Medium-term efficacy of arthroscopic debridement <i>vs</i> conservative treatment for knee osteoarthritis of Kellgren-Lawrence grades I-III

Lv, Bo; Huang, Kai; Chen, Jun; Wu, Zhuoyi; Wang, Hua

doi:10.12998/wjcc.v9.i19.5102

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…A study performed in the Indian population yielded similar results; it found substantial short-term (two weeks, six weeks, and six months) and mid-term (12 months) improvement using the Visual Analog Scale (VAS), the International Knee Documentation Committee (IKDC) and the Short Form-8 (SF-8) tools [ 22 ]. A prospective cohort study by Lv et al demonstrated improvements in resting pain and functional status for KL grades I-III with follow-ups up to two years using the VAS and the Hospital for Special Surgery Knee-Rating Scale (HSS) [ 23 ]. Our results of good functional and symptomatic improvement in patients with early-stage osteoarthritis (KL Grades I-III) are consistent with these results.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Debridement and Lavage for Osteoarthritis of the Knee: Results From a Low-Resource Setting

Uthraraj¹,

Anazor²,

Hussain³

et al. 2022

Cureus

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IntroductionOsteoarthritis of the knee is a highly prevalent disease globally, causing strain on healthcare resources and leading to a reduced quality of life. There are many treatments proposed for this condition, from conservative measures like analgesics and physiotherapy to surgical options like arthroscopy and total knee arthroplasty (TKA). Arthroscopic debridement and lavage provide significant improvement in a cohort of patients with particular features and can be a temporizing measure before TKA. This study aimed to investigate the results of this procedure, in a case series in the short-term and mid-term, in a low-resource setting. MethodsThis was a case series of 20 patients, who presented with clinical and radiographic features of mild to moderate (Kellgren-Lawrence grades I-III) primary osteoarthritis of the knee. Arthroscopic debridement and lavage were performed and the Knee Society Score (KSS) was recorded pre-operatively and post-operatively in the short and mid-term at one month, three months, and twelve months. Statistical analyses was done for correlation, with different variables such as the presence of meniscal pathology, loose bodies, grade of osteoarthritis, malalignment, and body mass index (BMI). ResultsThe KSS improved at one month, three months, and twelve months for all the patients. The improvement in the KSS scores was associated with varus malalignment of less than 10 degrees, a BMI of less than 25, and the presence of loose bodies. There were no adverse events or complications from this study. ConclusionsThere was a significant improvement in a patient cohort with malalignment of less than 10 degrees, BMI of less than 25, meniscal pathology, and loose bodies. We can therefore recommend arthroscopic debridement and lavage as a temporizing measure before TKA in this particular cohort.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Debridement and Lavage for Osteoarthritis of the Knee: Results From a Low-Resource Setting

Uthraraj¹,

Anazor²,

Hussain³

et al. 2022

Cureus

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“…In our series, patients below 56 years had significant improvement in their OKS. Other studies reported significant improvements including resting pain in the short and mid-term, using other validated instruments [ 29 ]. Patients improved in mid-term at 12 months in our series, evidenced by the improved OKSs and no conversions to other surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Patients improved in mid-term at 12 months in our series, evidenced by the improved OKSs and no conversions to other surgical procedures. Patients with mild to moderate chondral defects improve significantly after this procedure [ 21 , 23 , 29 ]. Patients with Outerbridge grade II lesions were the best responders in our series.…”

Section: Discussionmentioning

confidence: 99%

Short- to Mid-Term Outcomes in Arthroscopic Debridement of the Knee: A Prospective Case Series

Uthraraj¹,

Suguru²,

Anazor³

et al. 2022

Cureus

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IntroductionOsteoarthritis of the knee is a common debilitating disease in the elderly population. There are many treatment options available including physiotherapy, analgesics, steroid injections, arthroscopic debridement, high tibial osteotomy (HTO) and arthroplasty. Arthroscopic debridement is beneficial when patients are chosen with certain characteristics. This is a prospective case series where we have correlated the patient and disease characteristics, with the pre-and post-operative Oxford Knee Scores (OKS). MethodsThis study was done in a single centre with appropriate ethical committee approval and consent. Forty-nine patients were enrolled in the study. The scores were recorded pre-operatively and at 12 months after the interventions. Analysis was done for correlation of the outcome with patient characteristics, radiological and arthroscopic grading. ResultsPatients below the age of 56 years, with partial thickness chondral lesions, grade I-III Kellgren-Lawrence (KL) radiological grading and grade I-II Outerbridge arthroscopic grading showed significant improvement at 12 months. ConclusionArthroscopic debridement is effective in younger patients with mild to moderate arthroscopic and radiologically graded osteoarthritis of the knee joint.

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Arthroscopic Debridement of Mild and Moderate Knee Osteoarthritis Results in Clinical Improvement at Short-Term Follow-Up: A Systematic Review

Cotter,

Weissman,

Yazdi

et al. 2024

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Medium-term efficacy of arthroscopic debridement vs conservative treatment for knee osteoarthritis of Kellgren-Lawrence grades I-III

Cited by 5 publications

References 27 publications

Arthroscopic Debridement and Lavage for Osteoarthritis of the Knee: Results From a Low-Resource Setting

Arthroscopic Debridement and Lavage for Osteoarthritis of the Knee: Results From a Low-Resource Setting

Short- to Mid-Term Outcomes in Arthroscopic Debridement of the Knee: A Prospective Case Series

Arthroscopic Debridement of Mild and Moderate Knee Osteoarthritis Results in Clinical Improvement at Short-Term Follow-Up: A Systematic Review

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