Knee Joint Treatment

Each patient is provided with an individualized treatment program based on in-depth diagnostics using expert-class MRI and three-dimensional computer modeling. The rehabilitation program includes working with experienced physiotherapists on modern equipment and applying innovative methods to restore joint function. The comprehensive approach of the Ichilov Clinic guarantees not only successful elimination of the pathology but also a return to an active, full life with long-term preservation of the achieved results.

About the Disease

The knee joint is a complex anatomical structure that connects the femur with the tibia and patella. Possible problems with the knee joint include traumatic injuries (meniscus tears, cruciate and collateral ligament ruptures, fractures) and degenerative-inflammatory diseases (osteoarthritis, rheumatoid arthritis, tendinitis, bursitis). These pathologies cause pain, swelling, limited mobility, and often arise from injuries, overloads, or age-related changes.

Causes of Pathologies

• Traumatic injuries and ligament ruptures
• Degenerative-dystrophic processes
• Inflammatory diseases
• Excess body weight
• Excessive physical loads
• Age-related changes in cartilage tissue
• Congenital developmental anomalies
• Metabolic disorders
• Autoimmune processes

Symptoms

• Pain during movement and at rest
• Swelling and puffiness of the joint
• Limited range of motion
• Cracking and popping during bending
• Instability and a feeling of giving way
• Stiffness in the morning
• Deformation of the joint contours
• Localized temperature increase
• Difficulty walking up stairs

Knee Joint Treatment Methods

At the Ichilov Clinic, the choice of knee joint treatment methods is based on the results of comprehensive diagnostics, including expert-class MRI, arthroscopic examination, and three-dimensional computer modeling, taking into account the degree of damage to the joint structures, the patient's age, level of physical activity, and the presence of comorbidities to develop a personalized therapeutic strategy.

Knee Arthroscopy

In the early stages of degenerative changes and in cases of traumatic injuries to intra-articular structures, minimally invasive arthroscopic intervention is used. Through micro-incisions of just a few millimeters, the surgeon introduces a miniature high-resolution camera and specialized instruments into the joint cavity. The magnified image is displayed on a screen, allowing detailed visualization of all intra-articular structures and performing precision manipulations. During the procedure, Ichilov specialists remove damaged fragments of the meniscus, restore the integrity of the ligaments, eliminate loose bone-cartilage bodies, and smooth out irregularities on the joint surfaces. This technology minimizes trauma to surrounding tissues, reduces the hospitalization period to one day, and ensures a quick return to normal activity without prolonged rehabilitation.

Knee Joint Replacement

In cases of significant degenerative changes with destruction of the joint cartilage, when conservative methods do not provide relief, replacement of the damaged joint components with artificial implants is indicated. The surgery is performed using robotic navigation systems, ensuring the accuracy of prosthesis placement to fractions of a millimeter. A three-dimensional model of the patient's joint is created in advance, based on which the optimal position of each component of the endoprosthesis is planned. Ichilov surgeons use state-of-the-art implants made from biocompatible materials that mimic the natural biomechanics of the joint. Depending on the extent of damage, total or partial replacement is performed while preserving healthy structures. The innovative computer navigation technology eliminates positioning errors and guarantees durability of the result for twenty or more years of active life.

Cruciate Ligament Reconstruction

Ruptures of the anterior or posterior cruciate ligament require surgical restoration to prevent joint instability and the development of arthritis. Reconstruction is performed using the arthroscopic method with autografts from the patient's own tendons or modern synthetic materials. Clinic specialists apply the technique of anatomical single-bundle or double-bundle reconstruction, which accurately reproduces the natural structure of the ligament. The graft is fixed in the bone tunnels using biodegradable fixators, which are gradually replaced by the patient's own bone tissue. The surgery is conducted under the control of navigation systems, allowing for perfect positioning of the tunnels in the femur and tibia. This approach ensures complete restoration of joint stability and the ability to return to sports activities within six to nine months after the intervention.

Chondrocyte Transplantation

This method is indicated for young patients with localized defects in the articular cartilage resulting from trauma or osteochondritis. Treatment occurs in two stages and is based on the technology of cultivating the patient's own cartilage cells. First, a small fragment of healthy cartilage is arthroscopically taken from a non-weight-bearing area of the joint. In a specialized laboratory, chondrocytes are isolated from the obtained material, which are then grown in a nutrient medium to the required number of cells. After four to six weeks, the second stage is performed, during which the cultivated cells are implanted into the defect area under a protective collagen membrane. This technology allows for the growth of complete cartilage tissue, identical to the natural structure and functional properties, preventing further destruction of the joint and delaying the need for prosthesis for decades.

PRP Therapy

Platelet-rich plasma injections are used in the early stages of osteoarthritis and in chronic inflammatory processes in the joint as a biological method of stimulating regeneration. A concentrate of plasma with a high content of growth factors and biologically active substances is obtained from the patient's venous blood using centrifugation. The resulting preparation is injected directly into the joint cavity or surrounding tissues under ultrasound guidance for maximum accuracy. Growth factors activate natural processes of cartilage tissue restoration, reduce inflammation, and stimulate collagen synthesis. The Ichilov Clinic employs protocols for multiple injections at intervals, ensuring a cumulative effect of therapy. The method is completely safe due to the use of the patient's own biological material and allows for delaying the need for surgical intervention for several years.

Intra-articular Injections of Hyaluronic Acid

In cases of degenerative changes in articular cartilage and reduced viscosity of synovial fluid, the introduction of hyaluronic acid preparations is indicated to restore lubricating properties. The procedure is performed on an outpatient basis using ultrasound navigation to ensure precise delivery of the preparation into the joint cavity. Hyaluronic acid creates a protective film on the cartilage surface, improves the sliding of joint surfaces, and reduces mechanical load on damaged areas. At Ichilov, preparations of varying molecular weights are used, the choice of which is determined by the degree of joint damage and individual patient characteristics. The treatment course usually includes three to five injections at weekly intervals. The effect lasts for six to twelve months, after which the course can be repeated to maintain the achieved result and slow the progression of osteoarthritis.

Osteotomy

Surgical correction of the limb axis is indicated for deformities that lead to uneven distribution of load on the joint surfaces and accelerated cartilage destruction. The operation involves controlled cutting of the bone with subsequent fixation in the correct position using special plates. Ichilov specialists use computer planning for precise calculation of the correction angle and determination of the optimal site for osteotomy. Changing the mechanical axis redistributes the load from the damaged part of the joint to the healthy one, slowing degenerative processes and eliminating pain syndrome. Modern fixation systems ensure the stability of bone fragments and allow for early controlled loading. This method is particularly effective in young active patients, allowing for postponing joint replacement for ten to fifteen years and preserving the natural joint for as long as possible.

Physiotherapy Procedures

A comprehensive physiotherapy program is prescribed at all stages of treatment as an important component of restoring joint function and consolidating the results of surgical interventions. Magnetotherapy improves microcirculation in the periarticular tissues and accelerates regeneration processes after surgeries. Ultrasound therapy helps reduce swelling, decreases inflammation, and enhances the penetration of medications into deep tissue layers. Laser therapy stimulates cellular metabolism and has a pronounced anti-inflammatory effect. Ichilov specialists also apply cryotherapy to relieve pain and electromyostimulation to prevent muscle atrophy during periods of limited mobility. Each procedure is tailored individually, taking into account the nature of the pathology and the stage of recovery. Course application of physiotherapy significantly shortens the rehabilitation period and improves the quality of the final treatment outcome.

Diagnostic Methods for the Disease

Accurate diagnosis of the knee joint is crucial, as the precise identification of the problem determines the choice of the most effective treatment method and the success of recovery. At the Ichilov Medical Center, diagnostics are conducted on high-precision modern equipment from leading global manufacturers. All procedures are carefully planned in advance, allowing for a complete examination cycle to be completed in a short time—usually within three days.

First Day

Upon arrival at the clinic, the patient immediately meets with the treating orthopedic physician. The specialist collects a detailed medical history, clarifies complaints and the history of the disease, and conducts a thorough physical examination of the joint. Based on the obtained data, the doctor provides recommendations for necessary examinations that will provide a complete picture of the condition of the knee joint and surrounding tissues.

Second Day

On this day, the patient undergoes the prescribed diagnostic procedures.

• Blood tests (general, biochemical, coagulation profile)
• Urine analysis
• X-ray of the knee joint in several projections
• MRI of the knee joint
• CT of the knee joint (if necessary)
• Ultrasound of the joint and soft tissues
• Diagnostic arthroscopy (if necessary)

Third Day

The treating physician gathers a multidisciplinary council involving orthopedic surgeons, radiologists, and other specialists to discuss the examination results in detail. This approach allows for considering all nuances and creating the most relevant individual treatment plan optimally suited to this patient.

How Much Does Treatment Cost in Israel

Advantages of Treatment in Israel

1. Leading orthopedic specialists with international experience and scientific achievements.
2. Modern technologies, including robotic surgery and biotechnology.
3. Comprehensive diagnostics using high-precision equipment.
4. Individual rehabilitation programs for rapid recovery.
5. Comfortable conditions of stay in the clinic with full support.

Even before arriving at the Israeli clinic, the patient can order an online consultation with the necessary specialist. As a result, they will receive personalized recommendations, answers to all questions, and information about available modern treatment technologies.