[Treatment of knee osteoarthritis].
Osteoarthritis of the knee is not a well defined illness, but is a result of different causes that may lead to joint failure due to chondral damage, synovial inflammation, subchondral bone formation, and the formation of osteophytes along the joint lines. The pathogenesis is unclear. We still lack treatment to cure the early process of chondral degeneration. The treatment of choice in early and moderate osteoarthritis of the knee is limited to counselling, physiotherapy, analgesics, and surgical correction of malalignment. Documentation is still lacking on chondral debridement and transplantation of the degenerated cartilage by cultured chondrocytes, periosteum or perichondrium. An effective and well documented treatment of end-stage osteoarthritis of the knee in the older population is replacement of the joint by a knee prosthesis.
Aune
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Ortopedisk avdeling, Buskerud sentralsykehus, Drammen.
Lohmander
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S
D000700:Analgesics / Q000008:administration & dosage; D019645:Arthroplasty, Replacement, Knee; D006801:Humans; D020370:Osteoarthritis, Knee / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D026741:Physical Therapy Modalities
D000700:Analgesics
Behandling av kneleddsartrose.