The Operation: Introduction, Technique and Aftercare

Abstract

The frequent failure of reconstructive surgery for degenerative arthritis of the knee has led to a wide variety of conservative and operative treatments. Although synovectomy and tibial osteotomy have a useful part to play in preventive treatment, arthroplasty should be delayed for as long as possible. Conservative methods should be used until the patient can tolerate the pain no longer; but when discomfort is unrelieved by simple means and the quality of life is greatly reduced, replacement of the damaged joint may be considered in special circumstances. Severe pain is the only indication for arthroplasty. Replacement of the knee should not be done for limited movement or poor position.