Grade 3 of the knee joint is the heaviest .The disease significantly complicates the life of patients, severely limits the ability to work.
With this violation, the knee structure undergoes major changes. The cartilage of the joint is almost absent. This leads to the fact that the surfaces of the bones of the joint are densified.
Bone growths on them becomes larger. Also, with this deviation, there is an obvious narrowing of the joint gap.
It is often enough to identify a complicated version of arthrosis - bilateral 3-degree gonarthrosis.
When the left knee bends inward as it moves, a left-sided gonarthrosis appears.
Accordingly right-sided affects the joint of the right knee.
Read more about gonarthrosis of the knee joint of 2nd degree in our article.
What is the peculiarity of
grade 2 gonarthrosis? By gonarthrosis is meant the damage to the cartilage and bony growths arising on the joint, the xytosis of the articular tissue. Osteoarthritis of the knee - deg. ..
Contents of the article
- Symptoms of the disease passing to the third stage
- Treatment of the disease
- Surgical methods
- Complications and prediction
- How to prevent the third degree of the disease
- Video: What is gonarthrosis
Symptoms of the disease passingin the third stage of
When bilateral bilateral gonarthrosis of grade 3 develops, all manifestations of the early stage develop and new ones arise:
- pain is strong and constant;
- sharp reaction of the sore spot to weather change;
- gait violation;
- knee deformation;
- limitation in motion;
- crunch;
- aggregate of joint fluid;
- reduction of joint space;
- sclerosis of the subchondral portion;
- salt deposition.
When combined with synovitis, the contour of the knee is smoothed, the tissues protrude above the knee and from the side. At the same time blood tests are normal, body temperature does not increase. Simply the patient feels a hindrance when flexing. 
Both knees often suffer, but it happens that only one thing bothers.
Sometimes the disorder is confused with other diseases:
- arthrosis of the femoral joint;
- vascular pain in the knee;
- Inflammation of tendons.
Treatment of the disease
Treatment in the early stages does not cause problems, it can often be limited to prevention. But in 3 stages it is already quite difficult.
Treatment begins with the neutralization of the edema with anti-inflammatory agents. This removes the pain and makes the person's condition easier. After eliminating the pain, you can begin to physiotherapy, physical education, massage.
Anti-inflammatory drugs are taken no more than 3 months.
Chondroprotectors are introduced to restore cartilage. They affect the cause of the disease. Improves the production of joint fluid. However, at this stage of the violation they can be useless.
Introduction of hyaluronic acid inside the joint is very effective at 1 and 2 degrees of severity, with 3 only brings relief.
More results can be achieved by stretching in combination with physiotherapy. The bones are stretched out by stretching, which unloads the joint. Physiotherapy improves blood flow in the joint, the condition of the tissues. Neutralized painful muscle spasm.
The cane should be selected according to its height. A cane with a rubber nozzle below does not absorb and does not slip.
Read more about the treatment in our material.
Treatment of gonarthrosis of the knee joint - medicines, chondroprotectors, sport and diet
Knee joint gonarthrosis is a common disease that is a gradual drying of the cartilage tissue that causes joint deformity. ..
Surgical methods
When the disease becomes severe and conservative treatment does not help, the patient needs surgery. Perform various surgical interventions:
- puncture - removal of excess fluid with subsequent administration of hormonal agents;
- osteotomy of the tibia - correcting the deflection of the axis when the joint is deformed;
- arthrodesis - joint resection with bone fusion. Such intervention is very rare;
- arthrolysis - removal of the altered synovial membrane, adhesions to ensure a normal volume of motion of the joint;
- arthroplasty - reduction of cartilage residues with the formation of articular surfaces. This kind of intervention is rarely done because of the development of joint instability;
- endoprosthetics - replacement of a sick joint by artificial.
The most important part of treatment after surgery is recovery. Under the supervision of a doctor, a patient begins movements in the operated joint from the first days. If the patient's state of health is normal, he can get up on the second day.
Exercises are performed to strengthen the muscles, a gait is developed, a gentle joint. The rehabilitation period can last up to six months.
Initially, the movement is carried out by means of crutches, then they are changed to a cane. It is important to follow the recommended exercises. 
It is useful to walk a lot, but not exhausting yourself. Walking does not cancel exercise. On the stairs you need to move extremely carefully.
About the slightest redness of the wound, inconvenience should be reported immediately to the doctor. Unforeseen numbness or weakness in the extremities can talk about damage to the vessel, nerve.
Whatever products are not replaced with a knee joint, they wear out with time. But the newer and more expensive the prosthesis, the longer the service life.
Complications and prognosis
Knee joint injury of any severity requires observation by a specialist. Osteoarthritis of the knee is not easy to treat, and often exercises, tablets or a diet do not help to eliminate the disorders that have already appeared.
The development of grade 3 gonarthrosis almost always means disability, which can only be prevented by the installation of an artificial prosthesis. Otherwise, the result of the disease will be full fusion or the formation of a false joint with abnormal mobility.
Independent movement in any of the situations will be extremely difficult.
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How to prevent the third degree of the disease
With a tendency to diseases of the musculoskeletal system, as well as a heavy load on the knees because of the profession or sports activities, the following rules should be adhered to:
- Movable way of life, choice of sport not related to joint overloadbicycle, dancing, swimming, walking);
- Elimination of overloads, injuries and bruises of the knee, hypothermia;
- Wearing comfortable low-heeled shoes;
- Healthy diet, normal drinking regime, reduced salt intake;Control over weight;
- Full rest, anticipation of stress;
- Increased immunity, hardening;
- Treatment of infections, prevention of their transition to chronic disorders;
- Prophylactic use of agents that improve local blood flow.
The choice of the direction of treatment depends on the characteristics of the organism, therefore the treatment algorithm is always developed by the treating doctor individually. The treatment takes a lot of time, and requires careful monitoring with changes in the X-ray.
During the entire treatment of , the limitations that this diagnosis imposes on the lifestyle of should be taken into account: it should be possible to limit physical activity and get rid of excess weight, in order to relieve the load from the joints.
Video: What is gonarthrosis
To the question of knees. Why do knee joints crunch and ache? What to do in such cases will tell this video.
