When is knee replacement surgery considered for osteoarthritis?

Written by: Mr Tamas Kustos
Published:
Edited by: Conor Lynch

Top Doctors recently spoke to revered consultant orthopaedic surgeon, Mr Tamas Kustos, who, here in this article below, explains how osteoarthritis forms, and when knee replacement surgery is considered for patients suffering from the condition.

 

What is an osteoarthritic joint and how does it form?

An osteoarthritic joint is a joint that has degenerated due to wear and tear, leading to pain, stiffness, and limited mobility. Osteoarthritis typically forms as a result of ageing, but can also be caused by injury or genetics.

 

Is cartilage degradation always linked to excessive pressure?

Cartilage degradation can be caused by excessive pressure, but it can also be caused by other factors such as genetics, injury, or inflammation.

 

How quickly does knee osteoarthritis progress and how can conservative treatment measures help to manage symptoms?

The progression of knee osteoarthritis can vary greatly from person to person, and can range from slow to rapid. Conservative treatment measures, such as physical therapy, weight management, and pain management, can help to manage symptoms and slow the progression of the disease.

 

When is knee replacement surgery considered? Can both knees be treated at the same time?

Knee replacement surgery is typically considered when conservative treatment measures have failed to provide adequate relief and the patient's quality of life is significantly impacted. Both knees can be treated at the same time, but it is often recommended to operate on one knee at a time to allow the patient to better recover and adjust to the changes.

 

What can people with knee osteoarthritis do during and after treatment to preserve optimum knee function?

People with knee osteoarthritis can do things such as exercise, maintain a healthy weight, and use assistive devices to preserve optimum knee function. Additionally, it's important to avoid activities that place excessive stress on the knee and to seek medical advice for treatment options.

 

Mr Tamas Kustos is an esteemed consultant orthopaedic surgeon. To book an appointment with him today, visit his Top Doctors profile.

By Mr Tamas Kustos
Orthopaedic surgery

Mr Tamas Kustos is a highly esteemed consultant orthopaedic surgeon with practice in Chester and Manchester who specialises in the treatment and management of knee pain, knee osteoarthritis and knee (sports) injuries. With more than 30 years of experience treating knee problems, Mr Kustos is an expert in all aspects of knee surgery, having performed more than 6,000 operations, including knee arthroscopy procedures, in the last decade alone. Mr Kustos currently sees patients at Nuffield Health, The Grosvenor Hospital, Oaklands Hospital and Nuffield Health Manchester.

Mr Kustos qualified from the University of Pécs in Hungary in 1988 and completed his orthopaedic speciality training in Hungary as well. During this time, Mr Kustos was also granted the opportunity to practise paediatric orthopaedics with the former president of the European Paediatric Orthopaedic Society after winning a four-month scholarship to Copenhagen, Denmark. Following his orthopaedic instruction, Mr Kustos undertook part of his traumatology training in the United Arab Emirates before relocating to England, where he became a consultant in 2000. He started working as a consultant orthopaedic surgeon at Nuffield Health, The Grosvenor Hospital four years later and at Oaklands Hospital in 2013.

Mr Kustos has gained a wealth of experience throughout his distinguished trajectory, both in lower limb and upper extremity procedures. He is on the GMC’s specialist register since 2004 and a fellow of the Royal College of Surgeons of England since 2013, and even worked as a team doctor for premier football, handball and basketball clubs, such as the Al Ain Football Club. Further to his high-quality surgical practice, Mr Kustos remains actively involved in clinical research and has more than 22 academic publications and 13 peer-reviewed abstracts to his name. He was also awarded a PhD in 2003 for his investigation on bacterial orthopaedic wound infections.

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