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Centers for Advanced Orthopaedics - Maryland
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    • John Christoforetti, MD, FAAOS
    • Gary Feldman, DPM, FACFAS
    • Peter G. Fitzgibbons, MD
    • James S. Gardiner, MD
    • Wayne J. Olan, MD
    • Christopher S. Raffo, MD
    • Laura Baker, PA-C
    • Jessica O’Keefe, PA-C
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  • Conditions
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      • Hand & Wrist Arthritis
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Conditions Treated Knee Knee Osteoarthritis

Knee Osteoarthritis

Knee osteoarthritis is a degenerative joint condition characterized by the gradual breakdown of cartilage within the knee joint. Cartilage serves as a cushion between the bones, allowing for smooth and pain-free movement. As the cartilage wears away over time, bones may rub against each other, leading to pain, stiffness, swelling, and decreased mobility. Risk factors for knee osteoarthritis include aging, genetics, obesity, previous knee injuries, and repetitive stress on the joint.

Most Common Types of Knee Osteoarthritis

Medial Compartment Osteoarthritis

In this type, the degenerative changes primarily affect the medial (inner) compartment of the knee joint. This often results in pain and stiffness on the inner side of the knee, particularly during weight-bearing activities such as walking or climbing stairs. Medial compartment osteoarthritis may lead to varus deformity, where the knee bows inward, causing misalignment of the joint and altered biomechanics.

Lateral Compartment Osteoarthritis

Lateral compartment knee joint osteoarthritis involves degenerative changes primarily affecting the lateral (outer) compartment of the knee joint. Individuals with this type of knee joint osteoarthritis may experience pain, swelling, and instability on the outer side of the knee, especially during activities that involve bending or twisting motions. Lateral compartment knee joint osteoarthritis can lead to valgus deformity, where the knee angles outward, resulting in joint misalignment and increased stress on the lateral structures of the knee.

Patellofemoral Osteoarthritis

Patellofemoral knee joint osteoarthritis refers to degenerative changes occurring in the patellofemoral joint, which is the joint between the kneecap (patella) and the thigh bone (femur). This type of knee joint osteoarthritis often presents with anterior knee pain, crepitus (grinding sensation), and difficulty with activities that involve squatting, kneeling, or prolonged sitting. Patellofemoral osteoarthritis may be associated with malalignment of the patella, patellar tracking issues, or quadriceps muscle weakness.

Global Knee Osteoarthritis

Global knee joint osteoarthritis involves degenerative changes affecting multiple compartments of the knee joint, including the medial, lateral, and patellofemoral compartments. Individuals with global knee OA may experience pain, stiffness, and functional limitations that affect various aspects of daily life, including walking, climbing stairs, and participating in recreational activities. Global knee osteoarthritis often presents with diffused knee pain and swelling, along with joint instability and decreased range of motion.

Post-Traumatic Osteoarthritis

Post-traumatic knee joint osteoarthritis can develop in the knee following a traumatic injury, such as a fracture, ligament tear (e.g., ACL or meniscus tear), or dislocation. The initial injury disrupts the normal structure and function of the knee joint, leading to accelerated degenerative changes over time. Post-traumatic osteoarthritis may affect one or more compartments of the knee joint and can present with a combination of pain, swelling, instability, and mechanical symptoms such as locking or catching.

Secondary Osteoarthritis

Secondary knee joint osteoarthritis refers to degenerative joint changes that occur as a result of underlying conditions or risk factors, such as obesity, malalignment, previous joint surgery, inflammatory arthritis (e.g., rheumatoid arthritis), or metabolic disorders (e.g., diabetes). These factors can contribute to accelerated joint degeneration and increased susceptibility to developing knee osteoarthritis. Secondary osteoarthritis may exhibit similar symptoms and patterns of joint involvement as primary osteoarthritis but may progress more rapidly or have unique features related to the underlying condition.

  • Christopher S. Raffo, MDChristopher S. Raffo, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • James s. Gardiner, MDJames S. Gardiner, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • John Christoforetti, MD, FAAOSJohn Christoforetti, MD, FAAOS
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist

Specialized Knee Osteoarthritis Treatment in Montgomery County, Maryland

Discover tailored care for knee arthritis at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our devoted team of orthopedic specialists provides customized treatment options to alleviate discomfort and enhance your quality of life. Whether you're grappling with stiffness, swelling, or limited mobility, we're here to assist you in finding relief and restoring functionality to your knee. Reach out to us at (301) 515-0900 or conveniently schedule your appointment online.

Orthopedist reviewing a patient's x-ray results with him.

Other Knee Conditions

  • ACL & PCL Tear
  • Knee Osteoarthritis
  • Meniscus Tears
  • Patellar Tendon Rupture
  • Quadricep Tendon Rupture
  • Baker’s Cyst
  • Patellar Tendonitis
  • Osgood-Schlatter Disease
  • Patellar Fracture
  • Patellar Instability
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Explore Other Conditions We Treat

  • Hand & Wrist

    Hand & Wrist

  • Elbow

    Elbow

  • Shoulder

    Shoulder

  • Spine

    Spine

  • Hip

    Hip

  • Knee

    Knee

  • Foot & Ankle

    Foot & Ankle

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Locations

Bethesda Office
6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

Germantown Office
19847 Century Boulevard, Suite 205
Germantown, MD 20874

Rockville Office
1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.