Arthroscopic Debridement for Grade III and IV Chondromalacia of the Knee in Patients Older Than 60 Years

Bekerom, Michel P.J. van den; Patt, Thomas W; Rutten, Sonja; Raven, E. E. J.; Vis, Harm M V van de; Albers, G. H. R.

doi:10.1055/s-0030-1248056

Cited by 9 publications

(7 citation statements)

References 28 publications

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“…In young patients, however, UKA or total knee arthroplasty (TKA) can be less useful because of the risk for revision arthroplasty, extended life expectancy and various complications such as limited activity 12 , 13) . There are a few reports in the literature describing HTO combined with arthroscopic microfracture in young arthritis patients with Outerbridge grade III and IV chondropathy on the femoral and tibial joint surface, which we think could be diagnosed as kissing lesions 14 , 15) . They suggested that this type of treatment was clinically and radiographically more effective in getting rid of pain, preserving joints, and performing daily living activities than UKA in a short-term follow-up.…”

Section: Introductionmentioning

confidence: 97%

Comparative Study of Clinical and Radiographic Outcomes of High Tibial Osteotomy in Patients with Kissing Lesions and Non-Kissing Lesions

Park

Shim

Lee

2017

Knee Surg Relat Res

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PurposeHigh Outerbridge grade lesions of the articular cartilage have been associated with poor outcomes of high tibial osteotomy (HTO). However, there has been no report on the efficacy of HTO in the presence of kissing lesions. The purpose of this study was to compare clinical and radiographic outcomes of HTO between kissing lesion and non-kissing lesion groups.Materials and MethodsOf the patients with medial compartment osteoarthritis and varus deformity treated with HTO between 2007 and 2012, 21 cases with kissing lesions and 22 cases without kissing lesions were selected. Clinical outcomes were assessed using the Lysholm knee scoring scale score, visual analogue scale score, Hospital for Special Surgery score, Western Ontario and McMaster Universities score, and Tegner activity score. Radiographic outcomes were assessed using the femoral-tibial angle, mechanical axis deviation, medial proximal tibial angle, posterior tibial slope angle, and joint space width.ResultsClinical outcomes were improved in both groups from the postoperative assessment to the final follow-up, which showed no statistically significant difference between groups at the final follow-up. No statistically significant differences were observed with regard to radiographic assessment.ConclusionsSince both groups showed favorable short-term clinical and radiographic outcomes, HTO might be an alternative treatment option for degenerative osteoarthritis with kissing lesions in relatively young patients.

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Section: Introductionmentioning

confidence: 97%

Comparative Study of Clinical and Radiographic Outcomes of High Tibial Osteotomy in Patients with Kissing Lesions and Non-Kissing Lesions

Park

Shim

Lee

2017

Knee Surg Relat Res

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“…The term arthroscopic debridement may include the introduction of saline into the joint, in addition to articular trimming, lavage, meniscectomy, removal of osteophytes, and articular abrasion [1].…”

Section: Discussionmentioning

confidence: 99%

“…Degenerative arthritis is the most frequent disorder in elderly patients [1]. Knee osteoarthritis (OA) is more likely to result in disability than OA of any other joint [1].…”

Section: Introductionmentioning

confidence: 99%

Osteoarthritis of the Knee: Is any Role for Arthroscopy in the Treatment? Current Review

Sedeek

2014

J Curr Surg

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There are few well controlled studies with long-term follow-up that establish selection criteria concerning arthroscopy in the osteoarthritic patients in the current literature. Nevertheless, the use of arthroscopy for the treatment of osteoarthritis of the knee has increased over the last decade. In the mean time, it is important to analyze the current literature in an effort to determine which patients are most likely to benefit from arthroscopy.

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“…Arthroscopic debridement is commonly used in the treatment of painful degenerative knees. It is preferred because it has low morbidity, creates a treatment option while determining the phase of the illness objectively, and has positive effects on symptoms and functions (7,9). Van den Bekerom initiated this technique by performing debridement on the knees of patients older than 60 years (9).…”

Section: Discussionmentioning

confidence: 99%

“…It is preferred because it has low morbidity, creates a treatment option while determining the phase of the illness objectively, and has positive effects on symptoms and functions (7,9). Van den Bekerom initiated this technique by performing debridement on the knees of patients older than 60 years (9). Studies have been published supporting the use of arthroscopic debridement in the treatment of knee osteoarthritis with the use of arthroscopy in orthopaedic surgery (4,5).…”

Section: Discussionmentioning

confidence: 99%

The Effects of Arthroscopic Joint Debridement in Knee Osteoarthritis Patients Over the Age of Sixty

Karaman¹,

Güney²,

Kafadar³

et al. 2013

Erciyes Med J

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Materials and Methods Between 2006 and 2011, 80 patients with symptomatic primary knee osteoarthritis rated from mild to moderate according to the International Knee Documentation Committee (IKDC) criteria were evaluated retrospectively. The study protocol was approved by the ethics committee of Erciyes University Medical Faculty and informed Objective: The effects of arthroscopic joint debridement (AJD) on patients aged sixty or above who had symptoms of osteoarthritis according to functional status, pain levels and patient satisfaction were evaluated in the short-and mid-term. Materials and Methods: Between 2006 and 2011, 80 patients aged 60 or above who had undergone AJD and partial menisectomy were evaluated retrospectively. Lysholm knee score (LKS) and visual analogue score (VAS) were compared pre-and postoperatively. Patient satisfaction status was evaluated by visual analogue patient satisfaction scale (VAPSS). Results: Pre-and postoperative average LKS were 61.01±8.77 and 70.91±9.13, respectively. The increase in the average LKS after AJD was statistically significant (p<0.01). Pre-and postoperative VAS values were found to be 4±0.6 and 2.6±1.1 respectively. The decrease in the average VAS value after AJD was statistically significant (p<0.01). The average value of VAPSS was 6.2±2.1. Total knee arthroplasty was performed in four patients whose symptoms did not improve after AJD. Deep vein thrombosis (DVT) developed in two patients after AJD. Conclusion: AJD increases the activity level of patients with moderate knee osteoarthritis in short-and mid-term follow-up.

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Arthroscopic Debridement for Grade III and IV Chondromalacia of the Knee in Patients Older Than 60 Years

Cited by 9 publications

References 28 publications

Comparative Study of Clinical and Radiographic Outcomes of High Tibial Osteotomy in Patients with Kissing Lesions and Non-Kissing Lesions

Comparative Study of Clinical and Radiographic Outcomes of High Tibial Osteotomy in Patients with Kissing Lesions and Non-Kissing Lesions

Osteoarthritis of the Knee: Is any Role for Arthroscopy in the Treatment? Current Review

The Effects of Arthroscopic Joint Debridement in Knee Osteoarthritis Patients Over the Age of Sixty

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