Knee

Knee osteoarthritis (osteoarthritis)

The knee osteoarthritis refers to the wear-induced disease of the Knee joint. Although osteoarthritis can affect each joint in the body, but the knee and hip are frequently affected as they bear a large part of the body weight.

Etiology
In Osteoarthritis, the cartilage layer which covers the bone is destroyed either due to malalignment  or stress and Trauma.. In the advanced stage, this layer is completely damaged which leads to friction of all the bones  with each other. The result is a limited mobility to a stiff joint  and considerable pain.

The wear of the cartilage begins not at an advanced age. In general, it is assumed that the wear and tear of the joints starts from the age of 35.

Investigations
A simple X-ray image is enough normally to confirm the diagnosis "Osteoarthritis". In some cases, an additional MRI is required in order to confirm the diagnosis.

Therapy
Advanced Osteoarthritis is not curable. Through physical therapy, we can initially reduce pain, Improve joint movements and with medications we can control pain and reduces the inflammatory process.
Incorrect and disorganized movement patterns can also be resolved by physical training. Depending on the severity of osteoarthritis, however, intervention is sometimes necessary.

Bicondylar Knee Prosthesis

Bicondylar Prosthesis is indicated in patients with advanced osteoarthritic changes in multiple Knee compartments.

Pain control after Knee prosthesis

In addition to the catheter technique we apply a medicinal pain blockage in the joint to allow our patients a quick mobilization after surgery.

Unicondylar Knie Prosthesis

The knee joint is composed of three Compartments; the joint between the patella and femur (Patellofemoral  and the inside   and outside  joint spaces between the Femur and Tibia and (medial and lateral Tibiofemoral Joint ).

In cases of partial wear affecting only one of these compartments, it is possible to replace at corresponding complaints only the affected compartment  of the knee joint with a prosthesis using minimally invasive techniques.. A prerequisite for this is above all a stable ligaments.

Custom made Prosthesis

Prof. Drescher has a development of conventional "sledge prosthesis" for the internal or external side wear ("Unicompartmental knee osteoarthritis).  Based on a special computer tomography,  a patient-specific sliding prosthesis can be customized. Additionally, the section corresponding to the blocks for the installation of the implant are made specifically for the individual patient. This "customized" production characterized by less bone resection  of femur and tibia  so that the implant is inserted precisely.