Knee surgery is based on two major areas: arthroscopy and prostheses. Between both we find important techniques, such as those referring to osteotomies and treatments of patella disorders. The novelties have been based, fundamentally, on the improvements of the surgical techniques, the design and the quality of materials and in biological investigations.
The prostheses are getting better and longer lasting, although the most important thing to obtain a good result is the technical correction in the implantation. The improvements in the design and the new materials have allowed a considerable advance in this field: nowadays we have a wide variety of implants. They emphasize the mini-prosthesis, used to replace both small parts of the joint as the largest. The latter are used in the replacements of other prostheses that have failed due to wear, loosening, rejection, etc.
It is highly recommended that the surgery of the arthroplasties be practiced by expert surgeons, especially if it is a replacement surgery, since they demand more technical sophistication and more complex implants.
In patients with osteoarthritis of the knee surgery is not the only solution. Conservative treatment, which is based on physiotherapy, an adequate body mass index and on symptomatic and chondroprotective mediation, is always the first option. We also resort to growth factors before surgery, which is giving very good results.
Growth factors are proteins that we all have in our blood and in some organs and tissues. Platelet Rich Plasma (PRP) is obtained from the patient's blood and has a high content of these growth factors. Its effects are regenerative , since they improve local imbalances that coexist in conflict zones. On the other hand, we also use growth factors in the form of infiltration in degenerative pathologies such as osteoarthritis of the knees or hips, tendonitis and even in the ruptures of muscles and tendons.. Their biggest advantage is that they often allow avoiding or delaying surgery.
This treatment is recommended for all those affected by degenerative problems, such as osteoarthritis , which do not improve with conventional conservative treatments and do not have a clear surgical indication.