Conversation: The conversation between human and AI assistant.
[|Human|] I have a moderate size knee joint effusion and diffuse high grade partial thickness chondral loss of medial patellar facet, patellar ridge and central femoral trochlea.  Can this be repaired with something other than surgery or is arthoscopic possible?
[|AI|]  Osteoarthritis can be managed conservatively also by taking Glucosamine, installed, diclofenac meds. Wearing knee brace and hot fomentation and application of Voltaren gel. If degenerative disease has advanced, open surgical debridement is preferable to arthroscopic as wider exposure and accessibility is made possible. If age is above 55 years, a partial or total knee replacement may be done. Patel KO femoral arthritis can be better managed conservatively or by patellectomy and dedication of qua Chat Doctor.