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I injured my knee in an accident some time ago and I continue to have pain. I’m just in my 50s. Is my only option a total knee replacement?Rest assured you are not alone. Many people develop knee pain at an early age. They may have hurt the joint playing sports or at the workplace or in a motor vehicle collision. And some unlucky souls are simply born with poor bone alignment that predisposes them to osteoarthritis.
“So, there’s a growing focus in orthopaedics and sports medicine to extend the life of joints as long as possible,” Dr. Khan said. Another way to fix an isolated defect is osteochondral autologous transplantation. “You can move pieces of cartilage from one part of the knee where it is not needed as much and transfer it to the area of injury,” said Jihad Abouali, an assistant professor of orthopaedic surgery at the University of Toronto.
However, the unbalanced load can be redistributed through an operation called a realignment osteotomy, said Alan Getgood, an associate professor of orthopaedic surgery at Western University in London, Ont.Osteotomies – and to some extent other joint preservation measures – depend on catching cartilage damage in the early stages before it becomes widespread.
It is also worth mentioning that the field of joint preservation continues to evolve. Researchers are studying ways to grow replacement cartilage in a lab.
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