Knee Osteoarthritis-Knee Health Promotion Option Dr. Knee: A Surgeon's Altemative to Knee Replacement Medial Abrasion Syndrome The Professlonal Learning Community for Knee Health Promotion Book Chapter of knee health promotion option (KHPO) New Hope of Knee Osteoarthritis A world-wide problem Natural course Reverse the natural course What is KHPO Our experience To stage your knee easily by yourself AAOS Personal Physician Website My Resume Contact us

	Osteoarthritis of the knee is one of the five leading causes of disability among elderly men and women. About 25 percent of all adults with OA Knee had some type of surgery. The procedure most frequently performed for patients with OA Knee is a total knee joint replacement.

	Currently, owing to the lack of knowledge about the definite etiologic factor of OA knee, none of the common available treatment options including NSAIDs, glucosamine or hyaluronic acid injection is curative. The following natural course is a common understanding:
	Before medication 2 years after treatment Total knee replacement

	Before KHPO One year after KHPO

	KHPO is a new concept of global management of the degenerative knee. This concept has been conceptualized based on our 10 years’ clinical and basic research. The main different point is that we believe most OA knees, if being treated before their irreversible stage, is curable. This revolutionary concept is based on our discovery of the etiologic factor causing degeneration of most knees. A novel “Arthroscopic Cartilage Regeneration Facilitating Procedure (ACRFP)” has been developed accordingly in our center to eradicate this factor and improve the environment of the knee for cartilage regeneration. KHPO includes: 1. Thorough evaluation and staging of the degenerative knee 2. Arthroscopic cartilage regeneration facilitating procedure (ACRFP) 3. Post-operative modalities to stimulate cartilage regeneration

	The clinical results of 122 patients received KHPO in 2010 (follow-up > 3 years) are shown in the following table:
	Clinical Outcome of Knee Health Promotion Option for 122 Patients in 2010 Staging Clinical Symptom Successful Rate I Chronic relapsing knee pain >90% II Mild deformity 93.1% III Moderate deformity 88.2% IV Severe deformity, needs knee replacement 76.2%
	Nowadays, around 500 patients will receive KHPO in our center each year.

	Stage I Chronic relapsing knee pain Normal in x-ray examination Stage II Chronic relapsing knee pain, Mild deformiy Narrowing of joint space in x-ray (wearing of cartilage) 　 Stage III Chronic relapsing knee pain, Moderate deformiy Narrowing of joint space in x-ray Spurs (osteophytes) appear Stage IV Chronic relapsing knee pain, Severe deformiy Diminished joint space in x-ray More spurs (osteophytes) appear

　

What You Should Know about Your Knee Problem

Followings are useful information from AAOS (American Academy of Orthopaedic Surgeons) :

A Patient's Experience with Osteoarthritis of the Knees  Activities After a Knee Replacement Anesthesia for Hip and Knee Surgery Arthritis of the Knee Arthritis: An Overview Arthroscopy Deep Vein Thrombosis Dental Work After a Joint Replacement Exercise and Bone and Joint Conditions Frequently Asked Questions about Osteoarthritis of the Knee Glucosamine and Chondroitin Sulfate Glucosamine, Chondroitin Sulfate Clinical Trials How to Use Crutches, Canes and Walkers Joint Revision Surgery - When Do I Need It? Knee Arthroscopy Knee Arthroscopy Exercise Guide Knee Implants Knee Osteoarthritis Statistics Osteoarthritis Osteotomy and Unicompartmental Knee Arthroplasty Preparing for Joint Replacement Surgery Staying Active As You Age Surgical Treatment of Osteoarthritis of the Knee Total Joint Replacement Total Joint Replacement: Questions Patients Should Ask Their Surgeon Total Knee Replacement Total Knee Replacement Exercise Guide Viscosupplementation Treatment for Arthritis What Are NSAIDs? Your Joint Replacement: Urological Procedures and Antibiotics Using these links will open the Your Orthopaedic Connection (YOC) Web site from the American Academy of Orthopaedic Surgeons in a new browser window. To return to this Web site, simply close the YOC window and this window will remain open underneath.