{"id":666,"date":"2017-04-19T09:25:58","date_gmt":"2017-04-19T07:25:58","guid":{"rendered":"http:\/\/test.ortho-charlottenburg.de\/?page_id=666\/"},"modified":"2023-10-12T09:54:57","modified_gmt":"2023-10-12T07:54:57","slug":"knee","status":"publish","type":"page","link":"https:\/\/www.ortho-charlottenburg.de\/en\/focus\/knee\/","title":{"rendered":"Diseases &#038; injuries of the knee"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1483011852881{padding-top: 50px !important;background-image: url(https:\/\/www.ortho-charlottenburg.de\/wp-content\/uploads\/ortho-charlottenburg-hintergrund_adobe_stock_alexzaitsev.jpg?id=373) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_row equal_height=&#8221;yes&#8221;][vc_column css=&#8221;.vc_custom_1483029195354{padding-right: 0px !important;padding-left: 0px !important;background-image: url(https:\/\/www.ortho-charlottenburg.de\/wp-content\/uploads\/ortho-charlottenburg-knie_adobe_stock_yodiyim.jpg?id=374) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; offset=&#8221;vc_col-lg-6 vc_col-md-12 vc_col-xs-12&#8243; el_class=&#8221;klara-image-min-height&#8221;][\/vc_column][vc_column css=&#8221;.vc_custom_1483019460219{padding-top: 35px !important;padding-right: 35px !important;padding-bottom: 35px !important;padding-left: 35px !important;background-color: #5b7fc2 !important;}&#8221; offset=&#8221;vc_col-lg-6 vc_col-md-12 vc_col-xs-12&#8243; el_class=&#8221;klara-box&#8221;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|text_align:left|color:%23ffffff&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1679393294769{margin-bottom: 0px !important;padding-bottom: 0px !important;}&#8221;]<style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.dt-breadcrumbs-id-8784640d533519673bebca6bfb9cde39 .breadcrumbs {\n  display: inline-block;\n  margin: 0;\n  padding: 2px 10px 25px 0px;\n  border: 0px solid ;\n  border-radius: 0px;\n}\n.dt-breadcrumbs-id-8784640d533519673bebca6bfb9cde39 .breadcrumbs * {\n  color: #ffffff;\n}<\/style><div class=\"dt-breadcrumbs-shortcode dt-breadcrumbs-id-8784640d533519673bebca6bfb9cde39 align-left\"><div class=\"wf-td\"><div class=\"breadcrumbs text-normal\" id=\"breadcrumbs\"><span><span><a href=\"https:\/\/www.ortho-charlottenburg.de\/en\/\">Home<\/a><\/span><\/span><\/div><\/div><\/div>[vc_column_text el_class=&#8221;white&#8221;]Disease or injuries of the knee limit walking, running and sports activities, overall quality of life is at risk.<\/p>\n<p>The knee is vulnerable to common sports injuries and degenerative joint changes. Many knee problems can be treated with a good chance of complete healing. Typical symptoms and problems are explained on this page.<\/p>\n<p>In case of pain or limited function of the knee you should consult an <a href=\"https:\/\/www.ortho-charlottenburg.de\/en\/\">orthopaedic knee specialist<\/a>. Only with the correct diagnosis of the knee problem an adequate treatment can follow.[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1481804154635{border-top-width: 1px !important;border-bottom-width: 1px !important;padding-top: 50px !important;padding-bottom: 50px !important;background-color: #fbfbfb !important;border-top-color: #e3e3e3 !important;border-top-style: solid !important;border-bottom-color: #e3e3e3 !important;border-bottom-style: solid !important;}&#8221;][vc_row gap=&#8221;35&#8243;][vc_column width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Problems of the knee &amp; orthopaedic treatment&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_tta_accordion active_section=&#8221;0&#8243; collapsible_all=&#8221;true&#8221;][vc_tta_section title=&#8221;Osteoarthritis of the knee&#8221; tab_id=&#8221;osteoarthritis_knee&#8221;][vc_column_text]In the healthy knee joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion.<\/p>\n<p>In osteoarthritis, a degenerative joint disease, the cartilage breaks down, causing pain, swelling and problems moving the knee.<\/p>\n<p>Treatment in early levels of this chronic disease, consists of anti-inflammatory drugs, physical therapy and corticosteroid injections to manage the symptoms. Also, intra-articular injections with <a href=\"https:\/\/www.ortho-charlottenburg.de\/en\/spectrum\/conservative\/#injections\">hyaluronic acid<\/a> can be helpful.<\/p>\n<p>In cases of small areas of cartilage damage a small surgical arthroscopic procedure can improve the situation.\u00a0 Tiny holes (micro-fractures) are drilled into the areas of damaged cartilage. This exposes the blood vessels that lie inside the bone and triggers the bone to produce new cartilage. The new cartilage that grows is less supple than the original hyaline cartilage type, but can help to keep the knee stable.<\/p>\n<p>In severe stages of osteoarthritis, a total knee replacement might be the best solution[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Cruciate Ligaments&#8221; tab_id=&#8221;cruciate_ligaments&#8221;][vc_column_text]One of the most common sports knee injuries is a sprain or tear of the anterior cruciate ligament (ACL).<\/p>\n<p>The anterior (ACL) and posterior (PCL) cruciate ligaments are important to stabilize the knee joint. They control the back and forth motion of the knee.<\/p>\n<p>A tear of the anterior cruciate ligament leads to instability of the knee.<\/p>\n<p>The ligament will not heal without surgery. But <a href=\"https:\/\/www.ortho-charlottenburg.de\/en\/spectrum\/conservative\/\">non-operative<\/a>\u00a0 treatment can be effective for patients who have only minimal symptoms of instability or a\u00a0 very low activity level.<\/p>\n<p>In case of severe instability and in sport active patients surgery (<a href=\"https:\/\/www.ortho-charlottenburg.de\/en\/spectrum\/surgical\/\">operative orthopaedics<\/a>) is recommended to restore full function and stability of the knee.<\/p>\n<p>In most cases the torn ligament is replaced by a tendon graft, that is taken from the patient\u2019s patella or hamstrings tendon, and imitates the original anterior cruciate ligament (anterior cruciate ligament reconstruction).<\/p>\n<p>Further information: <a href=\"http:\/\/orthoinfo.aaos.org\/topic.cfm?topic=A00549\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">http:\/\/orthoinfo.aaos.org\/topic.cfm?topic=A00549<\/a>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Meniscus&#8221; tab_id=&#8221;meniscus&#8221;][vc_column_text]Meniscus tears are among the most common knee injuries.<\/p>\n<p>Two wedge-shaped pieces of cartilage (medial and lateral meniscus) lie between the thighbone and shinbone. The menisci act as \u201cshock absorbers\u201d in the knee. They are tough and rubbery to help cushion the joint and keep it stable.<\/p>\n<p>Injuries to the meniscus lead to pain at the inner (medial) or outer (lateral) part of the knee. Sometimes the knee is catching or locking. Diagnosis of a meniscal tear is made by clinical examination and a concomitant MRI scan.<\/p>\n<p>Arthroscopic surgery with removal of torn parts of the meniscus (partial meniscectomy) might be a possible solution. Some meniscus tears can be repaired by suturing (stitching) the torn pieces together.<\/p>\n<p>Further information: <a href=\"http:\/\/orthoinfo.aaos.org\/topic.cfm?topic=a00358\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">http:\/\/orthoinfo.aaos.org\/topic.cfm?topic=a00358<\/a>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Patella\/Kneecap&#8221; tab_id=&#8221;kneecap&#8221;][vc_column_text]The kneecap (lat.: patella) is a triangular shaped bone that sits in front of the knee joint. The <a href=\"https:\/\/en.wikipedia.org\/wiki\/Tendon\">tendon<\/a> of the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Quadriceps_femoris_muscle\">quadriceps femoris muscle<\/a> attaches to the base of the patella and it plays an important role in straightening the knee.<\/p>\n<p>Sometimes injuries can lead to dislocation of the kneecap and damage the ligaments that hold the kneecap in place.<\/p>\n<p>Non-surgical treatment with stabilization and strengthening of the knee muscles might be successful.<\/p>\n<p>Because a dislocation damages knee tissue, the patella often remains looser, or more unstable, than it was before the injury. As a result, the patella may dislocate again. In these cases surgery is recommended with reconstruction of the damaged ligaments.<\/p>\n<p>Further information: <a href=\"http:\/\/www.orthoinfo.org\/topic.cfm?topic=A00707\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">http:\/\/www.orthoinfo.org\/topic.cfm?topic=A00707<\/a>[\/vc_column_text][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1481639393138{padding-right: 0px !important;padding-left: 0px !important;}&#8221;][vc_custom_heading text=&#8221;Attending specialist&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_single_image image=&#8221;1199&#8243; img_size=&#8221;full&#8221; css=&#8221;.vc_custom_1697097215086{margin-bottom: 0px !important;padding-right: 0px !important;padding-left: 0px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1697097246632{margin-bottom: 0px !important;border-top-width: 0px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 25px !important;padding-right: 25px !important;padding-left: 25px !important;background-color: #ffffff !important;border-left-color: #e3e3e3 !important;border-left-style: solid !important;border-right-color: #e3e3e3 !important;border-right-style: solid !important;border-top-color: #e3e3e3 !important;border-top-style: solid !important;border-bottom-color: #e3e3e3 !important;border-bottom-style: solid !important;}&#8221;]<\/p>\n<h3 class=\"vc_custom_heading\"><a href=\"https:\/\/www.ortho-charlottenburg.de\/en\/office\/dr-sebastian-metzlaff\/\">Dr. med. Sebastian Metzlaff<\/a><\/h3>\n<p><strong>Specialist consultant in orthopaedic surgery (Doctor of medicine) <\/strong>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1697097291310{margin-bottom: 0px !important;border-top-width: 0px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-top: 25px !important;padding-right: 25px !important;padding-left: 25px !important;background-color: #ffffff !important;border-left-color: #e3e3e3 !important;border-left-style: solid !important;border-right-color: #e3e3e3 !important;border-right-style: solid !important;border-top-color: #e3e3e3 !important;border-top-style: solid !important;border-bottom-color: #e3e3e3 !important;border-bottom-style: solid !important;}&#8221;]Sebastian Metzlaff, MD, has specialised in the treatment of diseases and injuries of the knee as well as orthopaedic knee surgery for many years.<\/p>\n<p><a href=\"https:\/\/www.ortho-charlottenburg.de\/en\/office\/dr-sebastian-metzlaff\/\">Profile of the knee specialist \u2026<\/a>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1483011852881{padding-top: 50px !important;background-image: url(https:\/\/www.ortho-charlottenburg.de\/wp-content\/uploads\/ortho-charlottenburg-hintergrund_adobe_stock_alexzaitsev.jpg?id=373) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_row equal_height=&#8221;yes&#8221;][vc_column css=&#8221;.vc_custom_1483029195354{padding-right: 0px !important;padding-left: 0px !important;background-image: url(https:\/\/www.ortho-charlottenburg.de\/wp-content\/uploads\/ortho-charlottenburg-knie_adobe_stock_yodiyim.jpg?id=374) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; offset=&#8221;vc_col-lg-6 vc_col-md-12 vc_col-xs-12&#8243; el_class=&#8221;klara-image-min-height&#8221;][\/vc_column][vc_column css=&#8221;.vc_custom_1483019460219{padding-top: 35px !important;padding-right: 35px !important;padding-bottom: 35px !important;padding-left: 35px !important;background-color: #5b7fc2 !important;}&#8221; offset=&#8221;vc_col-lg-6 vc_col-md-12 vc_col-xs-12&#8243; el_class=&#8221;klara-box&#8221;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|text_align:left|color:%23ffffff&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1679393294769{margin-bottom: 0px !important;padding-bottom: 0px !important;}&#8221;][vc_column_text el_class=&#8221;white&#8221;]Disease&hellip;<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":662,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-666","page","type-page","status-publish","hentry","description-off"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diseases &amp; injuries of the knee | ORTHOP\u00c4DIE CHARLOTTENBURG<\/title>\n<meta name=\"description\" content=\"You have problems with your knee? \u2713 Orthopaedic care and information by \u2713 orthopaedic specialist Dr. med. 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