Osteoarthritis - surgical treatment


 * We proceed to surgical treatment if conservative treatment fails, the patient cooperates and there is no contraindication to this procedure.
 * Basic types of operations:
 * corrective osteotomy – cutting the bone and aligning its axis;
 * arthrodesis – immobilization of the joint by surface resection and fusion;
 * alloplastic

Surgical treatment of gonarthrosis

 * They are all symptomatic procedures.
 * 1) Arthroscopic lavage
 * 2) * removal of small fragments of cartilage that release inflammatory mediators will alleviate the difficulties in the short term.
 * 3) Shaving
 * 4) * arthroscopic treatment of cartilage defects, where parts that cause mechanical difficulties or can become loose are removed.
 * 5) Debridement
 * 6) * arthroscopic removal of loose bodies, damaged parts of cartilage, menisci, osteophytes,...
 * 7) Synovectomy
 * 8) * oremoval of the hypertrophic inflammatory synovial membrane.
 * 9) Corrective osteotomy
 * 10) * when only one compartment of the joint is affected, associated with valgozitis or varozitis;
 * 11) * we cut the bone and let the parts fuse together, the effect usually lasts for many years;
 * 12) * increases the risks of later endoprosthesis implantation;
 * 13) * good to perform as close as possible to the joint, where there is spongiosis, which heals better − on the tibia just above the tuberosity, on the femur above the epicondyles;
 * 14) * many types, most often wedge-shaped osteotomies;
 * 15) * we fix the new position with osteosyntesis.
 * 16) Artrodesis
 * 17) * an alternative to total endoprosthesis in very severe gonarthrosis with significant surface defects, the bones are allowed to fuse together in a physiological valgus position and in a flexion of 5-10°.
 * 18) * the function will also allow you to drive a car,...

Surgical treatment of coxarthrosis

 * 1) osteotomy
 * 2) * it is based on a mechanical concept of disease pathogenesis;
 * 3) * many types, varisation and valgus intertrochanteric osteotomy.


 * 1) Arthrodesis
 * 2) * in the time before alloplasty it was a very good method;
 * 3) * enables stable and painless standing and walking.

Related Articles

 * Osteaoarthritis Arthrosis
 * Osteoarthritis - conservative treatment