Comprehensive conservative treatment as a possible alternative to surgery in difficult orthopedic situations

Osteoarthritis, both idiopathic and post-traumatic, is currently the most significant problem in orthopedics. It particularly difficult to treat patient with comorbidities, when it necessary decide on surgery for a late-stage joint disease. An operation associated great risk such patients. Even if does not have serious somatic disorders, main task of doctors (and this multidisciplinary problem) prolong functioning maintain patient’s quality life. In article, we report cases, complex non-pharmacological (therapeutic exercise, physiotherapy, orthobiology – PRP therapy) pharmacological (nonsteroidal anti-inflammatory drugs, chondroprotectors, vitamins, calcium, tissue repair stimulants) treatments ensured good effect, thereby maintaining function adequate life without surgery. We also found that use Ambene® Bio (a chondroprotector) increased treatment efficacy.