Knee Treatments

What are the treatments approaches to knee osteoarthritis, and should you consider surgical knee replacement?



There is no known cure for knee osteoarthritis, but a number of treatments can help to reduce the pain and maintain joint movement. Joint replacement is one of the most common and successful procedures for osteoarthritis treatment. But it’s not the right option for everyone, and only a knee specialist can truly evaluate your situation.
At Kirt Kimball Orthopedics, the decision to undergo knee surgery depends entirely on each individual’s own medical history and diagnosis. Knee replacement surgery may be an appropriate option if you are experiencing:
knee treatment

  • Daily knee pain
  • Restriction in your ability to work
  • Restriction in your ability to enjoy ordinary activities and recreation
  • Progressively worsening symptoms

There must also be evidence of significant disease in the knee, which can be determined by your doctor based on clinical examination and imaging tests such as x-rays, MRIs or CT scans.

Non-surgical approaches to discuss with your doctor

Knee replacement surgery isn’t the first option for treating osteoarthritis of the knee. There are a number of other treatment options available that you should discuss with your doctor, including:

  • Lifestyle changes, such as weight loss, exercise or physical therapy
  • Over-the-counter anti-inflammatory pain medication (NSAIDs)
  • Corticosteroids (anti-inflammatory knee injections)
  • Viscosupplementation (hyaluronic acid knee injections, or lubricating fluid for your joint)

If you have tried any of these treatment options with little or no success, it may be appropriate to start talking to your doctor about whether surgery is the right option.

Consider your knee surgery options

The following provides a summary of the common knee surgery options. Depending on your individual diagnosis, there may be a variety of surgical options suitable for you. Only your doctor can recommend the treatment option that is best for you.
Knee replacement surgery (also known as arthroplasty) is a procedure to replace some or all parts of a knee joint to relieve pain associated with osteoarthritis. Depending on the extent of the damage to your knee joint you may be a candidate for either a partial knee resurfacing (one or two compartments) or a total knee replacement (all three compartments).

Amongst a greater list of surgical options, you may be a candidate for a partial knee resurfacing procedure or a total knee replacement procedure. At Kirt Kimball Orthopedics, we offer a Patient-Specific approach .
Partial knee implants target and treat only those compartments actually affected by the disease. For instance, unicompartmental (uni meaning one) procedures treat osteoarthritis in one section of your knee either the medial or lateral compartments while bicompartmental (bi meaning two) procedures treat osteoarthritis in two parts of your knee either medial and patellofemoral or lateral and patellofemoral. Partial knee replacements can offer unique benefits over total knee replacement given you are a candidate for this procedure.

If you are a candidate for a partial knee resurfacing procedure, you may also be a candidate for the partial Patient-Specific Knee Implants from ConforMIS™ which can offer you the following advantages:

  • The partial, patient-specific knee implants from ConforMIS™, known as the iUni G2 (unicompartmental disease) or iDuo G2 (bicompartmental diseases) are made to match your individual anatomy from your CT-Scan
  • The iUni and iDuo Knee Resurfacing Systems are made up of both patient-specific implants and patient-specific placement guides (often referred to as JIGS by the surgeons). The implant is the metal component used to resurface your knee and the placement guides (called iJigs) are the single-use tools that surgeon uses to precisely place your implant. It is important to note that the personalization of both the implant and a complete set of placement guides is what helps to ensure a personalized approach to your surgery and is only available through ConforMIS™.

iUni


Patient-Specific Placement Guides (iJigs)

  • Bone removal for a partial knee implant is less than that of a total knee replacement due to the fact that you are only treating part one, or two parts, of your knee vs. all three parts of your knee.
  • Partial knee replacements are less invasive than total knee replacements and therefore provide for less traumatic, faster recovery and a smaller incision.

Understanding that not all patients are candidates for a partial knee replacement, a Total Knee Replacement may also be an option. Total Knee Replacements are usually performed on people suffering from painful arthritic conditions severe enough to limit one’s normal day-to-day activities.

A Total knee replacement, also called total knee arthroplasty, is a highly successful surgical procedure which involves replacement of all three compartments of the knee (the medial compartment (inside aspect of the knee), the lateral compartment (outside of the knee) and the patellofemoral compartment (in front of the knee). A total knee replacement replaces the damaged bearing surfaces in your knee that are causing pain with the goal of the procedure being provide you with a durable solution that can resolve pain, allow you to stand, sit, walk and perform other normal daily activities.

Total Knee Replacements from ConforMIS™ are unique as they combine the proven total knee replacement principles with the unique advantages of a completely patient-specific knee system. The Total Knee Replacement System offers distinct advantages over the traditional off-the shelf implants.

If you are a candidate for a total knee replacement, you may also be a candidate for the iTotal Patient-Specific Knee Implants from ConforMIS™ which can offer you the following advantages over traditional off-the-shelf implants:

  • The Total Knee Replacement from ConforMIS™ is called the iTotal Patient-Specific Knee Replacement System and is designed specifically to match your shape and size to allow for a more naturally feeling knee. Off-the-Shelf Implants only come in a limited range of sizes and a surgeon will have to select the size closest to the size of your knee and make compromises on fit.
  • The iTotal Total Knee Replacement System is a system that is made up of both patient-specific implants and patient-specific placement guides (often referred to as JIGS by the surgeons). The implant is the metal component that replaces your knee and the placement guides( called iJigs) are the single-use tools that the surgeon uses to place your implant. It is important to note that the personalization of both the implant and a complete set of placement guides is what helps to ensure a personalized approach to your surgery.

Patient-Specific Placement Guides (iJigs)


iTotal Patient-Specific Knee Implant

  • iTotal incorporates a unique 6-cut design for a thinner implant with sacrificing strength. A thinner implant can directly translate into bone preservation.
  • The ConforMIS™ Implant is a more natural feeling knee due to it’s patient specific shape and design.

Off-the-Shelf Total Knee Implant


iTotal Patient-Specific Knee Implant

  • In a total knee replacement, the alignment of your implant is an important factor in achieving a natural feeling knee. The iTotal Patient-Specific Knee system is designed to allow for mechanical axis alignment without compromising on the optimal fit of your implant.

At Kirt Kimball Orthopedics, we are one of the first in the nation and the first in Florida to offer the revolutionary ConforMIS™ Personalized Knee Replacement system, which addresses many of the issues with traditional and partial knee replacements. The ConforMIS™ Personalized knee is unlike other replacement knees because the implant is completely patient specific.

Learn more about ConforMIS™ Personalized Knee Replacement