Osteoarthritis of the knee: between replacement surgery and other nonsurgical treatments

Written by: Dr. Joaquín Cabot Dalmau
Published: | Updated: 21/02/2020
Edited by: Top Doctors®

Dr. Cabot is an orthopedic surgeon specializing in knee pathologies. His doctoral thesis on artroscopiayel anterior cruciate ligament (1992) fuede first presented in Spain. RodilladeCOTA currently runs laUnidad of the Chiron Hospital of Barcelona and the Centro Mare de Deu de la Salut. In the last 20 years he has organized numerous courses on lapatología knee.

Doctor Cabot, when should we turn to the implementation of a knee prosthesis?

I will refer some evidenciassobre implementing the knee. In this sense, there is a face and a cross of the same coin. The face is that 85% of patients undergoing knee prosthesis implantation are satisfied with good results for their daily activities. Also, they notice an improvement in pain and functional capacity.

He is currently the treatment offers better results. He has also told us that there is a cross, what would it be?

15% of patients are dissatisfied, and major complications are between 1 and 3% of cases. Once appear is an irreversible path: When a prosthesis has another flaw. The results are variable in sports like running, cycling, swimming, golf, etc.. Moreover, the surgical risk should be assessed, and be clear that there is a RetrievingYour about four months or so. In addition, it requires that the patient have a good general condition to optimize results; attitude, information, patient expectations and their psychological state is very important.

Considering what he tells us, how do we decide?

The key is an indication of the prosthesis, which is based on clinical symptoms, the lack of improvement with non-surgical treatments, joint deterioration, health status, patient readiness and age. What's new prostheses exist? There are new materials such as ceramics and trabecular tantalioometal more anatomical designs and miniprótesis or partial dentures. Robotic navigation techniques and that can improve the precision. Notably, always a minimum of 10 years is needed to confirm if something is better.

What other options are there?

In addition to other surgeries, such as osteotomy, there are regular sanitary hygiene measures, such as making diet, physical exercise, physical therapy, etc.. When the indication for surgery with arthroplasty is unclear, please regenerative treatments, ranging from growth factors to cell therapy.

Are they easy to apply?

Yes, but delicate. They require a certain preparation conditions: suitable material, clean rooms or laminar flow hood and sometimes collaboration with authorized special centers for the development of cell cultures.

And finally, we could give one last tip for those who suffer from osteoarthritis of the knee?

I give them a basic one: trust your doctor. Do not rush

*Translated with Google translator. We apologize for any imperfection

By Dr. Joaquín Cabot Dalmau
Orthopaedic Surgery

*Translated with Google translator. We apologize for any imperfection

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