Araştırma Makalesi
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Clinical and Radiological Compatibility in Gonarthrosis

Yıl 2021, Cilt 13, Sayı 3, 136 - 144, 26.12.2021

Öz

Objective: The aim of this study was to evaluate the relationship between symptoms and radiologic grading system. Patients and Methods: Patients with primary gonarthrosis between January 2012 and June 2013 were evaluated prospectively. 512 (70.7%) of 724 patients were women and 212 (29.3%) were men, who meet the criteria. Mean age was 56 (35-79). WOMAC total score was used for clinical evaluation. Both knees semiflexion weight bearing anteroposterior, lateral and patella tangential X-rays were obtained, then grading was made according to Kellgren – Lawrence classification. WOMAC scores of patients were arranged according to their radiologic grades. Grade 1 was compared with grade 2, grade 2 with 3 and grade 3 with 4. Also additional imaging studies and offered treatment choices were noted, then distribution according to Kellgren – Lawrence grades was calculated. Results: 89 (%12.2) of patients were grade 1, 208 (%28.7) of patients were grade 2, 256 (%35.3) of patients were grade 3 and 171 (%23.8) of patients were grade 4. There was a significant difference between grade 1 and 2 according to WOMAC scores (p=0.003). The difference between grade 2 and 3 was not significant (p=0.071). The difference between grade 3 and 4 was not significant (p=0.097). Additional imaging studies were MRI, tomography and scintigraphy. Offered treatment options were non operative, arthroscopy, tibial osteotomy, unicondylar knee arthroplasty and total knee arthroplasty. Conclusion: X-rays and staging seems to be not enough for decision making in treatment. Also symptoms and radiological findings should be considered.

Kaynakça

  • 1. Jevsevar DS. Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition. J Am Acad Orthop Surg. 2013;21(9):571-6.
  • 2. Van Saase JLCM, Van Romunde LKJ, Cats A, Vandenbroucke JP, Valkenburg HA. Epidemiology of osteoarthritis: Zoetermer survey. Comparison of radiological osteoarthritis in Dutch population with that in 10 other populations. Ann Rheum Dis. 1989;48(4):271-80.
  • 3. O’Reilly SC, Jones A, Muir KR, Doherty M. Quadriceps weakness in knee osteoarthritis: the effect of pain and disability. Ann Rheum Dis. 1998;57(10):588-94.
  • 4. Rogind H, Nielsen BB, Jensen B, Moller HC, Frimodt-Moller H, Bliddal H. The effects of a physical training program on patients with osteoarthritis of the knees. Arch Phys Med Rehabil. 1998;79(11):1421-7.
  • 5. Kean WF, Kean R, Buchanan WW. Osteoarthritis: symptoms, signs and source of pain. Inflammopharmacology. 2004;12(1):3-31.
  • 6. Peat G, Thomas E, Duncan R, Wood L, Wilkie R, Hill J et al. Estimating the probability of radiographic osteoarthritis in the older patient with knee pain. Arthritis Rheum. 2007;57(5):794-802
  • 7. Duncan R, Peat G, Thomas E, Hay E, McCall I, Croft P. Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be? Ann Rheum Dis. 2007;66(1):86-91.
  • 8. Dowsey MM, Dieppe P, Lohmander S, Castle D, Liew D, Choong PF. The association between radiographic severity and pre-operative function in patients undergoing primary knee replacement for osteoarthritis. Knee. 2012;19(6):860-5
  • 9. Neogi T, Felson D, Niu J, Nevitt M, Lewis CE, Aliabadi P et al. Association between radiographic features of knee osteoarthritis and pain: results from two cohort studies. BMJ. 2009;21;339:b2844. doi: 10.1136/bmj.b2844.
  • 10. Cubukcu D, Sarsan A, Alkan H. Relationships between Pain, Function and Radiographic Findings in Osteoarthritis of the Knee: A Cross-Sectional Study. Arthritis. 2012;2012:984060. doi: 10.1155/2012/984060
  • 11. Sanghi D, Avasthi S, Mishra A, Singh A, Agarwal S, Srivastava RN. Is radiology a determinant of pain, stiffness, and functional disability in knee osteoarthritis? A cross-sectional study. J Orthop Sci. 2011;16(6):719-25.
  • 12. Ozcakir S, Raif SL, Sivrioglu K, Kucukcakir N. Relationship between radiological severity and clinical and psychological factors in knee osteoarthritis. Clin Rheumatol. 2011;30(12):1521-6.

Gonartrozda Klinik ve Radyolojik Uyum

Yıl 2021, Cilt 13, Sayı 3, 136 - 144, 26.12.2021

Öz

Amaç: Bu calismanin amaci gonartrozu olan hastalarda semptomlar ve radyolojik derecelendirme sistemi arasindaki ilişkiyi degerlendirmektir. Hastalar ve yöntem: Ocak 2012 ile Haziran 2013 tarihleri arasında primer gonartrozu olan hastalar prospektif olarak değerlendirildi. Kriterleri karşılayan 724 hastanın 512'si (%70,7) kadın, 212'si (%29,3) erkekti.Ortalama yaş 56 (35-79) yıl idi. Klinik değerlendirme için WOMAC skorlaması kullanıldı. Her iki diz yarı fleksiyonda ayakta yük alırken ön-arka, yan ve patella tanjansiyel röntgenleri çekildi ve Kellgren – Lawrence sınıflamasına göre derecelendirme yapıldı. Hastaların WOMAC skorları radyolojik derecelerine göre düzenlendi. Derece 1 derece 2 ile, derece 2 derece 3 ile ve derece 3 derece 4 ile karşılaştırıldı.Ayrıca ek görüntüleme çalışmaları ve önerilen tedavi seçenekleri not edildikten sonra Kellgren – Lawrence derecelerine göre dağılım hesaplandı. Bulgular: Hastaların 89'u (%12.2) evre 1, 208'i (%28.7) evre 2, 256'sı (%35.3) evre 3 ve 171'i (%23.8) evre 4 idi. WOMAC puanlarına göre 1. ve 2. sınıf arasındaki fark istatistiksel olarak anlamlıydı (p=0.003). 2. ve 3. derece arasındaki fark anlamlı değildi (p=0.071). Aynı şekilde 3. ve 4. derece arasındaki fark anlamlı değildi (p=0.097). Ek görüntüleme çalışmaları MRI, tomografi ve sintigrafi olup; sunulan tedavi seçenekleri konservatif tedavi, artroskopi, tibial osteotomi, unikondiler diz artroplastisi ve total diz artroplastisi idi. Sonuç: Tedavide karar vermede röntgen ve evreleme yeterli görünmemektedir. Ayrıca semptomlar ve radyolojik bulgular da dikkate alınmalıdır.

Kaynakça

  • 1. Jevsevar DS. Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition. J Am Acad Orthop Surg. 2013;21(9):571-6.
  • 2. Van Saase JLCM, Van Romunde LKJ, Cats A, Vandenbroucke JP, Valkenburg HA. Epidemiology of osteoarthritis: Zoetermer survey. Comparison of radiological osteoarthritis in Dutch population with that in 10 other populations. Ann Rheum Dis. 1989;48(4):271-80.
  • 3. O’Reilly SC, Jones A, Muir KR, Doherty M. Quadriceps weakness in knee osteoarthritis: the effect of pain and disability. Ann Rheum Dis. 1998;57(10):588-94.
  • 4. Rogind H, Nielsen BB, Jensen B, Moller HC, Frimodt-Moller H, Bliddal H. The effects of a physical training program on patients with osteoarthritis of the knees. Arch Phys Med Rehabil. 1998;79(11):1421-7.
  • 5. Kean WF, Kean R, Buchanan WW. Osteoarthritis: symptoms, signs and source of pain. Inflammopharmacology. 2004;12(1):3-31.
  • 6. Peat G, Thomas E, Duncan R, Wood L, Wilkie R, Hill J et al. Estimating the probability of radiographic osteoarthritis in the older patient with knee pain. Arthritis Rheum. 2007;57(5):794-802
  • 7. Duncan R, Peat G, Thomas E, Hay E, McCall I, Croft P. Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be? Ann Rheum Dis. 2007;66(1):86-91.
  • 8. Dowsey MM, Dieppe P, Lohmander S, Castle D, Liew D, Choong PF. The association between radiographic severity and pre-operative function in patients undergoing primary knee replacement for osteoarthritis. Knee. 2012;19(6):860-5
  • 9. Neogi T, Felson D, Niu J, Nevitt M, Lewis CE, Aliabadi P et al. Association between radiographic features of knee osteoarthritis and pain: results from two cohort studies. BMJ. 2009;21;339:b2844. doi: 10.1136/bmj.b2844.
  • 10. Cubukcu D, Sarsan A, Alkan H. Relationships between Pain, Function and Radiographic Findings in Osteoarthritis of the Knee: A Cross-Sectional Study. Arthritis. 2012;2012:984060. doi: 10.1155/2012/984060
  • 11. Sanghi D, Avasthi S, Mishra A, Singh A, Agarwal S, Srivastava RN. Is radiology a determinant of pain, stiffness, and functional disability in knee osteoarthritis? A cross-sectional study. J Orthop Sci. 2011;16(6):719-25.
  • 12. Ozcakir S, Raif SL, Sivrioglu K, Kucukcakir N. Relationship between radiological severity and clinical and psychological factors in knee osteoarthritis. Clin Rheumatol. 2011;30(12):1521-6.

Ayrıntılar

Birincil Dil İngilizce
Konular Tıp
Bölüm Araştırma Makalesi
Yazarlar

Mesut TAHTA Bu kişi benim
Egepol Surgery Hospital
Türkiye


Tahir ÖZTÜRK Bu kişi benim
TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ, TIP FAKÜLTESİ
Türkiye


Fırat ERPALA Bu kişi benim (Sorumlu Yazar)
Çesme State Hospital
Türkiye


Eyüp Çağatay ZENGİN Bu kişi benim
TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ, TIP FAKÜLTESİ
Türkiye

Yayımlanma Tarihi 26 Aralık 2021
Yayınlandığı Sayı Yıl 2021, Cilt 13, Sayı 3

Kaynak Göster

Bibtex @araştırma makalesi { gutfd1053987, journal = {Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi}, issn = {1309-3320}, address = {Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dekanlığı , Semerkant Mahallesi, Muhittin Füsünoğlu Caddesi, Tokat}, publisher = {Tokat Gaziosmanpaşa Üniversitesi}, year = {2021}, volume = {13}, number = {3}, pages = {136 - 144}, title = {Clinical and Radiological Compatibility in Gonarthrosis}, key = {cite}, author = {Tahta, Mesut and Öztürk, Tahir and Erpala, Fırat and Zengin, Eyüp Çağatay} }
APA Tahta, M. , Öztürk, T. , Erpala, F. & Zengin, E. Ç. (2021). Clinical and Radiological Compatibility in Gonarthrosis . Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi , 13 (3) , 136-144 . Retrieved from https://dergipark.org.tr/tr/pub/gutfd/issue/67960/1053987
MLA Tahta, M. , Öztürk, T. , Erpala, F. , Zengin, E. Ç. "Clinical and Radiological Compatibility in Gonarthrosis" . Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 13 (2021 ): 136-144 <https://dergipark.org.tr/tr/pub/gutfd/issue/67960/1053987>
Chicago Tahta, M. , Öztürk, T. , Erpala, F. , Zengin, E. Ç. "Clinical and Radiological Compatibility in Gonarthrosis". Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 13 (2021 ): 136-144
RIS TY - JOUR T1 - Gonartrozda Klinik ve Radyolojik Uyum AU - MesutTahta, TahirÖztürk, FıratErpala, Eyüp ÇağatayZengin Y1 - 2021 PY - 2021 N1 - DO - T2 - Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi JF - Journal JO - JOR SP - 136 EP - 144 VL - 13 IS - 3 SN - 1309-3320- M3 - UR - Y2 - 2022 ER -
EndNote %0 Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi Clinical and Radiological Compatibility in Gonarthrosis %A Mesut Tahta , Tahir Öztürk , Fırat Erpala , Eyüp Çağatay Zengin %T Clinical and Radiological Compatibility in Gonarthrosis %D 2021 %J Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi %P 1309-3320- %V 13 %N 3 %R %U
ISNAD Tahta, Mesut , Öztürk, Tahir , Erpala, Fırat , Zengin, Eyüp Çağatay . "Clinical and Radiological Compatibility in Gonarthrosis". Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 13 / 3 (Aralık 2021): 136-144 .
AMA Tahta M. , Öztürk T. , Erpala F. , Zengin E. Ç. Clinical and Radiological Compatibility in Gonarthrosis. Gaziosmanpaşa Tıp Dergisi. 2021; 13(3): 136-144.
Vancouver Tahta M. , Öztürk T. , Erpala F. , Zengin E. Ç. Clinical and Radiological Compatibility in Gonarthrosis. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi. 2021; 13(3): 136-144.
IEEE M. Tahta , T. Öztürk , F. Erpala ve E. Ç. Zengin , "Clinical and Radiological Compatibility in Gonarthrosis", Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi, c. 13, sayı. 3, ss. 136-144, Ara. 2021

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