The use of hyaluronic acid for the purpose of maintaining healthy articular cartilage is a key step in the direction of avoiding the implantation of artificial joints. Find out what are the benefits of applying this method!

Preservation of articular cartilage

Pain and functional problems related to the joints are the most common reason for visiting an orthopedist in the modern world.

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Ineveryday practice orthopedistsmeet withpatientswhose clinical picture is dominated by pain,reduced range of motion inone of the joint,redness and swelling in the immediate vicinity of the joint. An experienced orthopedist will immediately link such a clinical picture, along with a few more data from the patient’s history, to a potential diagnosis of arthrosis of the joint.

Osteoarthritis of the joint is an extremely unpleasant degenerative disorder that worsens over time and ultimately usually results in an indication for surgery to install a partial or total endoprosthesis, or, popularly speaking, an artificial joint or “iron”. This is an outcome that many dread, especially because of the lengthy and complicated rehabilitation that follows. It is not uncommon for many patients with advanced osteoarthritis to seek an alternative solution to avoid implant placement, and we are pleased to offer you several different options that allow you to do just that – delay, and in some situations completely avoid, difficult surgery.

So in our offer you can find treatments with autologous conditioned plasma (find out more HERE), adipose tissue stem cells (find out more HERE), ear cartilage stem cells (more information HERE), and implantation of artificial cartilage CARTIVA, about which you can find out more HERE).

Inthis text we will focus on another very successful method that can buy a certain amount of time before surgery surgery, and that is the application of hyaluronic acid.


Hyaluronic acid is a type of viscous mucopolysaccharide that is naturally already present in the human body. It is found in chondrocytes (cartilage cells) and synovial fluid (fluid located inside the joint). The origin of the name derives from the Greek word hyalos (glass), as it was first isolated from cow’s eye glass in 1934. year.

The role of hyaluronic acid is reflected in the lubrication of soft tissue structures and maintaining proper joint function. It also reduces friction between the articular bodies, thus directly facilitating the movements between the two cartilages that cover the bone. Arthritic changes in the joint are also manifested through damage and destruction of the cartilage that covers the joint bodies, narrowing of the joint crack (space between the joint bodies), cystic changes in the bone next to the cartilage, hardening of the surrounding bone (subchondral sclerosis) and bone spurs (osteophytes). ), which further reduce the range of motion in the joint.

To set the indication for the application of hyaluronic acid and its adequate action, it is important that the cartilage is not completely degenerated since the mechanism of action of hyaluronic acid is closely related to the cartilage cells that cover the articular bodies.

Hyaluronic acid applieddirectlytothe joint will improve the function of synovial fluid and proper nutrition of the remaining cartilage cells, which will consequently lead to the effect of lubricating the joint and a smooth and smooth interaction between the joint bodies. By removing the cause of permanent microtrauma, the degree of function of the remaining cartilage cells is effectively increased, the symptoms of arthrosis are significantly reduced, and the degree of urgency of potential endoprosthesis implantation is reduced.

Apart from the fact that the joints naturally degenerate over time, which ultimately leads to arthrosis, they can also be damaged due to various traumatic events and some systemic diseases, which we call secondary arthrosis (which means that the cause is not aging).

Primary arthrosis is a consequence of the natural aging of the organism. Some research indicates that changes in the joints occur as early as the middle of the third decade of life, while in the sixth and seventh decades of life they become more serious and become an indication for hyaluronic acid supplementation.

In order to bring with certainty the indication for the use of hyaluronic acid, a clinical examination by an orthopedist and X-ray processing are needed, on the basis of which the degree of joint damage is defined. In consultation with you, after explaining the condition and potential methods of treatment, we determine the type and amount of hyaluronic acid, which is then applied directly to the damaged joint. After applying hyaluronic acid, you go home and do not have to adhere to any austerity measures. Our staff, led by the director of the Polyclinic, Dr. Milan Milošević, will be happy to answer any additional questions related to further recovery.

Applying hyaluronic acid directly to the joint will relieve pain and improve movement in the joint itself, while reducing the need to consume various medications (analgesics and antirheumatics), which ultimately do more harm than good, as they further damage the articular cartilage. At the same time, the progression of arthritic changes slows down and the mobility of the joints increases, due to the reduction of pain, the level of physical activity also increases, and all this contributes to the improvement of your general condition.

Different types of hyaluronic acid

There are several different treatment options for hyaluronic acid. Different manufacturers target to produce hyaluronic acid of higheror lower viscosity, or more and less dense preparations. This is due to the fact that sometimes the use of hyaluronic acid of higher density and sometimes lower density is indicated. In people who are stronger and overweight, hyaluronic acid of higher density is most often used due to the higher load under which the cartilage is located. The advantage of using denserhyaluronic acid mostly lies in the fact that it is applied at longer intervals, ie its shelf life is somewhat longer compared to less dense preparations.

However, in lean people, a denser type of hyaluronic acid will be contraindicated because sometimes its application results in increased pain at the site of application. Therefore, in people with a thinner constitution, it is more appropriate to useless dense preparations that will have an excellent effect on damaged cartilage. This type of hyaluronic acid is administered at more frequent intervals, most often three injections at weekly intervals. Individualization and adaptation to the physical characteristics of the patient are one of the greatest features of quality treatment with hyaluronic acid injections.

Hyaluronic acid, as a natural part of the human body whose supply decreases over time, can lead to problems with the joints, but also with the skin, and supplementation with hyaluronic acid preparations is something that brings you great benefits in the long run. Contact us with confidence.

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Poliklinika Ribnjak jedinstvena je ustanova na području Republike Hrvatske. Objedinjuje različite grane medicine, a sve kako bi ostala vjerna svom sloganu “Zdravlje i Ljepota. Zajedno”. Ortopedija, napredna sportska dijagnostika, funkcionalna i kineziološka rehabilitacija, estetska kirurgija i tretmani, usluge su koje pružamo svakodnevno, stručno i u skladu s najnovijim profesionalnim standardima.

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