Surgical treatment of osteoarthritis of the knee has improved significantly in recent years, both as regards non-prosthetic, prosthetic treatment and treatment. Knee osteoarthritis can be divided into tibiofemoral and patellofemoral osteoarthritis.
The tibial femoral osteoarthritis is always linked to the effect deseje deformation varus or valgus, that is deformed leg shaped brackets varus or valgus X-shaped.
Regarding the femoral patellar arthrosis has nothing to do with the axis of the legs is osteoarthritis affecting the extensor system giving pain and disability especially on stairs and squatting and kneeling.
For the young or people with major sports motivation, consistently opted for non-prosthetic surgery, ie conservative knee.
For osteoarthritis patellar femoral realignment of the extensor system with an external Facetectomy of the patella allows us to control the problem in a very satisfactory manner and with a minimum period of functional recovery.
For osteoarthritis of the medial compartment of genu varus must be corrected desaxación tip with legs shaped brackets. The tibial osteotomy is the solution gives us a correct axis, we download the inner compartment of the knee and guarantees a correct result from a sporting point of view and pain for the approximate space of about 10 years.
For patients with chronic osteoarthritis knee anterior cruciate ligament injury, you have to know how to handle these situations of lack of ligament and desaxación. In this sense, the graft ligament tissue bank, made while the osteotomy, have helped us very significantly.
For osteoarthritis of the outer compartment (legs in X), always use a femoral varus osteotomy with new plates Artrex house, allowing us a very precise correction and achieves a very rapid consolidation.
In patients over 65 or with lowered sports motivation, which is the most usual, we use prosthetic surgery.
The new knee have managed to lower the coefficient of friction between the two femoral and tibial components, which allow us to glimpse a higher hip replacements last generation survival.
For lesions of one compartment of the knee in patients little "desaxados" with good femoral patellar joint uni compartmental prosthesis, which represents a minimal surgery, have an easy implementation and very satisfactory survival curve. A big indication for this prosthesis is the necrosis of the femoral condyle.
For global osteoarthritis of the knee prosthesis new Triathlon (r) has allowed us to give very accurate way, the desired between the tibia and femur angle getting, in our opinion, the best alignment of the limb.
Moreover, new treatments with acid transhexámico we deleted bleeding and years that we have to use transfusions for knee prosthesis.
We managed to suppress the pain of recovery of knee prostheses based teaching this recovery in the first days post-op and not having to go to a center for functional recovery. That is, teach them how to work and themselves make the recovery from the comfort of your own home.