Likely you will need joint replacement. The decision is based on your pain and disability, not so much on the x-ray changes.
Surgery or not?
I have Osteoarthritis in one of my knees. The area around the knee is swollen. I am constantly in pain. I am on painkillers every day. The X-ray shows “bone on bone” rubbing. Do I need knee replacement or are there injections available to rebuilt the Cartilage?