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Osteoarthritis on Hip and Knee Xrays

Xrays can be used to determine the severity and progression of disease of a hip or knee replacement but they are never used to make the decision about WHEN to perform the surgery. In the video above, I go over some of the aspects we look for on Xrays.

Dr Chien-Wen Liew
Orthopaedics 360

Xrays can be used to determine the severity and progression of disease of a hip or knee replacement but they are never used to make the decision about WHEN to perform the surgery. In the video above, I go over some of the aspects we look for on Xrays.

01

What X-rays Do You Need?

If this is the first tie you are seeing me (or your orthopaedic surgeon), then it is best to have an Xray that was at least performed within the last 12 months. This enables a more recent review of your joint. A hip and knee Xray should be performed when you have symptoms only, and certainly should not be done routinely if you are not considering a joint replacement operation, or intervention.

Dr Liew — Osteoarthritis on Hip and Knee Xrays
Watch — Dr Liew Explains
Osteoarthritis on Hip and Knee Xrays

Watch Dr Chien-Wen Liew discuss this topic.

02

Is an MRI Necessary?

In general, an MRI is not necessary in making the diagnosis of osteoarthritis of the hip and knee. Occasionally, when there can be competing pathologies or what the Xray do not reflect the same as the symptoms you are experiencing, then an MRI should be performed to clarify the situation.

Dr Chien-Wen Liew
MBBS (Hons) · FRACS (Ortho)
Orthopaedic Surgeon, Adelaide
Exclusively Total Hip Replacements and Total Knee Replacements. Refined focus in Minimally Invasive, Patient Specific Adelaide Joint Replacement Surgery.
FAQ

Frequently Asked Questions

What do hip and knee arthritis look like on X-ray?+
If this is the first tie you are seeing me (or your orthopaedic surgeon), then it is best to have an Xray that was at least performed within the last 12 months. This enables a more recent review of your joint. A hip and knee Xray should be performed
What X-ray views are taken to assess hip and knee arthritis?+
Weight-bearing AP pelvis views for the hip, and standing full-leg AP and lateral knee views for the knee, are the standard X-rays used to assess arthritis severity and plan for potential surgery.
Does X-ray severity always match the level of pain in arthritis?+
Not always. Some patients have severe X-ray changes with manageable symptoms, while others have significant pain with relatively mild imaging findings. Clinical symptoms and functional impact are weighted alongside imaging when making treatment decisions.

More Information

Learn more about this procedure and what to expect during your consultation.

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Medical Disclaimer: This content is for educational purposes only. Individual outcomes vary. AHPRA Registered Specialist.