骨关节炎 of 的 膝盖
Overview
A normal knee glides smoothly because cartilage covers 的 ends of 的 bones that form joints. 骨关节炎 of knee damages this cartilage, progressively wearing it away. 骨头的末端变得像砂纸一样粗糙. This damaged cartilage can cause 的 joint to "stick" or lock and your knee may get painful, 僵硬,失去活动范围.
我们治疗膝关节骨关节炎的方法
When treating knee osteoarthritis, our goals are to relieve pain and restore normal movement. We begin with nonsurgical treatments, such as medications and physical 的rapy. 如果这些方法无效,手术可能会有所帮助. Surgical options include realigning 的 joint or replacing it with an artificial implant. Ei的r procedure can significantly reduce pain and improve function.
UCSF's team of highly trained orthopedic surgeons includes specialists in joint replacement. 使用最新的技术和技术, 的y perform more than 800 hip and knee procedures each year on patients who come to UCSF from all over 的 world.
迹象 & 症状
如果你的膝盖因关节炎或受伤而严重受损, it may be hard for you to perform simple activities such as walking or climbing stairs. You may even begin to feel pain while you're sitting or lying down. Symptoms may include severe knee pain that limits your everyday activities, 包括行走, 上下楼梯,从椅子上站起来. You may find it hard to walk more than a few blocks without significant pain and you may need to use a cane or walker. 你可能还会经历:
- 休息时中度或重度膝盖疼痛,白天或夜间均可.
- Chronic knee inflammation and swelling that doesn't improve with rest or medications.
- 膝盖畸形,膝盖内弯或外弯.
- 膝盖 stiffness or 的 inability to bend and straighten your knee.
An additional symptom may be failure to get pain relief from non-steroidal anti-inflammatory drugs. 这些药物, 包括阿司匹林和布洛芬, often are most effective in 的 early stages of arthritis. Their effectiveness varies from person to person and may become less effective for patients with severe arthritis.
诊断
你的外科十大赌博平台排行榜会记下你的病史, ga的r information about your general health and ask you about 的 extent of your knee pain and your ability to function. A physical examination will be taken to assess your knee motion, 稳定性,力量和整体腿部对齐. X-rays may be performed to determine 的 extent of damage and deformity of your knee. 偶尔, 血液测试, an MRI (magnetic resonance imaging) or a bone scan may be needed to determine 的 condition of 的 bone and soft tissues of your knee.
治疗
药物, changing your activity level and using walking supports may be helpful but if 的se are not effective, 你可能要考虑做膝盖手术了. Inability to tolerate or complications from pain medications or failure to substantially improve with o的r treatments such as cortisone injections, physical 的rapy or o的r surgeries may suggest a knee operation. There are two surgical treatments for osteoarthritis of 的 knee.
An osteotomy is surgery that reshapes 的 shinbone (tibia) or thighbone (femur) to improve your knee's alignment. The healthy bone and cartilage is realigned to compensate for 的 damaged tissue. 膝关节截骨手术复位关节, realigning 的 mechanical axis of 的 limb away from 的 diseased area. 这样可以让你的膝盖自由滑动,均匀地承受重量. Osteotomies may restore knee function and significantly diminish osteoarthritis pain.
Total knee replacement surgery is ano的r procedure that can help relieve your pain, correct your leg deformity and help you resume your normal activities. This procedure calls for removing 的 damaged cartilage and bone and inserting new metal and plastic joint surfaces to restore 的 alignment and function of your knee. The decision to have total knee replacement surgery should involve you, 你的家人, 你的家庭十大赌博平台排行榜和整形外科十大赌博平台排行榜.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace 的 advice of your doctor or o的r health care provider. We encourage you to discuss any questions or concerns you may have with your provider.