Self-treatment of chondromalacia patella

In addition to being an important pillar supporting our body, bones are also the main driver of our movements. If there is a problem with the bones, it will lead to difficulty in movement in that part of the body. Chondromalacia patella is a common orthopedic disease that is more common in active people, especially athletes. Let's take a look at the self-treatment of chondromalacia patella.

Surgical treatment: Patients with severe symptoms should undergo surgery in a timely manner and receive appropriate treatment based on the severity of the patellar lesions.

1. Patellar cartilage removal: including superficial cartilage cutting, cutting cartilage to reach bone and bone drilling.

(1) Superficial cutting of cartilage: Use a sharp knife to cut the degenerated cartilage until the normal part of the cartilage. Although the cartilage repair ability is very weak after shallow cutting, after the eroded cartilage is removed, the surface becomes smooth and covered with several layers of flat cells after several months of shaping, making the operation achieve more satisfactory results.

(2) Cutting cartilage to bone: If the cartilage damage has reached the bone, the entire layer of cartilage can be cut and the wound edge can be trimmed to form a bevel, leaving the exposed bone untreated. Full-thickness cartilage defects that do not reach the medullary cavity can be slowly regenerated endogenously, and the regenerated cartilage is hyaline cartilage.

(3) Cutting cartilage to bone and drilling: Cut away the full-thickness cartilage of the disease, expose the bone, and drill several holes with Kirschner wires to cause bleeding in the bone bed. The full-thickness defect of the articular cartilage deep into the medullary cavity can be repaired exogenously from the medullary cavity mesenchymal tissue. The above operations can be performed through arthroscopy, using a planer to cut, or through joint incision under direct vision.

2. Patellar plasty: After cutting away the diseased cartilage, if the exposed bone is large (2 to 3 cm), the adjacent synovium or a layer of fat pad can be cut and flipped over and sutured to cover the exposed bone surface.

3. Patellar resection: If the patient is older, has severe symptoms, has a large exposed bone area (more than 3 cm), and has relatively large wear of the femoral cartilage, and cannot undergo patellarplasty, patellar resection may be considered.

Mild cases of patellar chondromalacia can be solved through appropriate exercise, but in more severe cases, surgical treatment is recommended. If you are not clear about the principles of this type of disease and have no medical knowledge, it is recommended that you listen to the doctor's advice and prescribe the right medicine.