• Conversion of a varus deformity of the lower leg
  • Angle stability running folding end conversion on the thigh
  • Therapy leg malalignment

Normally, the axis of the leg should be straight. Small variations in the O-leg (mostly men) or knock-knee (mostly women) are not a disease value dar. However, a problem arises with larger deviations as well as after partial resection of a meniscus or in chronic instability (old cruciate ligament) and persisting knee stress such as ball sports, Tennis, intense skiing etc. by an unfavorable leg axis, X or O-leg deformity, the knee joint is loaded on one side. Due to this incorrect loading may occur over time to cartilage damage and osteoarthritis.

Conservative treatment measures

Reduction in knee load by choosing knee-friendly sports (eg swimming, cycling, walking, workout at the gym, etc.). This includes also reasonable strength and coordination training. These often help elastic joint bandages, which improve the joint sense (proprioception) Reduction of body weight (what you have always had before) Marginal increase in the shoe soles specific gait training after gait analysis and possibly insoles Injections (now proven and in the osteoarthritis joint with hyaluronic recognized among professionals) or with endogenous growth factors (currently lie here first positive experience before). This modern biological treatment methods are currently not covered by statutory health insurance Combination with glucosamine & Chondroitintabletten. They contain components of the cartilage matrix, are favored mainly in the USA and should also have a pain relieve like the usual anti-rheumatic drugs’ (eg diclofenac), but without side effects. We recommend a daily dose of 1500mg of glucosamine and 1200mg of chondroitin.

Surgical correction of leg angular deformity (osteotomy)

In more severe complaints, major axis deviation and high motion activity, however, the Beinachsfehlstellung should be corrected anatomically to delay the timing of knee joint prosthesis. After a conversion, including the above-mentioned conservative measures make more sense and success. Typical age is between 30 and 60 years. In addition, the improvement rate of about 80% is considerably diminished and the patient then goes better with a knee resurfacing (total knee replacement). In a varus deformity is usually one at the head of the tibia make a change by opening on the inside or removal of a bone wedge on the outside. A knock-knee correction is above the knee joint. In both cases, the bone is carefully cut and precisely set each other again in the desired position and with metal clips or screws fixed to the healing of this artificial bone fracture ‘. By using so-called angular stable plates and screws of the healing process could be improved considerably in recent years: • Less pain • better mobility • More reliable Knochenheilungsrate.Solche changes can often be combined together with Knorpelanfrischung or cartilage grafting.

Follow-up treatment

We remove the metals usually 1 year later usually with a control arthroscopy, also to possibly insufficiently healed cartilage offices for fresh again and to improve. Though it sounds like a serious surgical procedure: these changes heal faster than the cartilage in the knee joint, the after denudation and stimulation time to form a new cartilage covering, of a so-called “bioprosthesis,” is required. By combining all of these measures (operational Arthroseanfrischung possibly cartilage transplantation, conversion, cartilage supportive Hyaluronspritzen), it is now actually possible, contrary to popular opinion, to regrow viable cartilage replacement tissue in about 80% of cases.