Chondromalacia patella is not the same as saying that it is disabled, the current treatment of chondromalacia patella has a variety of methods, the general principle of treatment is to rehabilitate, supportive treatment is the main treatment, treatment modalities have medication, but this is usually only to alleviate the symptoms, the treatment of symptoms rather than the root cause.
To a certain extent, surgical treatment is still needed, and surgical treatment is divided into traditional surgical treatment and minimally invasive surgical treatment, traditional surgical treatment, there are probably lateral laxation, strengthening of the medial ligament, and then ligament transfers, as well as tibial tuberosity osteotomy, which is not done in the past, and then inwardly shifted. If the severity of the patellofemoral joint is so severe that there is softening of the patellofemoral joint, or even excessive wear and tear of the patellofemoral joint, then patellofemoral joint replacement can also be performed.
There is also a minimally invasive treatment, arthroscopic treatment, arthroscopic treatment is very good for some of the late-stage patients, the advantage is that it is less traumatic, as long as you play three 1-centimeter holes, you can solve most of the problems. So got chondromalacia patella, is not the same as say got what terminal disease, don't be overly pessimistic, looking for a correct and suitable treatment to make chondromalacia patella get the best treatment.
2 Will chondromalacia patella hurt all the timeWill chondromalacia patella hurt all the time? If you don't treat it correctly, it will definitely hurt for the rest of your life. Because the mechanism of chondromalacia patella is determined by the fact that whenever you move the knee joint, it will cause abnormal friction and abnormal impingement of the patellofemoral joint. At first it may be tolerated, but with the increase of friction, the increase of the degree of impact, and then there will be symptoms of knee pain, if you do not carry out the correct treatment, that is, including conservative treatment or surgical treatment, the pain will not be relieved, and will gradually aggravate, and in the end, the formation of the patellofemoral joint excessive wear and tear, and may need joint replacement.
3 Chondromalacia patella can replace the patellaIf the chondromalacia patella enters the advanced stage, the patella's articular cartilage has been completely destroyed, all that can be seen in the operation is the yellow stuff, there is no white stuff, then you can consider patellar resection, but after the patellar resection there are a lot of complications, such as the knee extension weakness, the knee joint instability.
At present, with the development of bone technology, there is now an artificial patella, so some patients with chondromalacia patellae can be considered for artificial patellar replacement at an advanced stage, and in some cases it is not enough to replace the artificial patella, you have to replace the articular surface of the patellofemoral joint, which is called patellofemoral arthroplasty.
4 mild chondromalacia patella can be self-healingmild chondromalacia patella if the correct treatment, there is absolutely hope for self-healing.
But first of all, it is necessary to ensure that the patella has no developmental disorders and no positional abnormalities, as well as the femoral condyles have no developmental abnormalities.
Secondly, it must be the early stage of chondromalacia patella, that is, the wear and tear of the patellar articular surface is not too heavy, at least not to the growth layer, that is, the regenerative layer, if the regenerative layer is worn out, the healing ability of the patellofemoral cartilage is very poor.
The third point is to have the right treatment, first of all, there should be enough time to rest, this time is usually calculated in months, must avoid those sports that can cause aggravation of patellar chondromalacia, cycling, hiking, jumping rope, squatting, or playing basketball, playing soccer and so on.