Question
My orthopaedic surgeon originally thought I would be a candidate for a partial knee replacement; however, discovered during my arthoscopic surgery that I had arthritis in both knee compartments and under the knee cap. I had 2 cortisone injections (June and July), now I am trying the Orthovisc injections (I had my first one last week with no relief and my second one today). The dr. mentioned that if I do not get any relief this week with the injection that we will probably not continue with the 3rd shot. What would be the main advantages/disadvantages of having a tkr at this time (I am 54).
Answer
This is a question that only you can answer. You need to look at your current quality of life, and determine the risks and benefits of total knee replacement now verses later. Consider how your knee(s) affect your activity level, your pain, and any restrictions on work or leisure activities. Another important step is a second opinion; this is a big decision and a second opinion may ease your mind and answer lingering questions. Once you have addressed these factors, have a frank discussion with your orthopedic doctor about your options.