Sometimes the surgery is delayed so much that even the best of surgeons cannot give a good result, and the fear of the patient actually ‘comes true’, said Dr Maheshwari.
There is a recent advance in medicine, where the scientific community is focusing on ‘joint preservation’ and not ‘replacement’ options. Some of these are non surgical — such as physiotherapy, weight reduction, modification in lifestyle etc, but others are surgical, where effort is to keep the original joint going. Some of these options may be surgical, aimed at corrective surgery in early stages of the arthritis, where one can see that if left to itself that particular joint is going to the path of damage, and hence future knee replacement.
These options could be key-hole surgery (arthroscopic surgery), which, if done at the right time, can halt the progress of the disease and may save one from knee replacement. Unfortunately, most patients do not have significant complaints at this stage, and may ignore their problem.