Remove edema after surgery with knee joint
The rupture of cartilage most often happens in humans,who are engaged in dancing, football, tennis and other sports. This phenomenon can also occur in ordinary people who are not connected with the performance of permanent physical pursuits. Let's take a closer look at what is a knee joint meniscus rupture, what are its causes and symptoms, and how the defect is treated.
Meniscus is a fibrous cartilaginous tissue,which performs cushioning in the joint. Due to the proper functioning of the knee cartilage, a person moves easily and painlessly, without crunches, crackles and clicks in the joints.
When the knee bends, the meniscus slightlyThey contract, and when they unbend, they return to their original form. Thanks to the intra-articular "liner", joint stability is ensured, as with the intraarticular cartilage and ligaments it is fixed and can not unbend the knee excessively. Each knee joint has two menisci:
- Outer cartilage is large and has great mobility. Because of this, the meniscus rupture occurs not often;
- The inner cartilage is small in size and moves less. Due to the fact that it is connected to the inner lateral ligament of the knee, it is most often traumatized and torn.
If the inner meniscuses are injured, they heal slowly and require a long rehabilitation period for full recovery.
The gap most often occurs in people whoseactivity is associated with physical stress. Usually a male trauma doctor is contacted from twenty to forty years of age. Since cartilaginous tissue up to the age of 14 years in children is plastic and well-extensible this kind of injury they happen very rarely.
Causes of rupture of cartilage of the knee joint:
- The rupture is due to a combined or indirect knee injury, during which a person can rotate with the knee;
- When the knee is unbent, the knee is forced and simultaneously the legs are withdrawn or lead;
- A meniscus rupture can occur due to a shock in front or a fall to the knees;
- A rupture can happen because of a chronic knee injury;
- Because of arthritis or arthrosis of the knee joint;
- Due to chronic intoxication, deterioration of the cartilage occurs, which also leads to rupture of the meniscus;
- The cartilage can suffer from prolonged standing work or constant walking.
Breaking a meniscus is often accompanied by damagecapsule, fat body, cartilage on the joints. Such additional problems lead to a worsening of the patient's condition and have a great influence on the choice of the method of trauma treatment.
Symptoms of a meniscus in the knee
A meniscus rupture always occurs together with other knee joint injuries, so it is very difficult to diagnose it in some cases.
Symptoms of knee injury:
- After rupture of the cartilage, the victim feels pain in the joint. And the knee becomes swollen;
- If a rupture occurred in the zone with blood vessels, hemarthrosis develops, as blood begins to accumulate inside the joint. Its main symptoms are swelling, swelling of the patella;
- With small ruptures, the patient feels only painful clicks or moves with difficulty;
- Large gaps block the joint, and it becomes immobile.
- In some situations, the symptoms of a meniscus rupture are accompanied only by pain when descending from the stairs.
Symptoms of rupture of internal cartilage:
- A sudden sudden pain in thetwo minutes. Before pain, a person can hear a slight click. After a while the patient can move, but with difficulty. When a person wants to bend or unbend a knee, the pain becomes worse, and when the leg is in a calm position, it calms down;
- Then blockade of the joint occurs. This phenomenon is often encountered when the ligaments are ruptured;
- Together with the blockade, the ruptured meniscus can lead to the accumulation of blood in the knee joint in the area of capillary damage;
- On the second or third day after the rupture of the cartilage, the joint swells.
If you find the above symptoms, it is important to immediately seek help from a doctor to make the necessary arrangements in time.
The phases of the progression of the meniscus damage
The rupture of the meniscus is accompanied by two phases - acute and subacute. They have different symptoms of manifestation. Periods of meniscus rupture:
- During the acute period, a reactivenonspecific inflammatory process, which is characterized by local pain in the joint space. A person can hardly unbend a leg in the knee. In case of trauma, a bruise, infringement, tearing of the cartilage, detachment from the joint capsule may appear. If you immediately begin treatment, recovery will come very soon;
- During the subacute period, reactive changessubsided. The following symptoms are observed: local pains are felt, there is an effusion in the cavity and blockade of the joint. This phase of injury of the meniscus with the help of conservative methods is difficult to cure, therefore the treatment is carried out with the help of surgical intervention.
To accurately establish the gap of the meniscus, a careful examination of the affected joint is carried out.
The patient undergoes an x-ray, computertomography, magnetic resonance imaging and arthroscopy. Arthroscopy helps diagnose cartilage damage in the knee, and also treat the resulting injury.
Treatment of rupture of the knee joint meniscus
If the cause is not detected in time and the symptoms of the acute form of the meniscus rupture are not eliminated, pathology after a while will turn into a chronic form. Chronic form leads to degradationcartilage surface of the bone, because of what begins to develop arthrosis of the knee joint. For this reason, it is important to begin treatment immediately after getting a knee injury.
Treatment of a damaged meniscus is carried out by conservative and surgical methods. What kind of method to treat a particular case is solved only by a doctor!
Primary incision and pinchingMeniscus is usually treated in conservative ways. In some cases after the examination, a joint injury requires urgent surgery. But most often the gaps are treated conservatively.
Treatment for rupture of cartilage of the knee joint consists of the following stages:
- When the joint is jammed, the specialist must put it in place. The doctor uses for this purpose a manual technique or hardware traction;
- After repositioning the joint, it is important to remove swelling with anti-inflammatory drugs. For example, hormonal drugs and NSAIDs;
- After removal of the edema the joint needs rehabilitation. The patient undergoes physiotherapy, massage and performs special physical therapy;
- The final stage of treatment is recoverycartilage tissue of the meniscus. Thanks to this stage, a person carries out prevention of arthrosis. Treatment is carried out with chondroprotectors and hyaluronic acid for three to six months. It is important to repeat courses of treatment every year.
In addition to the above treatment, some peopletake more pain medications. Since the tear of the meniscus is accompanied by severe intolerable pains. Pain can be removed with diclofenac, ibuprofen, nimesulide, paracetamol, piroxicam and other similar medicines.
If the doctor deems it necessary, the patient will have tosome time to be in a cast. Usually, after manual repositioning of the joint, it needs a rigid three-week fixation at a certain angle. This can be achieved only by imposing gypsum.
If there is a strong tearing of the meniscus, it is urgent to perform the operation in order to save the organ and restore its function. With the rupture of cartilage, such surgical methods of treatment are carried out:
- Arthrosis, in other words, removalaffected cartilage. Modern medicine allows you to save damaged cartilage, so this type of operation in our time is trying not to apply, because it is not always effective;
- With partial meniscatectomy, the detached cartilage is removed and their restoration is carried out. During such a surgical intervention, the edge is trimmed to an even level;
- For transplantation and endoprosthetics, an artificial or donor meniscus is transplanted. This method is used very rarely, as implants do not take root well;
- Modern surgical treatment of jointsis arthroscopy. The knee in two places is pierced one centimeter. In one puncture, a video camera and saline are introduced, and in the second puncture they perform the necessary manipulations in the joint with the instruments;
- To restore the cartilage is carried arthroscopicoperation, during which the meniscus is sewn. Such an operation is effective only in a thick "living" zone, where it can grow together. Stitching cartilage is carried out immediately after getting injured.
Rehabilitation measures after surgery
Treatment of a damaged meniscus is consideredCompleted only after complete passage of all restorative procedures. Rehabilitation is carried out by a rehabilitation doctor or orthopedist. The specialist appoints a complex of rehabilitation measures. Rehabilitation can be done at home.
After the operation, it is important to do exercise therapyand massage. With the help of modern devices, metered loads are carried out, which stimulate the muscles, and develop joints. After carrying out arthroscopy the rehabilitation period lasts no more than three months. To move as before, it will be possible a month after the operation.
To remove the swelling in the joint, which has been observed for a long time after surgery and interferes with recovery, a lymph drainage massage is performed.
Now you know what the rupture of meniscus knee joints is, what are its main symptoms and how to treat the resulting injury.
It is important to visit the doctor in time to protect the joint and its functional capabilities. Strictly follow all recommendations.
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