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Knee replacement is not advocated with osteoporosis and fracture bones. The implant does not stay with the weak bones and there is high likelihood of failure. Once the bone density returns normal with the calcium and vitamin D supplements, knee replacement would be advised.
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The treatment of osteoporosis are;
1) administration of adequate calcium,
2) vitamin D,
3) anti-osteoporotic medication such as bisphosphonates, parathyroid hormone (PTH), raloxifene, and estrogen.
In addition, possible underlying causes of osteoporosis such as hyperparathyroidism and hyperthyroidism should be ruled out or treated if detected.
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