A GUIDE TO OSTEOARTHRITIS OF KNEE JOINT Patient, Safety, Quality & Care by Aga Khan Hospital, Dar es Salaam
Dr. Rajeev Kumar Consultant Orthopaedics and Joint Replacement Surgeon M.B.B.S, M.S (Orthopaedics), Arthroscopy & Arthroplasty Fellow ( ISKSAA ), Life member of IAS, IAA, ISKSAA & IOA. Dr. Rajeev brings on board surgical expertise in x Joint Replacement Surgeries x Arthroscopy & Sports injuries x ĚƵůƚ ĂŶĚ WĂĞĚŝĂƚƌŝĐ dƌĂƵŵĂ surgeries For more information on aAdenoid Hypertrophy, visit The Aga Khan Hospital or call us at +255 22 2344625.
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Dar Life I OCTOBER 2020
ŚĞŶ ƚŚŝƐ ĐŽŶĚŝƟŽŶ ƌĞĂĐŚĞƐ severe levels and all ĐŽŶƐĞƌǀĂƟǀĞ ŵĂŶĂŐĞŵĞŶƚ have failed such as analgesic ŵĞĚŝĐĂƟŽŶƐ͕ ƌƵďďŝŶŐ ŽĨ ĂŶĂůŐĞƐŝĐ ĂŶĚ ĂŶƟͲŝŶŇĂŵŵĂƚŽƌLJ ŐĞů͕ /ŶƚƌĂĂƌƟĐƵůĂƌ ƐƚĞƌŽŝĚ ŝŶũĞĐƟŽŶƐ ŝŶ ŬŶĞĞ ũŽŝŶƚ ͕ ƵŶůŽĂĚŝŶŐ ŬŶĞĞ ďƌĂĐĞƐ ĂŶĚ ƉŚLJƐŝŽƚŚĞƌĂƉLJ͕ ƚŚĞŶ ƚŚĞ ŽŶůLJ treatment which can help the ƉĂƟĞŶƚ Ăƚ ƚŚŝƐ ƐƚĂŐĞ ŝƐ Ă dŽƚĂů <ŶĞĞ Replacement. &Žƌ ĞdžĂŵƉůĞ͕ ǁŚĞŶ Ă ƉĂƟĞŶƚ ŚĂƐ ŽƐƚĞŽĂƌƚŚƌŝƟƐ ŝŶ ũƵƐƚ ŽŶĞ ĐŽŵƉĂƌƚŵĞŶƚ͕ ƚŚĞŶ ƚŚĞ orthopedic surgeon could choose ƚŽ ƌĞƉůĂĐĞ ƚŚĞ ĞŶƟƌĞ ŬŶĞĞ ũŽŝŶƚ Žƌ ƚŽ ƌĞƐƵƌĨĂĐĞ ũƵƐƚ ƚŚĞ ĂīĞĐƚĞĚ compartment which is known ĂƐ hŶŝͲĐŽŵƉĂƌƚŵĞŶƚ <ŶĞĞ Replacement. Recent studies show good long-term survival of Uni Compartmental knee replacement in comparison to ,ŝŐŚ ƟďŝĂ ŽƐƚĞŽƚŽŵLJ ;KŶĞ ŽĨ ƚŚĞ ŽƉƟŽŶ ƚŽ ŵĂŶĂŐĞ K ŬŶĞĞ ŝŶ LJŽƵŶŐ ƉĂƟĞŶƚƐ >ĞƐƐ ƚŚĂŶ ϱϱ zĞĂƌƐ similar to Unicompartmental knee ƌĞƉůĂĐĞŵĞŶƚͿ͘ Uni-compartmental knee ƌĞƉůĂĐĞŵĞŶƚ ͬƌĞƐƵƌĨĂĐŝŶŐ ;h<ZͿ or bi-unicompartmental knee
ƌĞƐƵƌĨĂĐŝŶŐ͕ 'ĞŶĚĞƌ ŬŶĞĞ͕ EĂǀŝŐĂƟŽŶ ĂƐƐŝƐƚĞĚ d<Z͕ ZŽďŽƟĐ assisted knee replacement are some of the new trends ŝŶ ŽƉĞƌĂƟǀĞ ƚƌĞĂƚŵĞŶƚ ŽĨ ŽƐƚĞŽĂƌƚŚƌŝƟƐ ŬŶĞĞ ũŽŝŶƚ͘ These procedures aim to restore Ă ƉĂŝŶͲĨƌĞĞ͕ ĨƵůůLJ ĨƵŶĐƟŽŶĂů and durable knee joint withfast ƌĞĐŽǀĞƌLJ͕ ƐŚŽƌƚĞƌ ŚŽƐƉŝƚĂů ƐƚĂLJ͕ ƐŵĂůůĞƌ ŝŶĐŝƐŝŽŶƐ͕ ůĞƐƐ ďůŽŽĚ ůŽƐƐ͕ ĨĂƐƚĞƌ ĂŶĚ ůĞƐƐ ƉĂŝŶĨƵů ƌĞŚĂďŝůŝƚĂƟŽŶ͕ ůŽǁĞƌ ƌŝƐŬ ŽĨ ŝŶĨĞĐƟŽŶ͕ ůĞƐƐ ĐŚĂŶĐĞƐ ŽĨ ũŽŝŶƚ ƐƟīŶĞƐƐ͕ ůĞƐƐ ƌŝƐŬ ŽĨ ǀĞŶŽƵƐ thromboembolism and easier ƌĞǀŝƐŝŽŶ ƐƵƌŐĞƌLJ ŝĨ ƌĞƋƵŝƌĞĚ ůĂƚĞƌ͘ ĂƌůLJ ĨƵŶĐƟŽŶĂů ŽƵƚĐŽŵĞ ŝƐ good with these procedures ƉĂƌƟĐƵůĂƌůLJ ǁŝƚŚ ^ ĂŶĚ ZŽďŽƟĐƐ ďƵƚ ůŽŶŐͲƚĞƌŵ ƐƵƌǀŝǀĂů ŝŶ ĐŽŵƉĂƌŝƐŽŶ ƚŽ ĐŽŶǀĞŶƟŽŶĂů ƚŽƚĂů knee replacement is yet to be established. Total knee replacement has a ĮŶŝƚĞ ƐƵƌǀŝǀĂů ƌĂƚĞ͕ ĚĞƉĞŶĚĞŶƚ mainly upon the implant ĂůŝŐŶŵĞŶƚ͕ ƉŽƐŝƟŽŶŝŶŐ ŽĨ ŝŵƉůĂŶƚ͕ balancing of knee joint and postŽƉĞƌĂƟǀĞ ĂĐƟǀŝƚLJ ůĞǀĞů ŽĨ ƚŚĞ recipient.
ůů WŝĐƚƵƌĞ ŽƵƌƚĞƐLJ ŽĨ dŚĞ ŐĂ <ŚĂŶ ,ŽƐƉŝƚĂů͕ Ăƌ ĞƐ ^ĂůĂĂŵ
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