Knee pain: successes and failures in the treatment

Written by: Dr. Joaquín Cabot Dalmau
Published: | Updated: 21/05/2018
Edited by: Top Doctors®

Dr. Cabot is an orthopedic surgeon with special dedication to the pathology of the knee. He has been president of the Spanish Knee Society and the Spanish Arthroscopy Association. Dedicated his doctoral thesis to the arthroscopy and anterior cruciate ligament. Directs the knee unit dimension in Barcelona Chiron Hospital and knee unit Bellvitge Hospital from where they have organized numerous courses in the last 20 years, devoted to the pathology of the knee.

Doctor, my knee hurts,¿, that I do

?

First go to a specialist and better if“rodillologo&rdquo ,.

¿any particular detail

?

Yes: to reach an accurate diagnosis. Most importantly, the visit and clinical exploration.

No: treated without diagnosis or complementary tests

.

¿What treatments can be applied

?

Yes. first non-surgical conservative treatment after arthroscopy, and finally conventional surgery

No:“catch flies with cannon”. Minimal risk treatments can be effective.

¿When you have to resort to surgery on knee osteoarthritis

?

Yes: The critical condition for surgery is the correct indication: progressive pain and functional limitation that does not improve with non-surgical treatments. The most common surgery is arthroplasty or prothesis.

¿safe is surgery prosthesis

?

Yes: The prosthetic knee surgery should provide guarantees high (>85 %). The information the physician the patient is essential.

¿Who can trade me

?

Yes: The surgeon should preferably Expert in the art to practice. It is recommended to proceed the knee units of hospitals.

¿There are some special treatments when the above fail

?

Yes: The regenerative treatments with growth factors such as platelet rich plasma and stem from bone marrow cells, better by ultrasound-guided injections. the results are good in 60-80 % of knee osteoarthritis.

¿There is scientific evidence of the success of these techniques

?

Yes: There ( the highest) Recent clinical trials of evidence 1

.

¿any outstanding problem solving in the pathology of the knee

?

Yes: highlight two. chondropathy of the patella and painful prosthesis

¿, these problems are addressed in their scientific meetings

?

Yes: the next in November to organize the Bellvitge Hospital X days Barcelona's knee pathology, dedicated to these issues

.

*Translated with Google translator. We apologize for any imperfection

By Dr. Joaquín Cabot Dalmau
Orthopaedic Surgery

Dr. Cabot is a renowned specialist in traumatology. He is an expert in COT (orthopedic surgery and traumatology), with proven academic and hospital experience of over 25 years of experience in permanent contact with the latest technological advances. Throughout his career he has combined his clinical work with teaching, having directed more than 30 courses related to the pathology of knee arthroscopy and being professor of practice in CSUB. Moreover, he has attended numerous national and international conferences, presenting more than 300 papers and presentations at scientific meetings and published more than 20 papers in magazines and specialty books. He currently serves as orthopedist at the Medical Center The 78th Health in the Chiron Hospital of Barcelona and the Ciutat Sanitaria i Universitaria de Bellvitge.

*Translated with Google translator. We apologize for any imperfection

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