[Focal cartilage defects within the medial knee compartment. predictors for osteoarthritis progression]. / Fokale Knorpelschäden des medialen Gelenkkompartiments: Prädiktoren für die Progression der Kniearthrose.
Z Orthop Unfall
; 152(5): 480-8, 2014 Oct.
Article
en De
| MEDLINE
| ID: mdl-25313703
ABSTRACT
AIM:
The aim of this study was to evaluate the progression of osteoarthritis (end-stage disease with a requirement for arthroplasty) in patients with focal cartilage defects of the medial knee compartment. MATERIAL ANDMETHODS:
Patients (n = 115) with focal cartilage lesions of the medial knee compartment underwent arthroscopy. The follow-up was performed 10 years after the operation to determine the rate of arthroplasty conversion and to evaluate associated factors.RESULTS:
In a total of 35 cases an arthroplasty was needed (30.4â%). The mean survival to arthroplasty was 93.2 (95â% CI 85.4-109.0) months. Cartilage defects within the femur and cartilage lesions within the patella and the lateral did not influence the OA progression. Among the significant risk factors for OA progression were higher patient age, female gender, overweight or obesity and severity of meniscal damage. The most important risk factor was the occurrence and the extent of tibial cartilage defects.CONCLUSIONS:
In the natural course, about 30â% of patients with focal cartilage defects of the medial knee compartment undergo rapid OA progression (arthroplasty as end-stage of the disease). There are general risk factors (age, female gender and obesity) but also local risk factors. Furthermore, tibial defects and the extent of meniscus loss influence the outcome significantly. These general and local factors should be more carefully estimated or addressed in future clinical and scientific work.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cartílago Articular
/
Enfermedades de los Cartílagos
/
Artroplastia de Reemplazo de Rodilla
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Osteoartritis de la Rodilla
/
Articulación de la Rodilla
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
De
Revista:
Z Orthop Unfall
Asunto de la revista:
ORTOPEDIA
/
TRAUMATOLOGIA
Año:
2014
Tipo del documento:
Article