Although knee arthrosis, known as knee calcification in the society, is known as an elderly disease, it can occur at any age. Expressing that knee arthrosis does not appear suddenly, Orthopedics and Traumatology specialist Prof. Dr. Hasan Bombacı stated that arthrosis has a long process lasting 10-15 years and warned that measures should be taken against it at an early age.
Arthrosis is a problem that greatly affects daily life and working life, especially in advanced stages. Knee arthrosis, which is considered in the category of diseases due to the body's inability to adapt to modern life, is therefore considered in the "incompatibility disease" group. Saying that there are studies showing that the incidence of knee arthrosis has increased significantly in the industrial age, Yeditepe University Koşuyolu Hospital Orthopedics and Traumatology specialist Prof. Dr. Hasan Bombacı pointed out that although it is known as an elderly disease in the society, knee arthritis can occur at any age.
prof. Dr. Hasan Bombacı said that a sedentary lifestyle, obesity, metabolic diseases, excessive smoking and especially unconscious sports activities cause the body to wear out and cause cartilage to deteriorate in the earlier period.
There are controllable and uncontrollable causes of knee arthrosis.
Noting that the two most important known risk factors are aging and obesity, Prof. Dr. Hasan Bombacı stated that aging is not a preventable risk factor, but obesity is a risk factor that can be taken precautions even though it is a difficult situation to deal with. "In other words, although it is not possible for us to affect some of the factors that predispose to knee arthrosis, it may be possible to change some of them," said Prof. Dr. Bombacı also said: “We can examine the causes of knee arthrosis under two main headings as what we can control and what we cannot control. Among the factors that we cannot control; aging, gender, genetic predispositions (inflammatory (rheumatic) diseases, hematological diseases, etc.) can be counted. The factors that we can control can be examined under three main headings; overweight, work- or sports-related overload and trauma. Apart from these, there are also conditions that can be corrected with surgery. Although these require an orthopedic surgical procedure, they are very effective methods to delay and protect knee arthrosis when performed in appropriate patients.”
Not all knee pain is arthrosis
Pointing out that knee pain, which is the most important finding of knee arthrosis, is among the most common reasons for referral to physicians in middle and older ages, Prof. Dr. Bomber gave the following information on the subject:
“One reason for this complaint is the problems arising from the soft tissues (tendon, joint membrane, etc.) around the knee, and another reason is the natural wear of the joints with advancing age, which is called the 'aging knee'. Clinical findings of knee arthrosis other than pain; advanced age, stiffness in the joint, 'crepitation' (a feeling of friction in the joint), tenderness in the bone and enlargement in the bone. Intervention in knee arthrosis, which is a chronic disease such as heart and diabetes, which is common today, as soon as the first symptoms begin, can delay and prevent many painful periods and dysfunctions.
Unconscious sports are the most important cause of arthrosis in young people.
Stating that this disease is most often caused by unconscious sports activities in young people, Prof. Dr. Hasan Bombacı also said that causes such as rheumatism, avascular necrosis (nutrition disorder in the near-joint part of the bone), meniscus tear can lead to the destruction of the knee cartilage. Giving the information that the researches on the effect of genetic factors in the emergence of arthrosis are continuing, Prof. Dr. Bombacı said, “Although genetic researchers have identified genetic locations that may be related to arthrosis, they think that the effects of these alone are limited. The findings suggest that the development of arthrosis is due to genetic factors as well as other phenotypic factors (obesity, etc.)
Treatment varies from person to person!
Emphasizing that conservative methods are the priority in the treatment of knee arthrosis, Yeditepe University Koşuyolu Hospital Orthopedics and Traumatology Prof. Dr. Bombacı said, “The patient can be protected from this ailment by changing his lifestyle. Losing weight, strengthening the muscles around the joint with knee exercises is sufficient in the first stage. There are many studies showing that moderate exercises performed 2-3 times a week, without the risk of injury, are effective in relieving the symptoms of arthrosis in the initial stages. However, patients who do not benefit from these personal measures are evaluated in terms of other causes of arthrosis. After detailed physical examination and radiography controls, the most appropriate treatment method is determined according to the patient's bone and cartilage structure, the mechanical alignment of the legs and the patient's expectations. “These treatments can range from a simple exercise program to knee prostheses where the entire knee joint is replaced with an artificial joint.”