Osteoarthritis - Singapore Orthopaedic Surgeon

Singapore Orthopaedic Surgeon, Tel: +65 64712674Email: kevin@orthopaedicsurgeon.com.sg

Liberty From Aches and Pain

Dr. Kevin M. H. Yip Singapore Orthopaedic Surgeon

Causes of knee osteoarthritis

Diagnosis Prevention Conservative treatment Medication Surgical treatment

A progressive disease

Natural progression Of OA

Acute inflammation phase–Intermittent

Loose bodies Osteophytes Loss of Cartilage and Meniscus

Deformity-accelerated

Progression of OA Knee

Causes of early knee degeneration

age, recurrent inflam Sports is better or worse for the knee?

Inflammation damages Joints Rheum Arthritis, Gouty Arthritis, Haemophilia

ACL Deficient knee

Causes of early knee degeneration

Cruciate ligament tear Meniscus tear Cartilage Damage Immobilization

Other Causes of Knee Pain

Bursitis Tendinitis Mal Tracking Patella Gouty Arthritis

Diagnosis-Clinical and XR

Diagnostic Arthroscopy GoutyArthritis Patella Mal-Tracking Plica

Exercise

Meniscus Repair Importance of the meniscus - an important cushioning mechanism

Need early repair to prevent extension of the tear

Meniscus Injuries

Cartilage Injury Osteochondral lesions - Fixation or removal of loose bodies

Do we need to treat OA Knee? Suffering the symptom of pain

Morbidity Quality of life Treatment depends of the symptoms

and XRNeed to explain the pros and cons of

the treatment options and to help the patient to make a correct

option.

Treatment for OA knee Medication

Arthroscopic washout Knee joint Injection Bone realignment Joint replacement

Treatment of OA knee

Medication

synovitiscartilage erosion

Arthoscopy washout

Loose bodies,Osteophytes

H. Tib Osteotom yJoint Replacem ent

deform ity

recurrent knee inflam recovered knee

Acute Knee

Acute phase - Rest, Ice, Compression, Elevation, Medication

Anti-Inflammation Medicine

eg Vioxx, Arcoxia (MSD) Celebrex, Bextra(Pfizer) Cox 2 Safe and effective Low GI effect

Miacalcic Nasal 2000 (Calcitonin)-Novartis

• 3 injections, one week apart

• Multicenter

• Prospective

• Randomized

• Controlled (arthrocentesis)

• Double-blind

• All patients received arthrocentesis

• Intent-to-treat populationhylan G-F 20: 31 kneesNSAID 34 kneesNSAID + hylan G-F 20 : 37 knees

Hylan G-F 20 vs. Continuous NSAID Therapy

Adams et al. (1995), Osteoarth Cartil 3

Initial Treatment of Knee inflam

Aspiration, Physiotherapy Arthroscopic Washout of loose bodies

Arthroscopic washout Recovery is faster and less invasive.

Cartilage - Abrasive therapySoft tissue - shaving, synovectomy

Surgical Procedures

High Tibial Osteotomy

Joint Replacement Remarkable pain relief

Range of motion is good Lasts for 20-25yrs

Treatment of OA knee

Medication

synovitiscartilage erosion

Arthoscopy washout

Loose bodies,Osteophytes

H. Tib Osteotom yJoint Replacem ent

deform ity

recurrent knee inflam recovered knee

Acute Knee

Discussion Degen Arthritis is treatable. Recurrent inflammation can damage cartilage

Arthroscopic washout and debridement for moderate OA

Joint replacement has good long term results

Thank You

Osteoarthritis - Singapore Orthopaedic Surgeon

Health & Medicine

Best Orthopaedic Surgeon

Dr Ali.Yassaie Orthopaedic surgeon. OVERUSE KNEE INJURIES ACUTE KNEE INJURIES

Hand Osteoarthritis - Orthopaedic Surgeon Rockville MD · PDF fileII MUSCULOSKELETAL: HAND AND WRIST Hand Osteoarthritis Leo M. Rozmaryn, MD Synonyms Arthritis Degenerative arthritis

Eric R. Jamrich, M.D., Orthopaedic Surgeon John R. Barker ... · Eric R. Jamrich, M.D., Orthopaedic Surgeon John R. Barker, M.D., Orthopaedic Surgeon Chad J. Prusmack, M.D., Neurosurgeon

Advanced Imaging of Musculoskeletal Tumors (MST) for Orthopaedic Surgeon

Orthopaedic Surgeon, Memphis Orthopaedic Groupmemphisorthogroup.com/assets/ferguson.pdforthopaedic surgeon should explain when it is safe to return to higher levels of activity after

DR SIMON ZILKO · Forefoot Reconstruction DR SIMON ZILKO ORTHOPAEDIC FOOT + ANKLE SURGEON DR SIMON ZILKO | Consultant Orthopaedic Foot & Ankle Surgeon Suite 13 Wexford Medical Centre,

Osteoarthritis (OA) of the Knee - NHS Forth Valley · 2020. 4. 1. · for your hip osteoarthritis at this time then you don’t need a referral to hospital to see an orthopaedic surgeon

Mark Clatworthy Orthopaedic Surgeon Knee Specialist Middlemore Hospital

Orthopaedic Handbook - Language selection€¦ · Orthopaedic Handbook P. REPARED BY: STANISH ORTHOPAEDIC INCORPORATED . ... Osteoarthritis is the most common form of joint disorder

Growing as an Orthopaedic Surgeon: from Economy to Business

Osteoarthritis Chronic Care Program evaluation · target patients much earlier in their OA pathway before they see an orthopaedic surgeon. Some went as far to say that the program

Ronak M. Patel, MD Sports Medicine Orthopaedic Surgeon ... · Ronak M. Patel, MD Sports Medicine Orthopaedic Surgeon Hinsdale Orthopaedic Associates American Knee Institute 1010 Executive

Stephen Aldridge Consultant Orthopaedic Trauma Surgeon RVI

Dorset County Hospital Orthopaedic Surgeon Sean Walsh · Sean Walsh Orthopaedic Surgeon Dorset County Hospital Southampton Hand Course 28th June 2013 ... But not every alteration

Heat Intolerance Problems Kambiz Behzadi, M.D. Orthopaedic Surgeon Fremont/Pleasanton

Musculoskeletal Examination Todd Milbrandt, MD, MS Pediatric Orthopaedic Surgeon

David Limb Consultant Orthopaedic Surgeon Leeds Teaching Hospitals

John Hodgkinson Consultant Orthopaedic Surgeon Wrightington Hospital October 2010

Best Orthopaedic Surgeon in Jordan - Amman