Surgery of the knee artrósica: justification and possibilities

surgical options are in relation with the evolutionary moment of the disease artrósica and with the elements of mechanical overload preexisting or developed during the evolution: axial primitive Diversions Reversibilidad of the cartilaginous injury macrocospic Disappearance of cartilaginous fabric Attends of secondary deformations to the process artrósico Degree of global destruction of the joint The first situations can be treated by interventions considered like prophylactic. When already irreversible injuries exist in the cartilage, in moderate degree, palliative interventions can be applied. Finally, when the cartilaginous fabric has disappeared and the desestructuración is important with associate deformities, is necessary to resort to radical interventions since they are the implants protésicos. The ideal attitude would be to manage to avoid, medically, the deterioration of the cartilage (1-3) but this not always is possible so, overcome the phase of condroma faded, and come the phase opened (fisuración, ulceration, disappearance completes), the cartilaginous fabric is irrecoverable (4). For this motive, between others, a high percentage of knees artrósicas, in any of his varieties. It ends up by being feeder industries of replacement for artroplastia total of knee though, during the evolutionary period, other treatments have been applied to them medicoquirúrgicos palliative.

The Surgery Bariátrica

The surgery bariátrica is a tool that is in use as treatment for the severe or morbid obesity. They are surgical procedures, which serve to handle the disorders of excessive supply. The surgery bariátrica is considered to be a part of a therapeutic strategy. This one includes food changes (quality - quantity of show restraint and habits of conduct) and I increase in the physical activity. Hereby it achieves that the patient consumes minor quantities of food on having restricted the size of the stomach and / or the absorption of the food. This surgery brings the patient near to his ideal weight, improves and even it can treat the diseases associated with the obesity.

With the surgery two aims are chased: the first one, the loss of weight, and the second one, the improvement of the problems of health related to the obesity. It must not be considered " Cosmetic surgery ó Cosmetic " since the end of this surgery is to make lose weight to avoid the complications of the obesity. The aesthetic benefits are important but they are secondary ends in this surgery. A surgical suitable result does not guarantee the favorable long-term forecast, since the surgery only is a prop of the treatment. The success takes root in the form in which the patient learns "to "use" correctly the type of intervention that has been practised him.

The patient who enters to the Program of Obesity and Mini Invasive Surgery, must have the safety of the need of a deep and permanent change as well as acquire the commitment to modify his quality it would feed and to increase the energetic expense across the practice of physical activity to achieve the loss of the oily unnecessary mass and to manage to increase the muscular mass