How to treat traumatic arthritis effectively

Traumatic arthritis refers to a limb injury that has occurred. If it is not properly treated, it will often cause hyperplasia of the articular cartilage, leading to pathological changes such as ossification, which often cause joint pain and movement disorders. At this time, timely correction of the deformity should be carried out. Drug treatment can be used for pain and swelling. In addition, physical therapy methods can also relieve symptoms.

(1) Correction of deformity

Prevent articular cartilage degeneration. Traumatic arthritis is a late complication of fracture displacement and articular cartilage fracture, so the late deformity may be caused by malunion or developmental disorders after normal healing. One should be very familiar with the fracture sites and displacement patterns that are prone to malunion.

(2) Drug treatment

Commonly used anti-inflammatory and analgesic drugs in clinical practice include aspirin, which has analgesic and anti-inflammatory effects and is usually used in moderate doses. Other pain-relieving drugs include diclofenac sodium/misoprostol (Osmok), diclofenac (Voltaren), etc.

(3) Physical therapy

It regulates the functions of the human body and causes biological, chemical and other changes, causing physiological effects in local tissues, thereby playing a therapeutic and preventive role.

(4) Joint cleaning

It is suitable for cases where there are loose bodies in the joint with obvious bone spurs at the edges, but the weight-bearing surface of the joint is still relatively intact.

(5) Osteotomy

It is suitable for patients with obvious genu valgum, genu valgum and obvious angular deformity of fracture healing. Osteotomy can reduce intrabone pressure, correct the gravity line, and allow the relatively complete joint surface to bear more body weight load.

(6) Obturator neurectomy

It is suitable for patients with hip pain but less damage to the joint surface. Because the hip joint is innervated by the obturator nerve, femoral nerve and sciatic nerve, and the adductor muscle is innervated by the obturator nerve and femoral nerve, removing the obturator nerve will not cause the hip joint to completely lose nerve control, the adductor muscle will not be completely paralyzed, and it can significantly improve joint pain.