery for left is scheduled for April anything else I can do?

[@TalkingWithDocs]

Hi Betty. Thanks for commenting. It is difficult to say without examining you and your imaging however it sounds like you have done a fair bit so far. Physiotherapy and bracing are other options. Ultimately if your arthritis is severe, you should have the discussion with your surgeon about the pros and cons of total knee replacement. Hope that helps. And thanks for watching.

[@sallymcmahan3896]

I am a having a hip replacement.

[@donnam1678]

Could you tell us about the new Oxford knee replacement surgery?

[@TalkingWithDocs]

Hi Donna. The Oxford knee is not new but one of the original partial knee replacements. Thanks for watching and subscribing

[@rachelgrant8661]

Dear talking with docs hi my name is rachel i want to what can causes arthritis flare up inside the knee cap and what can you do for it ps thanks rachel grant

[@TalkingWithDocs]

Hi Rachel. Best start is ice, medication and physiotherapy. Thanks for watching and subscribing