Controversy ” What to mark in Ahlbach’s “

AI 2011
Q :  A 65yr old lady presents with a long standing history of pain and swelling in her right knee. Pain is significantly interfering with her activities of daily living. Radiological evaluation shows grade 3 changes of osteoarthritis according to Ahlbach’s classification.  Recommended treatment is
A.Conservative management
B.Arthroscopic lavage/washout
C.Partial knee replacement.
D. Total knee replacement.

Answer stands out to be D that is Total Knee Replacement as patient is symptomatic with restriction of activities of daily living .

2 thoughts on “Controversy ” What to mark in Ahlbach’s “”

  1. sir kindly give some concepts in brief on this topic.
    And what should be the answer for this similar mcq asked in May AIIMS 2010.
    A 68 yr old man came with pain and swelling of the right knee. Ahlbach grade 2 osteoarthritic changes were found on investigation. what is the furthur management?
    a. Arthroscopic wash out
    b. high tibial osteotomy
    c. total knee replacement
    d. Conservative

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