Quality of Life in Patients with Knee Osteoarthritis Treated with Joint Lavage and Arthroscopic Debridement
Keywords:
osteoarthritis, joint lavage, arthroscopic debridement.Abstract
Introduction: Joint lavage and arthroscopic debridement, as minimal access surgery, can be considered as a therapeutic alternative for osteoarthritis.
Objective: To determine the quality of life of patients with knee OA treated by joint lavage and arthroscopic debridement.
Methods: A prospective study was carried out in 115 patients with knee osteoarthritis at Hermanos Ameijeiras Clinical Surgical Hospital from January 2016 to January 2017.
Results: The predominant age was the fifth decade of life and the female sex was the most affected. The time from the first symptoms to the treatment was between 12 and 24 months (41.7%) and more than 24 months (42.6%). The patient's health status, according to the visual analogue scale, showed moderate compromise in more than 50% and poor health status with significant impact on the quality of life in 44.3% before surgery. When applying WOMAC functional assessment scale in osteoarthritis, 58.3% of the patients had severe disability before performing the arthroscopy. One year after the treatment, they were reassessed with WOMAC, and they had 93.3% improvement in functional knee disability and 66.1% mild disability.
Conclusions: Arthroscopic lavage and debridement positively impacted on improving the perception of the quality of life of patients with osteoarthritis by improving functional capacity and the degree of their functional disability.Downloads
References
1. Mathiessen A, Conaghan PG. Synovitis in osteoarthritis: current understanding with therapeutic implications. Arthritis Res Ther. 2017;19(1):18. DOI: https://doi.org/10.1186/s13075-017-1229-9
2. Geyer M, Schönfeld C. Novel Insights into the Pathogenesis of Osteoarthritis. Curr Rheumatol Rev. 2018;14(2):98-107. DOI: https://doi.org/10.2174/1573397113666170807122312
3. Abramoff B, Caldera FE. Osteoarthritis: Pathology, Diagnosis, and Treatment Options. Med Clin North Am. 2020;104(2):293-311. DOI: https://doi.org/10.1016/j.mcna.2019.10.007
4. Roseti L, Grigolo B. Current concepts and perspectives for articular cartilage regeneration. J Exp Orthop. 2022;9(1):61. DOI: https://doi.org/10.1186/s40634-022-00498-4
5. Álvarez-López A, Soto-Carrasco SR, García-Lorenzo YC. Comportamiento de pacientes con artrosis patelofemoral. Acta ortop. mex. 2018 [acceso 05/07/2022];32(1):2-6. Disponible en: http://www.scielo.org.mx/scielophp?script=sci_arttext&pid=S2306-41022018000100002&lng=es
6. Mahmoudian A, Lohmander LS, Jafari H, Luyten FP. Towards classification criteria for early-stage knee osteoarthritis: A population-based study to enrich for progressors. Semin Arthritis Rheum. 2021;51(1):285-91. DOI: https://doi.org/10.1016/j.semarthrit.2020.11.002
7. Andersen MØ, Holst AK, Horn HC. Osteoarthritis of facet and sacroiliac joints. Ugeskr Laeger. 2020 [acceso 23/05/022];182(42):V05200308. Danish. PMID: 33046194
8. Vílchez-Cavazos JF, Martínez-Rodríguez HG, Simental-Mendía MA. El plasma rico en plaquetas en osteoartrosis de rodilla: una alternativa de tratamiento. Artículo de revisión. Cirugía y Cirujanos. 2015 [acceso 05/07/2022];83(4):352-8. Disponible en: https://www.redalyc.org/articulo.oa?id= 66242706016
9. Cajigas Melgoza JC, Ariza Andraca R, Espinosa Morales R, Méndez Medina C, Mirassou Ortega M, Robles San RM, et al. Guía de práctica clínica basada en la evidencia para el diagnóstico y tratamiento de la osteoartritis. Med. Int. Méx. 2011 [acceso 20/03/2022];27(6):552-72. Disponible en: www.imbiomed.com.mx/articulo.php?id=78680
10. Burgos-Vargas R, Cardiel MH, Loyola-Sánchez A, De Abreu MM, Pons-Estel BA, Rossignol M, et al. Characterization of knee osteoarthritis in Latin America. A comparative analysis of clinical and health care utilization in Argentina, Brazil, and Mexico. Reumatol Clin. 2014;10(3):152-9. DOI: https://doi.org/10.1016/j.reuma.2013.07.013
11. Carou AI. Evaluación clínica del paciente con artrosis: estudio multicéntrico nacional EVALÚA. Diss. Universidade da Coruña; 2014.
12. Solis-Cartas U, Prada-Hernández DM, Molinero-Rodríguez C, de Armas-Hernández A, García-González V, Hernández-Yane A. Rasgos demográficos en la osteoartritis de rodilla. Rev Cuba Reumatol. 2015 Abr [acceso 15/06/2022];17(1):32-9. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962015000100006&lng=es
13. Xu Y, Wu Q. Trends and disparities in osteoarthritis prevalence among US adults, 2005-2018. Sci Rep. 2021;11(1):21845. DOI: https://doi.org/10.1038/s41598-021-01339-7
14. Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health. 1994;84(3):351-8. DOI: https://doi.org/10.2105/ajph.84.3.351
15. Chico-Capote A, Estévez-del Toro MH, Pérez-Campos D, Stusser R. Efecto del desbridamiento artroscópico en la osteoartritis de rodilla. Rev cubana med. 2007 [acceso 15/06/2022];46(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232007000100007&lng=es
16. Álvarez-López A, Casanova-Morote C, García-Lorenzo Y, Moras-Hernández MA. Osteoartritis de rodilla: Parte I revisión del tema. AMC. 2004 [acceso 15/06/2022];8(4):127-39. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552004000400015&lng=es
17. Marquez-Arabia J. RGCMAW. Bloqueos de nervio periferico para el dolor posoperatorio de artroscopiade cadera. Rev cubana anestesiol. 2013 [acceso 15/06/2022];12(1):20-9. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726-67182013000100004
18. Reyes-Chirino G. GRAVMADPE. Lesiones del cartilago articular de la rodilla en zona de carga. artroscopia en 120 pacientes. 2005;I(9):13-21.
Download
