Early Osteoarthritis Of Knee: A Clinical Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 2
Abstract
Objective: To identify the risk factors for primary early knee osteoarthritis (EOA) in a young to middle-aged population (age<50years) with sub-acute knee complaints. Design: A hospital based cross sectional study was carried out in a tertiary care centre to study the risk factors of early osteoarthritis of knee among the patients attending Orthopaedics OPD. A total of 100 patients of <50 years of age were included in the study. EOA knee patients were identified on basis of clinical and radiological findings fulfilling the newly advised ACR criteria. Eight risk factors like age, gender, obesity, family history, squatting habits, malalignment, vitamin D levels and socioeconomic status were analyzed and evaluated statistically. Results: 100 patients completed the study. The mean age of the study population was 41.24 years (range 24-50 years, SD 5.99). Maximum number of patients (48%) were seen in the age group of 34-44 years. The femalemale ratio in overall study population was 2.1:1. The mean BMI of the study patients was 28.297 (SD 3.93) with majority of patients (76%) had BMI >25 kg/m2. 78% patients had positive family history. 59% had varus malalignment and 68% patients had suboptimal vit D levels. We found that age, obesity, female sex, family history,varus malalignment and vit D as significant and squatting habits, socioeconomic class as non significant risk factors for earlyOA knee. Conclusions: Risk factors are prevalent in this relatively young cross sectional study. Squatting habits and socioeconomic class emerged as non significant risk factors. These data offer insights for awareness and risk interventions among younger persons at risk for knee OA. There is need to spread awareness among people to adopt preventive measures at an earlier age along with healthy lifestyle to reduce the body weight and hence the risk of OA.
Authors and Affiliations
rajan sarad, Raj kumar aggarwal, ARYAN kakkar, manpreet singh
Keywords
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