2013, Number 3
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ABSTRACTBackground: tricompartment gonarthrosis constitute a challenge for all the doctors that face it daily since it is associated to some elements that do not permit obtaining the best results in different ways of treatment.
Objective: to show the behavior of patients with tricompartment gonarthrosis.
Method: a cross-sectional, descriptive, observational study was conducted in 35 patients with the clinical, radiographic, and arthroscopic diagnosis of tricompartment gonarthrosis at the Manuel Ascunce Domenech University Hospital in Camaguey from December 1st 2012 to February 28th 2013.
Results: female patients predominated over male patients and the age group of 40-49 years old predominated as well. The 51, 4 % of the patients were classified in grade four according to the criteria of Kellgram J.H and Lawrence J.S. The patients with lesion of cartilage type IV, according to the classification of Outerbridge R.E, predominated. All the studied patients presented associated factors, being rest pain the most frequent. Articular lavage was the most used arthroscopic procedure.
Conclusions: female sex predominated over male sex and the disease was associated to the highest grades of radiographic and arthroscopic classifications. Articular lavage was the most used treatment.
Cibere J, Zhang H, Thorne A, Wong H, Singer J, Kopec JA, et al. Association of clinical findings with pre-radiographic and radiographic knee osteoarthritis in a population-based study. Arthritis Care Res (Hoboken). 2010 Dec;62(12):1691-8. Saunders J, Ding C, Cicuttini F, Jones G. Radiographic osteoarthritis and pain are independent predictors of knee cartilage loss: a prospective study. Intern Med J. 2012 Mar;42(3):274-80.
Koyonos L, Yanke AB, McNickle AG, Kirk SS, Kang RW, Lewis PB, et al. A randomized, prospective, double-blind study to investigate the effectiveness of adding DepoMedrol to a local anesthetic injection in postmeniscectomy patients with osteoarthritis of the knee. Am J Sports Med. 2009 Jun;37(6):1077-82.
Heir S, Nerhus TK, Rotterud JH, Loken S, Ekeland A, Engebretsen L, et al. Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery. Am J Sports Med. 2010 Feb;38(2):231-7.