Comprehensive Treatment of Knee Osteoarthritis Recent Advances
This book presents the state of the art in and offers up-to-date guidance on the treatment of knee osteoarthritis (KOA), a rapidly evolving and expanding field. Written by experts from leading institutions, it offers a comprehensive overview of this condi
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Comprehensive Treatment of Knee Osteoarthritis
E. Carlos Rodríguez-Merchán Primitivo Gómez-Cardero Editors
Comprehensive Treatment of Knee Osteoarthritis Recent Advances
Editors E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery La Paz University Hospital Madrid, Spain
Primitivo Gómez-Cardero Department of Orthopaedic Surgery La Paz University Hospital Madrid, Spain
ISBN 978-3-030-44491-4 ISBN 978-3-030-44492-1 (eBook) https://doi.org/10.1007/978-3-030-44492-1 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Knee osteoarthritis, whether degenerative (the most prevalent) or secondary to other less frequent causes (rheumatoid arthritis and trauma), affects millions of people worldwide, primarily the elderly and especially women. In addition, due to the progressive aging of the population, knee osteoarthritis is becoming more frequent, particularly in more developed countries. Knee osteoarthritis ends up causing progressive chronic knee pain. Given it is a degenerative and incurable disease, our main objective is to alleviate the knee pain experienced by our patients. Pain relief can be achieved initially with conservative treatment, i.e. with analgesics (opioids are not recommended) and oral anti-inflammatory drugs, weight loss, and a more sedentary lifestyle. Subsequently, to alleviate the pain that the initial treatment cannot control, it will be necessary to use physical medicine and rehabilitation. Intraarticular injections of certain drugs [corticosteroids, hyaluronic acid, or platelet-rich plasma (PRP)] may also be used. Finally, when the previously mentioned treatments do not alleviate the knee pain and the patient c
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