There are specialized braces that can be helpful in some cases of knee arthritis. These braces are designed to create a force which transfers load from an area of the knee where the cartilage is more worn, to an area of the knee where the cartilage is less worn.
Arthroscopy is a keyhole surgery which requires only small incisions around the knee for insertion of small small instruments in the joint. With arthroscopy, one can trim degenerated and worn cartilage and excise loose fragments, which reduces the source of inflammation and locking. Unfortunately, the benefit of arthroscopy decreases as the degree of arthritis increases and in advanced arthritis, arthroscopy is of little value.
An osteotomy is an operation that cuts the bone, either above or below the knee, and re-aligns the knee to a better position so as to shift load away from arthritic area. It takes 6 to 8 weeks for the bone to heal. An osteotomy is indicated especially for younger patients, and those where the leg is not in correct alignment and the cartilage wear is confined to one portion of the knee.
Unicompartmental arthroplasty it is also called as Partial Knee Replacement, involves replacing only a portion of the knee as compared to total knee replacement where the whole surface is replaced. Physical therapy is usually required to restore knee motion acid strength. Uni-compartmental arthroplasty is less commonly performed than total knee replacement and is indicated in very specific patients in whom arthritis is mainly in the inside compartment of the knee. However once performed for the right patients recovery and rehabilitation is faster in uni knee. Dr. Biren Nadkarni have more than 15 years of experience in Joint replacement surgery and has keen interest in arthritis management. He is one of the best orthopedic surgeon in Delhi.