The role of arthroscopic lavage and debridement in the treatment of osteoarthritis of the knee | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 29, Issue 3, September 2016, Pages 178-183 | ||
| Authors | ||
| Abdul Jabbar R Abed; Ammar S Maulood | ||
| Abstract | ||
| Background: Osteoarthritis of the knee joint is a common orthopaedic problem. Many patients presented as having failure of conservative treatment. The knee is the joint in which scope has itˊs greatest application; it had allowed evaluation of the effectiveness of other tools. Several reports have indicated that debridement decreased symptoms in most patients; this decrease could be attributed to decreasing the stimulus for pain in the joint. Objectives: To evaluate the role of arthroscopic debridement and lavage in the treatment of osteoarthritis of the knee joint and to identify which factors can predict good surgical outcome. Patient and Method: A prospective study conducted by selecting 33 patients with osteoarthritis of the knee according to certain inclusion criteria. All of them had a failure of conservative treatment for at least 6 months. We did arthroscopic lavage and debridement to all of the patients and the results were recorded accordingly. Results: the age range of the patients was between 30-83 years (mean ±SD) (55.4±12.8), 23 females and 10 males, Evaluation of the patients was done 1 month and 6 months after surgery. Good to excellent results were achieved in 81.8% of the patients after 1 month of surgery and 66.7% after 6 months of surgery. Better results were achieved in patients with short duration of symptoms, mild-moderate radiological and arthroscopic changes, normal alignment of the limb, young age groups, positive mechanical symptoms, unicompartmental disease, and unilateral arthritis. Conclusions: Arthroscopic debridement and lavage of the knee is a simple and effective treatment option for treatment of knees with osteoarthritis. It can be used to delay more definitive surgery | ||
| Keywords | ||
| Arthroscopy; Osteoarthritis; Lavage; Debridement | ||
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