The choice of treatment method depends on the diagnosis, as well as the age, efficiency and expectations of the patient. A different method of treatment is offered to young people who want to return to sports activities, and another to older people who want to live without pain.
The knee joint can be treated conservatively by means of pharmacological treatment or using appropriate rehabilitation methods. Sometimes regenerative medicine is also helpful. It reduces pain, strengthens and relieves the knee. Its use accelerates the regenerative abilities of the affected joint.
- Viscosupplementation – this procedure involves injecting a natural substance into the affected joint: hyaluronic acid. It is a component of the synovial fluid. Its task is to moisturize the cartilage and protect all elements of the joint from damage. If there is not enough of it, damage occurs faster. The injection of hyaluronic acid soothes and eliminates pain.
- Platelet-derived growth factor concentrates – a substance found in blood plasma. They are obtained by centrifugation and appropriate preparation of a blood sample of each patient. Then they are applied directly into the joint. Growth factors stimulate the healing of damage in the body.
- Administration of multipotent cells (pericytes) – in the bone marrow haematopoietic cells predominate, while there are relatively few mesenchymal cells with a regenerative effect, which is why the Carolina Medical Center introduced orthopedic therapy using span style=”color: #219e9f;”>autogenous multipotent cells obtained from adipose tissue. Their use may accelerate the regeneration of a damaged joint. It is the latest method that is used, but still requires further research to confirm its effectiveness.
In the case of advanced disorders of the knee joint or when serious injuries occur, surgery is required.
At the Carolina Medical Center, we always put the good of the patient first, which is why we use modern, minimally invasive surgical techniques, referred to by orthopedists as “preserving surgery”. These are methods thanks to which patients do not experience the lack of feeling deep in the muscles and tendons and maintain their own joint. They are dedicated mainly to young people who want to stay physically active at all costs.
One of the methods of saving the patient’s joint is arthroscopy of the knee joint. It enables the diagnosis of the joint, conducting an operation, and removal of the cause of pain. During arthroscopy, various procedures are performed, including ligament reconstruction (e.g., anterior cruciate ligament reconstruction, multi-ligament reconstruction), cartilage reconstruction, suturing or repair of the meniscus (removal of the damaged fragment of the meniscus), removal of loose bodies from the joint.
Among the surgical methods of treating the knee joint, we can distinguish osteotomy, commonly known as “controlled breakdown”. It is designed to minimize the progression of degenerative changes and is an alternative to more invasive surgeries.
In advanced osteoarthritis, knee arthroplasty gives a chance to recover and return to normal functioning in everyday life. It is performed in patients who have not had good results with other methods of treatment and have contraindications for the procedure using the arthroscopic technique.