Knee Osteoarthritis after Arthroscopic Partial Meniscectomy: Prevalence and Progression of Radiographic Changes after 5 to 12 Years Compared with Contralateral Knee

J Knee Surg DOI: 10.1055/s-0038-1646926The purpose of this study was to study the clinical and radiographic changes in the knee after arthroscopic partial meniscectomy (APM) at a long-term follow-up compared with the contralateral knee. We assessed 57 patients (38 males and 19 females) with pre- and postoperative weight-bearing radiography with a follow-up ranging from 5.1 to 12.1 years (mean: 8.1) to analyze prevalence and progression of knee osteoarthritis (OA) after APM. We stratified patients according to body mass index (BMI), type of lesion (degenerative vs. traumatic), and side of meniscectomy (medial, lateral, and medial plus lateral). Patients were evaluated both clinically with Knee Osteoarthritis Outcome Score (KOOS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and radiographically with the Kellgren and Lawrence (K/L) score. Radiographic OA was defined as K/L grade 2 or worse. The prevalence of knee OA was 62.69% in the tibiofemoral compartment. The progression of knee OA was statistically significant, ranging from 17.2% preoperatively to 65.95% postoperatively (p = 0.001) in the medial compartment and from 17.64% preoperatively to 58.82% postoperatively (p = 0.0324) in the lateral compartment. The progression of knee OA in the patellofemoral compartment ranged from 5.26 to 42.10% (p = 0.001). The OA progression regarding BMI was higher into the obese group than the normal-weight group an...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

Related Links:

ConclusionsThe outcome of TKA in non-morbidly obese patients is comparable to non-obese patients with excellent post-operative objective and functional scores. The benefits are sustainable over a long duration of time. The complication rates in obese patients is no different than non-obese patients.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
CHICAGO—Are effective treatments for osteoarthritis (OA) on the horizon? In Emerging Treatments for Osteoarthritis at the 2018 ACR/ARHP Annual Meeting, experts discussed potential therapies to address OA structural progression, pain and inflammation. With an aging population and rising obesity rates, “we can expect the prevalence of osteoarthritis will only increase,” said Anne-Marie Malfait, MD, PhD,... [Read More]
Source: The Rheumatologist - Category: Rheumatology Authors: Tags: American College of Rheumatology Conditions Meeting Reports Osteoarthritis 2018 ACR/ARHP Annual Meeting Pain Source Type: research
ConclusionsBecause of its important clinical implications, an appropriate comprehension of the peri-operative changes in a patient ’s inflammatory status has the potential to influence therapeutic attitude. We failed to observe any significant post-operative differences in the mean values of the markers assessed, except those of IL-6, implying that serum levels of fibrinogen, hsCRP and TNF-alpha within 24 hours after large jo int replacements are not influenced by the patient’s ponderal status.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research
Fit &Strong! Plus Trial Outcomes for Obese Older Adults with Osteoarthritis. Gerontologist. 2018 Nov 26;: Authors: Hughes SL, Tussing-Humphreys L, Schiffer L, Smith-Ray R, Marquez DX, DeMott AD, Berbaum ML, Fitzgibbon ML Abstract Background and Objectives: We compared the effectiveness of standard Fit &Strong! (F&S!; targets physical activity [PA]) to Fit &Strong! Plus (F&S! Plus; targets PA and dietary weight loss) on weight, diet quality, and PA outcomes. Research Design and Methods: We randomly assigned 413 overweight older adults with OA to the F&S! or F&S! Plus programs and asses...
Source: The Gerontologist - Category: Geriatrics Authors: Tags: Gerontologist Source Type: research
We present a case report of pes anserine syndrome in a 79-year-old female who had undergone knee arthroplasty 13 years prior. She was pain free until one year ago when her knee pain resurfaced without any symptoms of infection or history of trauma. She was successfully treated with a combination of stretching exercise and steroid local steroid injection. We want to highlight that such common condition as pes anserine syndrome, could occur in total knee arthroplasty, and should be considered as one of the possible diagnosis.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
Knee osteoarthritis (OA) is a chronic, degenerative joint disease affecting a significant fraction of the human population (Lawrence et  al., 2008). Due to the rising average life expectancy, an increasing obesity, and a prolonged desire for an active lifestyle, research to understand and prevent OA will become even more important. Magnetic Resonance Imaging (MRI) is commonly used to assess knee joint degeneration, especially of th e femoral bone (FB), tibial bone (TB), and the respective femoral and tibial cartilage (FC,TC) (Conaghan et al., 2011).
Source: Medical Image Analysis - Category: Radiology Authors: Source Type: research
Publication date: Available online 23 February 2018Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Marc JanoyerAbstractBlount disease is an asymmetrical disorder of proximal tibial growth that produces a three-dimensional deformity. Tibia vara is the main component of the deformity. Blount disease exists as two clinical variants, infantile or early-onset, and adolescent or late-onset, defined based on whether the first manifestations develop before or after 10 years of age. The pathophysiological mechanisms are unclear. In the Americas and Caribbean, Blount disease chiefly affects black obese childr...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Medial opening-wedge high tibial osteotomy (HTO) has been used to treat osteoarthritis of the medial compartment of the knee. However, this makes the proximal tibia a highly unstable structure and causes the plate to be a potential source of mechanical failure. Consequently, proper design and material use of the fixation device are essential in HTO, especially for overweight or full-weight-bearing patients.
Source: The Knee - Category: Orthopaedics Authors: Source Type: research
J Knee Surg DOI: 10.1055/s-0038-1675170With average life expectancy and the rising prevalence of obesity, osteoarthritis (OA) is creating an increasingly large financial and physical burden on the U.S. population today. As the body ages and experiences trauma, articular cartilage surfaces in joints are gradually worn away, leading to OA. Traditionally, treatment options have included lifestyle modifications, pain management, and corticosteroid injections, with joint replacement reserved for those who have exhausted nonsurgical measures. More recently, hyaluronic acid, micronized dehydrated human amniotic/chorionic membrane...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Special Focus Section Source Type: research
This study's researchers approached all people turning 85 in 2006 in two cities in the UK for participation. At the beginning of the study in 2006-2007, there were 722 participants, 60 percent of whom were women. The participants provided researchers with information about what they ate every day, their body weight and height measurements, their overall health assessment (including any level of disability), and their medical records. The researchers learned that more than one-quarter (28 percent) of very old adults had protein intakes below the recommended dietary allowance. The researchers noted that older adults w...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
More News: Arthroscopy | Eating Disorders & Weight Management | Legislation | Men | Obesity | Orthopaedics | Osteoarthritis | Radiography | Statistics | Study | Universities