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Knee Osteoarthritis

Inflammation or Osteoarthritis?

When left untreated, knee osteoarthritis can develop into a debilitating condition with a marked impact on a person’s overall health and quality of life.

For many years the gold standard for treating knee osteoarthritis has been a total knee arthroplasty, also known as a knee replacement surgery.

Though this surgery has a well-established track record with a positive outcome, it is not without its complications.

First of all, a knee replacement, which is a major surgery that involves replacing either the damaged part of or the entire joint with a prosthesis— has a long long recovery period. And, it’s not necessarily a good fit for everyone.

According to an article published in the Journal of Arthroplasty called “Why are total knee arthroplasties failing today—has anything changed after 10 years,” a fair number of patients with knee osteoarthritis are not good candidates for knee replacement surgery.

The study found that certain comorbidities, such as diabetes, obesity, coronary artery disease, malnutrition, renal disease, cirrhosis, and immunosuppression, are associated with increased medical and surgical complications when a knee replacement surgery is performed.

Studies have also found that the patient’s age is another factor to consider, due to the possibility that a knee replacement surgery performed on a young person, could increase their risk of aseptic loosening, and lead to several revision surgeries in the future.

Studies have also found that elderly patients are not always the best candidates for knee surgery, given the occurrence of age-related co-morbidities, and their increased risk of fractures.

Though knee osteoarthritis used to be considered a normal “wear-and-tear” disease brought on by years of stress on the knee and meniscal degeneration that comes with age, recent data has suggested it’s not that simple.

In fact, according to recent data published in The Journal of Rheumatology, entitled “Osteoarthritis, angiogenesis, and inflammation,” it is now understood that inflammation plays a role in not only the pain from knee osteoarthritis but also the progression of the disease itself.

So if inflammation is not only causing pain but driving the progression of knee osteoarthritis, can anything be done to stop it?

Fortunately, yes.

There is a treatment that can help alleviate these symptoms and potentially prevent further structural progression. That treatment is called Genicular Artery Embolization.

Genicular Artery Embolization is a minimally invasive outpatient procedure, in which the arteries that supply blood to the synovial lining of the knee are selectively catheterized.

Once the arteries are reached, tiny particles are injected through the catheter into these arteries where they reduce the blood supply, and in turn, reduce inflammation. The procedure typically takes one to two hours, and the patient can return home the same day.

Many people are experiencing the benefits of Genicular Artery Embolization, which can result in both immediate and long-term pain relief for patients with osteoarthritis.

GAE is an excellent choice for people who are not good candidates for knee replacement surgery due to certain comorbidities. It’s also a great choice for people who would like to postpone surgery, or who are too young for a knee replacement operation.

To learn more about Genicular Artery Embolization, and to find out if the procedure can benefit you, please call us today to set up your initial consultation.

Categories
Knee Osteoarthritis

The High Cost of Knee Replacement Surgery

Of all of the different types of arthritis, osteoarthritis is the most common, affecting over 30 million adults in the United States alone.

And knee osteoarthritis, which used to be considered just a normal wear and tear associated with aging, affects more than just the elderly.

In fact, according to a study called The Framingham Osteoarthritis Study, published in Arthritis Rheumatology, symptomatic knee osteoarthritis affects at least 4.3% of men and 8.1% of women of all ages.

So it’s not just the wear and tear of age and time.

That being said, symptomatic knee osteoarthritis does predominantly affect individuals over the age of 65, with roughly half of the people experiencing a life-limiting physical disability as a result.

According to estimates from the Framingham Osteoarthritis Study, the number of individuals over the age of 65 is projected to rise to 78 million by 2035 from 49.2 million in 2016. This means the prevalence of knee osteoarthritis will potentially skyrocket as well.

In fact, according to an article published by the United States Bone and Joint Initiative, entitled The Burden of Musculoskeletal Diseases in the United States the number of Americans receiving a total knee arthroplasty (also known as knee replacement surgery) was over 4.7 million individuals in 2010 with the overall trend being of increasing prevalence over time.

The rising number of individuals both young and old suffering from knee osteoarthritis pain is not only a hindrance to the quality of life for millions of people, but it is also expensive.

According to the aforementioned article by the United State Bone and Joint Initiative, the annual total hospitalization charges for knee replacement surgery nearly quadrupled from $8.1 billion in 1998 to $38.5 billion in 2011!

Furthermore, from that, they also estimated that the average lifetime direct medical cost for treatment for individuals diagnosed with knee osteoarthritis is estimated to be $12,400 or 10% of all estimated direct medical expenses for those individuals.

Most of these costs are attributed to knee replacement surgeries which on average cost around $20,293, and for patients that require revision surgery, the additional costs on top of the initial surgery cost, average $29,388.

Fortunately, medical advancements have been made in the treatment of knee osteoarthritis, which can effectively lower these costs. One of the key advancements is a treatment procedure for knee osteoarthritis called Genicular Artery Embolization.

In our next article, we will take a look at this effective and more affordable outpatient procedure.