Knee ailments and lesions

Treatments

Knee ailments and lesions
Clinic name: DR. NEMEC
City: Matulji
Region: North Adriatic
Country: Croatia


Knee aliments and lesions

Meniscus lesions
Meniscus lesions are caused by frequent traumas or greater rotary motions of the knee.
Surgical treatment is performed using the artroscopic techniques of partial removal or by suturing the injured meniscus . Patient is discharged from the hospital to a home care several hours after the surgery.

Lesions of the anterior cruciate ligament
The most frequent lesions of the anterior cruciate ligament occur during sport activities and abrupt changes of direction , for example: football, handball, basketball, skiing.
The treatment is performed by using the most recent techniques of arthroscopic ligamentoplastics and ligament reconstruction with an adequate transplant. Day after the surgery, the patient starts walking and gradually burdening the operated knee.

Cartilage defect
A cartilage defect or a cartilage break of part of the bone most often results from sport or from a direct blow to the knee.
In case of greater cartilage defects (3 cm2) transplantation of the patient’s own laboratory bred cartilage can also be performed.

Luxation (dislocation) of patella (kneecap)
Patella (kneecap) instability occurs  when the knee bends  and the patella moves outwards and partially or completely dislocates, and it moves back to its position while stretching out the leg.
The treatment is performed using the latest arthroscopic methods of patella stabilization, so surgical skin cuts and scars are avoided.

Jumping knee (Patella tendinitis)
Jumping knee is a consequence of overstraining the patellar ligament and other knee extensors and is usually caused by sporting activities which involve frequent jumping. In case the conservative therapy shows no improvement, the pain can be relieved by means of arthroscopic surgery.

Arthrosis of the knee joint (Gonarthrosis)
Degenerative changes on the knee occur due to mechanical and biological factors. There are often changes in the knee axis (knock-knees or o-knees) which additionally overstrain the damaged cartilage, causing osteophytes (a protuberance in and around the joint) and narrowing of the joint fissure. Walking becomes more difficult and painful, as well as standing up from a sitting position. The scope of knee movements is gradually reduced and every change of position of the knee causes pain.
Therapy: When only one part of the knee is injured, which often happens with the middle-aged patients,  it’s possible to change the mode of burdening, relieve the sick part, reduce the difficulties and retrieve a part of the knee functions by means of corrective osteothomy  (a bone is cut up and the cut up parts are fixed back at a different angle). In case of an advanced knee arthrosis when the cartilage is completely destroyed, it is necessary to perform a complete knee replacement or implant of a knee endoprostheses, which enables the patient to regain painless knee mobility.

The implantation of total knee endoprosthesises is performed by using the minimal  invasive method.
The advantages of such surgeries are shorter rehabilitation period, quicker recovery and a smaller, aesthetically more acceptable skin section. Day after the surgery patient walks using two crutches, burdening the knee as much as the pain allows it.  Seven days after the surgery, patient is in much stable condition and can walk using only one crutch or even without crutches.
In most cases patients can return to their daily activities approximately one month after the procedure.

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