Management of knee osteoarthritis: Knee lavage combined with intra articular injections of methyl prednisolone
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Osteoarthritis is a degenerative joint disease. It is a slowly progressive disease that affects individuals from the fourth decade and continues to progress at a variable rate. Knee is the most common joint affected in this condition. Osteoarthritis of the knee is a common problem in India among the population above 40 years of age. Knee Lavage with intra articular injections of methyl Prednisolone is a rapid and cost effective method which decreases the symptoms of osteoarthritis for a variable period and results in better functional outcome. Materials and Methods: This is a prospective observational study conducted on 100 knees in 75 patients suffering from Osteoarthritis treated from July 1 2016 till Dec 31 2016, in the Department Of Orthopaedics, Dr D.Y. Patil Hospital, Pimpri, Pune. All the baseline characteristics of the patients, like demographics, symptoms, Kellegren and Lawrence criteria and functional outcome were recorded. The patients were treated at our hospital with Knee Lavage combined with intra articular injections of methyl prednisolone and followed up for a minimum period of six months. The follow-up information included range of motion, scoring, patient satisfaction and overall outcome of the procedure in terms of patient acceptance. The data was analyzed to determine the functional outcome at six months. Results: There was satisfaction in terms of symptoms of pain and range of movements of the knee. 37% patients showed excellent prognosis, good and fair prognosis was showed by 30% of the patients while only 3% people showed poor prognosis after a follow up of six months duration. Conclusion: Knee Lavage with intra articular injections of methyl prednisolone was not only associated with excellent functional outcome and short term recovery in terms of patient satisfaction and range of movements of the knee with decrease in pain six months post-procedure but also was found to be cost effective.
Authors and Affiliations
Vinod Nair, Clevio Desouza, Amit Chaudhary, Harshal Hurkat, Shiju George
Keywords
Related Articles
- EP ID EP487543
- DOI 10.22271/ortho.2018.v4.i3d.31
- Views 112
- Downloads 0
A prospective study of outcomes of intramedullary nailing of proximal third shaft tibia fractures
Introduction: Tibia is the most commonly fractured long bone in the body. Among the total tibial fractures, about 5-11% of fractures occur in the proximal one third of the tibia. Fractures of the proximal third of the ti...
Computer tomography 3D reconstruction based study of knee anthropometry of Indian population: Comparison with other ethnic groups and current TKA implants
Introduction: Most of the implants used for total knee arthroplasty in Asian patients have been produced based on anthropometry of Western people. Anthropometric studies have shown that there are significant variations i...
Short term outcome of trans-portal anatomic single bundle anterior cruciate ligament reconstruction at BPKIHS
Introduction: Anterior cruciate ligament (ACL) reconstruction is performed to obtain pre-injury stability and to prevent early osteoarthritis of the knee in patients with ACL injury. This study was conducted to evaluate...
Incidence, ultrasound evaluation and outcome of syndesmotic injuries in patients with ankle sprain
Background and Objectives: Ankle sprain is one of the most common injuries in general population. Lateral ankle sprain make up a majority of these injuries and literature describes a high degree of success with quick ret...
Anatomic anterior cruciate ligament reconstruction with 70° arthroscope for better placement of Femoral and Tibial Tunnels
The 70° arthroscope in knee surgery is frequently used in posterior cruciate ligament reconstruction. There are previous reports of its use in anterior cruciate ligament surgery, but it has not achieved routine use. With...