Osteoarthritis, Knee
Knee osteoarthritis is a leading cause of disability, with symtpoms including pain, stiffness, and reduced mobility.
Effective management involves a combination of pharmacological, non-pharmacological, and surgical interventions tailored to the individual patient's needs.
Early diagnosis and comprehensive treatment are key to preserving joint function and improving quality of life.
Most cited protocols related to «Osteoarthritis, Knee»
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Example 7
A patient with osteoarthritis of the knee or with a cartilage and/or a bone defect is treated by surgically implanting cells and matrix according to the invention.
While preferred embodiments of the present invention have been shown and described herein, it will be obvious to those skilled in the art that such embodiments are provided by way of example only. Numerous variations, changes, and substitutions will now occur to those skilled in the art without departing from the invention. It should be understood that various alternatives to the embodiments of the invention described herein may be employed in practicing the invention. It is intended that the following claims define the scope of the invention and that methods and structures within the scope of these claims and their equivalents be covered thereby.
Patients were recruited between February 2019 and March 2021 from the patient population of a single university hospital, and eligible patients gave written informed consent. The inclusion criteria of this randomized controlled trial were patients older than 20 years with medial compartment knee osteoarthritis scheduled for MOWDTO. The exclusion criteria were as follows: previous history of DVT or pulmonary embolism (PE); patients who declared an allergy to TXA by the preoperative interview; patients scheduled for MOWDTO combined with other procedures such as implant removal, anterior cruciate ligament (ACL) reconstruction, osteochondral autograft transfer, and autologous chondrocyte implantation.
All TKAs were performed via a medial parapatellar approach using an intramedullary femoral alignment guide set at five-degrees and an extramedullary tibial alignment guide set at neutral in the coronal plane with a neutral posterior slope in the sagittal plane. All TKAs were cemented (Palacos®, Heraeus Medical, Hanau, Germany). The postoperative protocol was the same in all cases including deep vein thrombosis prophylaxis, prophylactic antibiotics, and follow-up schedule (8 weeks, 6 months, 1 year, and every 1 to 2 years thereafter). Physical therapy was initiated on the day of operation. Each exam was performed by the attending physician.
As per the study protocol, the surgeon switched from 1G to 2G a year into the study period. Data for demographic parameters including age, gender, race, and body mass index (BMI) were collected preoperatively. Scores from patient-reported outcome measures such as the Knee Injury and Osteoarthritis Outcome Survey-Joint Replacement (KOOS-JR) [10 (link)] and Knee Society clinical and radiographic scoring system (KSS) were collected at each office visit [11 (link)]. Scores from different components of KSS were reported separately. These components were objective knee score, functional score, patient satisfaction and expectation score. Intra- and post-operative complications, as well as any revisions, reoperations, and returns to operating room, were diligently recorded. All data were collected prospectively in an institutional database. This study represents a retrospective review of these prospectively collected data.
Synovial fluid analysis. Synovial fluid from OA patients (n = 9) was analyzed by ELISA for tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ), interleukin 1 β (IL-1β), and interleukin 6 (IL-6) content. KL: Kellgren Lawrence; N/A: not available. Patient inclusion criteria: adult patients (age >18 years); mechanical pain; knee joint effusion volume > 1 mL and abnormalities on radiological examination. Patient exclusion criterion: knee joint effusion volume < 1 mL.
Patient | Gender | Age | KL score | TNF-α (pg/mL) | IFN-γ (pg/mL) | IL-1β (pg/mL) | IL-6 (pg/mL) |
---|---|---|---|---|---|---|---|
A | Female | 65 | N/A | <3 | <2.3 | <7 | 1351 |
B | Male | 64 | IV | <3 | <2.3 | <7 | 174 |
C | Female | 51 | IV | 3.9 | 4.1 | <7 | 129 |
D | Female | 58 | 0 | 36.6 | <2.3 | 188 | 1180 |
E | Male | 77 | III | 29.3 | 39.3 | 9214 | 264 |
F | Female | 63 | IV | <3 | <2.3 | <7 | 73 |
G | Male | 58 | 0 | <3 | 7.5 | <7 | 2135 |
H | Male | 54 | IV | <3 | <2.3 | <7 | 25 |
I | Male | 66 | N/A | <3 | <2.3 | <7 | 431 |
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More about "Osteoarthritis, Knee"
This condition is a leading cause of disability, often resulting in pain, stiffness, and reduced mobility.
Effective management of knee osteoarthritis involves a multi-faceted approach, including pharmacological interventions (e.g. analgesics, anti-inflammatories), non-pharmacological therapies (e.g. physical therapy, weight management, bracing), and, in some cases, surgical procedures (e.g. joint replacement).
Early diagnosis and comprehensive treatment are crucial for preserving joint function and improving the quality of life for individuals with knee OA.
Factors such as age, injury history, and underlying conditions can contribute to the development and progression of this condition.
Researchers and clinicians utilize a variety of tools and techniques to study and manage knee osteoarthritis, including diagnostic imaging (e.g.
X-rays, MRI), laboratory tests (e.g.
SPSS version 22.0, HiSeq 2000, FBS, SPSS version 21), and specialized software (e.g.
MVN Analyze, Persona, Active style Pro HJA-350IT).
By understanding the complexities of knee osteoarthritis and exploring the latest advancements in research and treatment, healthcare professionals can provide personalized, evidence-based care to patients, ultimately enhancing their mobility, reducing pain, and improving their overall quality of life.