FROM ARTHROSIS TO KNEE PROSTHESIS

You have difficulties to get up, to walk, to take the stairs, or even to sit kneeling bent, those are problems due to osteoarthritis of the knee.
In young people, difficulties in sustaining efforts may be a sign of early arthritis.
The radio confirms the diagnosis by revealing the disappearance of the cartilage height.
Knowing where you are hurting, and where osteoarthritis is located and how much it is will determine the following solutions that are proposed : medical treatment, osteotomy, half-prosthesis or complete knee replacement.

Early to moderate knee osteoarthritis, lateralised on a deformed knee (varus or valgus) may be an indication for osteotomy of the tibia or femur. The procedure involves over-correcting the knee axis to de-stress the still healthy side of the knee (click "learn more").
The knee is rejuvenated by about ten years.
The intervention is more effective when there is still cartilage to preserve, but if the subject is functionally young, it remains interesting.
According to the importance of the deformation, the correction is done by the removal of a bone slice and compression, light assembly by 2 staples and immediate support, or by a bone cutting and distraction, mounting plate and light support 1 month and half.
Both operations are carried out in short stay of hospitalization.

Lateralized knee osteoarthritis may be an indication for unicompartmental knee arthroplasty.
The result is close to a normal knee. Rehabilitation is faster than for a total prosthesis.
The specification of the unicompartmental prosthesis is stricter than for the knee prosthesis that adapts to all "terrain": it requires a knee undistorted, without instability, a patient without overweight.
The total knee prosthesis has greater reliability for it, when the unicompartmental prosthesis is better forgotten in the activities. When the indications overlap, the best compromise must be chosen for the patient.

Total knee arthroplasty is the ultimate solution for  the problem of knee arthritis.
It adapts to almost all situations of wear or deformation.
The use of navigation makes it possible to further increase the possibilities of solution, by getting rid of visual or palpable markings on the most deformed bones.
Bone cuts and ligament balancing restore stability and mobility to the knee.

The prosthetic knee is not a knee forgotten, and it no longer allows heel-buttocks, but it can walk several hours a day and move up the stairs. Soft sports activities are possible.

To go faster in your medical care, it will be necessary to anticipate it.
Pre-operative rehabilitation, information, preparation of the return to your home are essential.
The maximum attention leads to the minimum medicalization of your visit to the clinic.
The entire medical and paramedical team accompanies you to transform the course of care into a walk of health.
On a technical level, as for the hip, a way of approaching the muscles without slicing anything brings a faster recovery.
Local anesthetics injected closer to the joint provide the opportunity to move the same day of the intervention: the joint is anesthetized, not the muscles.
Your medications and aids allow you to return home quickly.