“Radiological-based studies suggest that at the age of 70 years severe OA of the knee affects 30% of women and 20% of men.”
terms of pain relief and restoration of activity levels. It is a technically demand- ing procedure with complications more common than in hip replacements. Rest pain and sleep interference are useful indications for knee replacements. A good knee replacement will usually last for the rest of the patient’s life.
If everyone with severe pain and disabili- ty were eligible for a knee replacement, 3,000 in every 100,000 people over 60 years would be offered the operation. At present knee replacements in England are being performed at a rate of about 100 per 100,000 population over 60 years of age.
Exercise Despite the efficacy of exercise, the majority of patients with OA knee receive little or no advice. Participation in exer- cise should be encouraged by practition- ers. Information literature and written instructions help patient education and allow them active involvement in the management of their condition.
Patients with OA have different needs and exercise therapy must be tailored to the individual taking into account the patient’s age and disability. Three compo- nents of exercise for an OA knee should be considered – strength, flexibility and aer-