Osteoarthritis of the knee:
medical treatment
The medical treatment of osteoarthritis initially involves the use of simple analgesics and anti-inflammatory drugs. Recently a new category of anti-inflammatory drugs (anticox2) has been recommended, because they produce fewer gastric pains and stomach ulcers.
Amongst the medical treatments an important place is reserved for the corticoid infusions.
Unfortunately and finally, cartilage grafts are not indicated at the present time if there is a true osteoarthritis present. Cartilage grafts have the most likely surgical indication when there is a localised and specific loss of an articular surface, as in the after-effects of an osteochondritis or of a traumatism.
The rhumatologist may prescribe them two or three times per year but they must be carried out under the strictest aseptic conditions because of the risk of articular infection. Infusions of hyaluronic acid or the administration of chondroprotectors seem promising and deserve a more precise evaluation.