Treatment of Gonarthrosis: Second Phase
Second phase:
Treatment is based on “intra”, which introduce substances into the joint. Produce temporary improvements, but care must be taken with the risk of joint infection which involves:
Removing the spill, or excess fluid in the joint
Useful when both the fan and prevents painful joint mobility.
Intraarticular injections of hyaluronic acid
Improve the quality of joint fluid and protects the cartilage, may be beneficial in patients with osteoarthritis unevolved and without spillage.
Intraarticular injections of corticosteroids
Inflammatory useful in cases where an infectious cause is ruled out because corticosteroids decrease the body’s defenses.
“Synoviorthesis”
These injections of radioisotopes (radioactive substances) soft, trying to destroy the synovium to produce less joint effusion, but are little used in Spain.
Arthroscopic washed with sterile serum
Arthroscopic washes may be helpful in cases of chronic effusion, to eliminate waste and revitalize the remaining cartilage.
When pain can not be controlled or limited patient overrides the surgery is indicated, with several options for physical activity, the condition of the bones and the degree of injury:
Arthrodesis
Melt the femur to the tibia, so that the joint disappears. The problem is that the knee is immobile. You can enter in force workers arthritic great destruction, but is a technique rarely used.
Osteotomy
Are performed tibial bone cuts so that it changes the orientation of the axes of the knee is downloaded to the affected area and increasing the burden on the rest. Indicated in young or mature lesion in one compartment and good mobility.
Total knee replacement
Involves replacing the joint with a prosthesis. It is a common intervention in the Insalud but with a number of risks and complications that the patient must understand and weigh.