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Suggest treatment for severe knee arthritis

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Posted on Tue, 18 Oct 2016
Question: What do these results indicate, and what would be the recommended next step of treatment? MRI was done due to moderate (6-7/10) knee pain. Treatments so far have include NSAIDS, steroid and orthovisc injections, weight reduction, physical therapy, and OTC knee brace. Knee pain reduces ability to tolerate exercise. "There is a large joint effusion. Multifocal grade 4 chondrosis in the medial and lateral patellar facets with subchondral edemal and mild cystic change. Cruciate ligaments are intact. Extensor tendons are intact. There is scarring related to previous arthroscopy. Mild degenerative signal posterior horn medial meniscus but no major meniscal defect. There is vague grade 2-3 chondrosis near the midline femoral throchlear sulcus on the sagittal images. No advanced arthrosis of the knee. IMPRESSION: Large joint effusion. Tricompartmental chondrosis most pronounced throughout the patella up to grade 4. Mild degenerative/post surgical columne loss medial meniscal body. No discrete meniscal tear."
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Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Moderate knee arthritis. Could need knee replacement

Detailed Answer:
Hi there.

Thanks for the query.

These are features of arthritis of the knee. It's moderate arthritis of all the three compartments of the knee,namely patellofemoral, medial and lateral tibiofemoral compartments. There is also degenerative tear of the meniscus cartilage.

This can be a cause of pain in the knee. Need to operate with Knee replacement if severe symptoms.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5439 Questions

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Suggest treatment for severe knee arthritis

Brief Answer: Moderate knee arthritis. Could need knee replacement Detailed Answer: Hi there. Thanks for the query. These are features of arthritis of the knee. It's moderate arthritis of all the three compartments of the knee,namely patellofemoral, medial and lateral tibiofemoral compartments. There is also degenerative tear of the meniscus cartilage. This can be a cause of pain in the knee. Need to operate with Knee replacement if severe symptoms. I hope I have answered your query. I will be available to answer your follow up queries. Regards, Dr. Aashish Raghu