A 68-yr-old man came with pain and swelling of the right knee. Ahlback grade 2 osteoarthritic changes were found on investigation. What is the further management?

Type I to Type III are treated by conservative treatment which includes : Non-pharmacological therapy: Lifestyle modification, Physiotherapy (exercise), Bracing & arthrosis Pharmacological therapy: NSAIDS, intraarticular injection of steroid or hyaluronic acid. If conservative treatments fail, surgery is indicated and surgical options are:- i) Arthroscopic washout or debridement ii) Realignment osteotomy: Proximal / High tibial osteotomy, Distal femoral / Supracondylar osteotomy iii) Unicompartmental arthroplasty iv) Total knee arthroplasty / Total knee replacement Type IV and Type V are treated with surgery. Total knee replacement (TKR) is the surgery of choice.