Knee arthritis: How surgery can improve your quality of life

Written in association with: Mr Konstantinos Evangelou
Published: | Updated: 19/11/2024
Edited by: Karolyn Judge

Knee arthritis, a degenerative condition that affects the joint, often leads to pain, stiffness and decreased mobility. As the condition progresses, everyday activities such as walking, climbing stairs, or even sitting can become increasingly difficult. For many patients, surgical intervention offers an effective solution to restore function and improve quality of life. Here to discuss this is leading consultant orthopaedic and trauma surgeon Mr Konstantinos Evangelou.

X-ray of knee arthritis

How surgery helps with knee arthritis

In cases where conservative treatments, such as medications, physical therapy and lifestyle changes, are no longer effective, surgery becomes a viable option. The most common surgical treatments for knee arthritis include:

  • Total knee replacement (arthroplasty): In this procedure, the damaged joint is replaced with an artificial one made of metal, plastic, or ceramic. This surgery can significantly reduce pain, restore movement, and improve the overall function of the knee.
  • Partial knee replacement: If arthritis affects only one part of the knee, a partial replacement may be recommended. This less invasive procedure involves replacing only the damaged section, preserving more of the natural joint and often leading to quicker recovery.
  • Arthroscopic surgery: in the past it was considered as a treatment option for osteoarthritis. More recently, the British Association of Surgery of the Knee (BASK), suggests arthroscopic surgery in the presence of osteoarthritis with specific indications.  This minimally invasive procedure uses small incisions and a camera to clean out damaged cartilage, remove loose pieces and improve the function or unblock the movement of the knee. It can help reduce pain and improve mobility in some patients. Generally it is more effective at the early stages of arthritis.

 

 

What are the benefits of surgery for knee arthritis?

Surgery can provide numerous benefits for patients with knee arthritis, such as:

  • Pain relief: One of the most immediate and noticeable benefits of surgery is the reduction in pain, which can drastically improve quality of life.
  • Improved mobility: With the removal of damaged joint tissue and the restoration of joint function, patients can regain the ability to move more freely and participate in activities they once enjoyed.
  • Increased independence: As knee function improves, patients often find they can perform daily tasks without assistance, enhancing their sense of independence.
  • Long-lasting resultsKnee replacement surgeries, especially total knee arthroplasty, have a high success rate and can last for 15-20 years or more, offering patients long-term relief from the debilitating effects of arthritis.

 

While surgery is a significant decision, for many patients with advanced knee arthritis, it provides an effective way to regain mobility, reduce pain and ultimately improve their overall quality of life.

 

 

 

Are you considering surgery for knee arthritis? Arrange a consultation with Mr Evangelou via his Top Doctors profile

 

 

 

Are you considering surgery for knee arthritis? Arrange a consultation with Mr Evangelou via his Top Doctors profile

By Mr Konstantinos Evangelou
Orthopaedic surgery

Mr Konstantinos Evangelou is a consultant orthopaedic surgeon in Oxfordshire. He specialises in the diagnosis and treatment of hip and knee problems. His operative procedures include hip replacements, knee replacements, and knee arthroscopic surgery including meniscal surgery.  
 
Mr Evangelou can provide a comprehensive hip and knee service for degenerative diseases and sports injuries, promoting good medical practice. His approach to the patient is holistic and multidisciplinary, working closely with orthopaedic consultants of different subspecialties and other skilled health care professionals, in order to provide a caring and evidence-based treatment to his patients.

Mr Evangelou graduated from the Aristotle University of Thessaloniki (Greece) Medical School in 2004. He completed his training as core surgical trainee and in 2008 he started his specialist training in Trauma and Orthopaedics in Greece focusing in Orthopaedic Sports Injuries. He has successfully completed his orthopaedic training at Patras University Hospital, Greece, in 2013 and he obtained the CCT in Tr& Orth. He then moved in  UK, acquiring experience and skills in the whole spectrum of orthopaedics, in renowned hospitals including the Royal London Hospital.

He has completed three lower limb fellowships. He was awarded a scholarship for a fellowship in Hip and Knee Surgery from the Hellenic Arthroscopic Association (George Noulis Scholarship) in 2015, moving to Germany to gain valuable experience alongside Professors R. Siebold and F. Thorey in ATOS Klinik in Heidelberg. His second fellowship was in Soft Tissue Surgery of the Knee at Chapel Allerton Hospital, part of Leeds Teaching Hospitals NHS Trust with Ram Venkatesh, O.Wall and S. Annand between 2018-2020. Finally his third fellowship was in Hip and Knee Arthroplasty at the Royal Berkshire Hospital from 2020 to 2021, gaining valuable experience by working with S.Tavares and J.Morley.

In 2021 he was appointed as locum consultant in Trauma and Orthopaedics at the Greater Glasgow and Clyde NHS Trust in Paisley. In 2022, he joined Ramsay Health Care UK, and now holds a substantive post as a lower limb orthopaedic surgeon at Cherwell Hospital in Banbury (Oxfordshire) and The Blakelands Hospital (Milton Keynes).

He undertook research regarding aseptic loosening following hip replacement at University of Patras for a year, mentored by Professor C. Stathopoulos and P. Megas. The preliminary results were then presented at the British Orthopaedic Association annual meeting in 2017. This research project has received a Grant from Hellenic Association of Orthopaedic Surgery and Traumatology.

Throughout his orthopaedic career, Mr Evangelou has completed research, published articles in peer reviewed journals and has numerous presentations in orthopaedic meetings in national and international level. He is passionate about training. He is a member of the British Association for Surgery of the Knee (BASK).

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