Knee
Treatments
At the Gastaldi Orquin Traumatology Institute, we tailor knee treatments according to the intensity and type of pain, always prioritizing conservative solutions before resorting to surgery.
- Knee arthroscopy: Minimally invasive procedure to repair meniscus, cartilage or ligaments.
- Ligament reconstruction (such as ACL): Using modern techniques to ensure stability and functionality.
- Osteotomías: Realineación ósea en casos de desgaste articular.
- Osteotomies: Bone realignment in cases of joint wear.
KNEE ARTHROSIS
Osteoarthritis of the knee is a degenerative disease that wears away the cartilage of the joint, causing pain, swelling and difficulty in moving. It is common in older or overweight people, but can also appear due to previous injuries.
Treatments:
- Guided ECO infiltrations (to reduce pain and inflammation).
- Regenerative medicine (stimulates the repair of damaged tissue).
- Surgery: Knee prosthesis (joint replacement in advanced cases).
ALTERATIONS OF THE KNEE AXIS
Genu varum (“bowlegged”): Disorder in which the knees spread apart, forming an outward arch when the feet are brought together. Common in young children, but if it persists it can cause early osteoarthritis.
Genu valgus (“knees together”): The knees touch while the ankles remain separated. Frequent in growing stages, but if not corrected can cause pain and gait problems.
Treatments:
In children: evolutionary control (usually self-correcting)
In adults: Insoles, physiotherapy or surgery (osteotomy) in severe cases.
Both conditions can affect body alignment and require attention if they cause pain or limitations.
Knee ligament injuries: Ruptures of the anterior cruciate ligament (ACL) are frequent in sports due to sharp turns, presenting audible crunching and instability. The posterior cruciate ligament (PCL) is usually damaged by direct impacts on the tibia, causing hamstring pain and risk of osteoarthritis. The medial patellofemoral ligament (MPFL) is key to patellar stability, and its injury causes a sensation of knee failure, especially after dislocations. Collateral ligament tears (medial/lateral) occur due to lateral sprains, causing pain when forcing the joint to open or close. Treatment varies from rehabilitation for partial injuries to arthroscopic reconstruction in complete ruptures, being essential an accurate diagnosis by MRI and specialized physical examination.
Treatments:
- They are common in athletes and cause pain, instability and functional limitation.
The meniscus is a fibrocartilage that cushions the knee. Breaks can occur due to trauma or wear and tear, causing pain, swelling and joint locking.
Treatments:
- Guided ECO infiltrations (to relieve pain and inflammation).
- Regenerative medicine (promotes meniscus repair).
- Surgery: Arthroscopy (repairs or removes the damaged part of the meniscus).
Cartilage injuries in the knee can be caused by trauma, overuse, or wear and tear. They cause pain, swelling, and difficulty moving.
It includes various conditions such as patellar tendinitis, quadriceps tendinitis, pes anserine tendinitis, iliotibial band syndrome (runner’s knee), and tendon tears like the patellar or quadriceps tendon. They cause pain, swelling, and functional limitation, especially in athletes.
Treatments:
- Guided ECO infiltrations (to relieve pain and inflammation).
- Regenerative medicine (accelerates the recovery of tendons and muscles).
- Reconstruction surgery (in cases of severe tears).
