Conservative therapy

Depending on the extent of existing Formanweichungen of the knee joint can be performed initially a conservative treatment trial. The exercises are designed to serve principally to strengthen the vastus medialis muscle in leg extension. Important in any case, the cooperation of the patient. The treatment can only be successful if over an extended period of at least 3-6 months, the exercise programs are carried out consistently. A longer-term immobilization or discharge should be avoided in any case.

Surgical treatment

If unsuccessful, the sole conservative treatment, operative measures are to reconsider. Depending on the cause and the damage observed correction surgery is necessary. One capsule splitting and / or media gathering of the knee joint capsule are options. The displacement of a piece of bone in the lower leg inward provides for cartilage damage to the knee cap or bony Seitversatz the kneecap further surgery form dar. It Here, the approach of the patellar ligament (patellar tendon) is replaced by bone in the lower leg and about 1-2 cm further screwed back towards the inside . If the cause of the thigh may be necessary to correct the hip joint surgery. Complementary therapies cartilage and / or the combination of the methods described are depending on the cause often useful.

Conservative therapy

Depending on the extent of existing Formanweichungen of the knee joint can be performed initially a conservative treatment trial. The exercises are designed to serve principally to strengthen the vastus medialis muscle in leg extension. Important in any case, the cooperation of the patient. The treatment can only be successful if over an extended period of at least 3-6 months, the exercise programs are carried out consistently. A longer-term immobilization or discharge should be avoided in any case. Surgical treatment

If in traumatic dislocation of the patella only the joint capsule is torn and bleeding have occurred, then an arthroscopic lavage often be sufficient and subsequently conservative therapy. Surgical procedures are necessary for cartilage Absprengungen and extensive rupture of a retaining band of the kneecap (patello-femoral MPFL = medial ligament). A Pin a blew out osteochondral fragment is usually achieved via a small skin incision with bioabsorbable anchors. A seam of the capsule may be supplied in the same way arthroscopically. The replacement of the torn MPFL is biomechanically necessary to restore the Patellafunktion and is performed similarly to the cruciate ligament replacement through a minimally invasive procedure with autologous tendon material from the inner thigh.

Treatment is usually conservative first stage dependent. Conservation, sports ban and possibly anti-inflammatory medication may be necessary for pain relief. , if the process X-ray or magnetic resonance imaging progresses, the stove should be surgically drilled to stimulate a vascularization and healing. This is called an ante or retrograde drilling. Sometimes the dead tissue needs to be removed before it detaches and becomes a free “joint mouse”. This can cause further cartilage destruction on yet healthy joint interests. Subsequently, a drilling of the underlying bone is performed to stimulate vascularization and regeneration of cartilage repair tissue also. In recent years, we are increasingly able to make the cartilage-bone transplantation (mosaicplasty) routinely with great success even with such diseases.