In the presence of a Knee osteoarthritis surgery may be necessary.
This is the case when all conservative measures to treat joint wear and tear no longer show any effect and the suffering of those affected can no longer be improved by this.
These include, above all, taking painkillers such as NSAIDs as well as heat and cold treatments.
There are a number of surgical procedures that are used for knee osteoarthritis:
The procedure can be minimally invasive or open, corrections can be made to the existing joint or a Knee prosthesis can be used.
The general indication criteria include:
In principle, the following procedures are possible:
Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
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The knee joint is one of the joints with the greatest stress.
Therefore, the treatment of the knee joint (e.g. meniscus tear, cartilage damage, cruciate ligament damage, runner's knee, etc.) requires a lot of experience.
I treat a wide variety of knee diseases in a conservative way.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert
A Knee arthroscopy (Jointoscopy) is not only used for diagnostics but also for therapy.
It is a surgical procedure where the doctor inserts a probe into the knee joint. Among other things, a camera is attached to this probe, with which the condition of the knee joint or knee osteoarthritis can be assessed.
The knee arthroscopy as a diagnostic method is, however, from MRI of the knee joint, with which the knee can be visualized very well non-invasively, has been replaced.
From a therapeutic point of view, however, it makes sense, as it is a minimally invasive procedure and arthroscopy therefore involves relatively low surgical risks. Through two small cuts (about 3mm tall) a probe is inserted into the knee joint. This probe can be used to bring various instruments into the knee joint, with which, for example, the joint can be rinsed and splintered pieces of cartilage can be removed in the case of existing knee osteoarthritis.
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It is still possible to remove excess bone that occurs in advanced knee osteoarthritis. The knee arthroscopy is performed either on an outpatient or inpatient basis. The patient appears sober for this procedure and should not have smoked if possible.
Since it is a minimally invasive surgery the risks of arthroscopy are much lower than those of open knee surgery.
Even so, arthroscopy is an operation and there are risks that the attending physician must inform his patient about. For example, general or regional anesthesia is also used during arthroscopy (e.g. Numb the knee) and thus has all the side effects that anesthesia can have.
Side effects such as drop in blood pressure, muscle cramps and Cardiac arrhythmias can occur during surgery. Nausea and vomiting are possible after the operation. There can also be general surgical risks, including infections in the knee, damage to the nerves, secondary bleeding or stiff joints.
A thrombosis is another risk that needs to be mentioned. After the knee arthroscopy, the doctor should develop a plan for adequate follow-up treatment to prevent possible infections. The plan should also include physical therapy and another knee osteoarthritis treatment plan. The patient should be informed about rules of conduct, such as how much weight or when the knee may be loaded again.
With a knee arthroscopy, the following damage / symptoms / complaints can be remedied and carried out:
If the knee osteoarthritis is very advanced, the cartilage is badly worn and the patient suffers from severe pain that can no longer be contained by therapy, it is possible to completely or partially restore the knee joint Knee prosthesis restore or make resilient.
$config[ads_text4] not foundWith knee prostheses, one differentiates between a partial prosthesis and a full knee prosthesis.
The insertion of partial and full dentures are operations that, like any other procedure, can involve complications. (please refer: Complications of surgery) In addition to a well-performed operation and follow-up treatment, the patient's constitution is also important.
This determines namely with his Age, General condition, body weight, Pre-existing illness and Comorbidities partly the success or the possible complications of an operation.
Thrombosis and a subsequent pulmonary embolism can also be a risk after surgery. After the operation, however, thrombosis is counteracted with medication and physiotherapy exercises. Infections, intra-articular adhesions with restricted mobility of the joint and loosening of the prosthesis can also occur.
In order to prevent loosening of the prosthesis, a two-year x-ray check should be carried out after approx. 5-6 years. All in all, a knee prosthesis can significantly increase the patient's quality of life, since pain is reduced or eliminated and the mobility and resilience of the joint are improved.
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Read more on the subject here Operation of a knee prosthesis and general information about the artificial knee joint.
Correction of the axis error near the knee joint (knock knees or bow legs) in order to reduce the mechanical stress on the knee joint and thus delay the progression of osteoarthritis.
Learn more at:
In the case of retropatellar arthrosis (arthrosis of the kneecap), after all previous measures have been exhausted, an additional operation on the attachment of the kneecap tendon may be indicated.
Appointment with a knee specialist?Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
The knee joint is one of the joints with the greatest stress.
Therefore, the treatment of the knee joint (e.g. meniscus tear, cartilage damage, cruciate ligament damage, runner's knee, etc.) requires a lot of experience.
I treat a wide variety of knee diseases in a conservative way.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert