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Total Knee Replacement May Be Delayed by Up To Ten Years with an Arthroscopic Knee Surgery Treatment Known as the “Package”
Date:1/31/2013

and maintaining satisfactory activity levels.

“The study shows the patients were very satisfied with the results. People who can put knee replacement off for two years are very happy, and when you get into three, four, five and beyond, they're even more relieved,” says Karen Briggs, SPRI’s Director of Center for Outcomes-Based Orthopaedic Research.

After active patients younger than 60 exhaust conservative treatments, they often have total knee replacement, the predictable surgical treatment for moderate to severe osteoarthritis. However, this option isn’t ideal for all patients, especially those under 60 or those who wish to return to an average activity level or sport.

Studies suggest that only 20 percent of patients receiving total knee replacement can return to higher-impact sports. Some surveys, like the one from The Knee Society, recommend against any high impact activity such as tennis, soccer, jogging, basketball or climbing.

The Steadman Philippon Research Institute study included 81 knees in 73 patients (male and female) who underwent knee arthroscopy for symptomatic and advanced osteoarthritis. All participants initially tried conservative measures for treating their arthritic knees, none of which relieved their symptoms. As part of the study, individuals went through the steps and techniques of the comprehensive arthroscopic Package procedure. The treatment also includes a very defined rehabilitation program, also developed by Dr. Steadman. The keys of rehabilitation program include maintaining patellar mobility and overall knee motion.

While not every participant in the study saw the same results, most showed positive outcomes that support the Package as a viable option for patients who want to delay total knee replacement. Scientists concluded that the mean survival time after arthroscopic treatment of osteoarthritis with a de?ned rehabilitation protocol was 6.8 years and that 40 percent of the study grou
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