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[Focal cartilage defects within the medial knee compartment. predictors for osteoarthritis progression].
- Source :
-
Zeitschrift fur Orthopadie und Unfallchirurgie [Z Orthop Unfall] 2014 Oct; Vol. 152 (5), pp. 480-8. Date of Electronic Publication: 2014 Oct 14. - Publication Year :
- 2014
-
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.<br />Material and Methods: 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.<br />Results: In a total of 35 cases an arthroplasty was needed (30.4 %). The mean survival to arthroplasty was 93.2 (95 % 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.<br />Conclusions: In the natural course, about 30 % 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.<br /> (Georg Thieme Verlag KG Stuttgart · New York.)
- Subjects :
- Adult
Age Distribution
Aged
Aged, 80 and over
Cartilage Diseases diagnosis
Cartilage, Articular surgery
Comorbidity
Female
Follow-Up Studies
Germany epidemiology
Humans
Longitudinal Studies
Male
Middle Aged
Osteoarthritis, Knee diagnosis
Prevalence
Prognosis
Risk Factors
Sex Distribution
Arthroplasty, Replacement, Knee statistics & numerical data
Cartilage Diseases epidemiology
Cartilage Diseases surgery
Cartilage, Articular pathology
Knee Joint surgery
Osteoarthritis, Knee epidemiology
Osteoarthritis, Knee surgery
Subjects
Details
- Language :
- German
- ISSN :
- 1864-6743
- Volume :
- 152
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Zeitschrift fur Orthopadie und Unfallchirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 25313703
- Full Text :
- https://doi.org/10.1055/s-0034-1383081