The Kellgren and Lawrence system is a common method of classifying the severity of osteoarthritis (OA) using five grades.
grade 0 (none): definite absence of x-ray changes of osteoarthritis
grade 1 (doubtful): doubtful joint space narrowing and possible osteophytic lipping
grade 2 (minimal): definite osteophytes and possible joint space narrowing
grade 3 (moderate): moderate multiple osteophytes, definite narrowing of joint space and some sclerosis and possible deformity of bone ends
grade 4 (severe): large osteophytes, marked narrowing of joint space, severe sclerosis and definite deformity of bone ends.
Surgery is required is not only depends on grade but also on pt requirements and activity level. Most of the time grade 3&4 is required for surgery.
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Decision for surgery and selection of exact procedure depends on the requirement of each patient.
Discuss with your doctor your problem in details and let him decide the exact treatment for you.
There are 4 grades.
Xray is sufficient to grade knee osteoarthritis
Later Grade 3 and Grade 4 mostly need surgeries varying from HTO, Arthroscopic procedures to Total or Partial knee replacement .
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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