Diagnosis in Knee Osteoarthritis Patients and Current Treatment in Light of Guidelines

Öz

Osteoarthritis (OA) with joint stiffness and pain; leading to a decrease in functionality and subsequent deterioration in quality of life; it is an age-related, inflammatory, degenerative joint disease and affects many people around the world. The knee joint is primarily one of the most common joints with osteoarthritis, and knee OA is among the main causes of pain and physical disability in the elderly. Although the diagnosis of knee OA can be made by clinical findings and physical examination, radiological evaluation is performed for diagnostic confirmation as well as the degree of joint involvement. Treatment planning in OA should be based on education of the patient, controlling symptoms, limiting disease progression, preserving and improving functions. In order to achieve these goals, knee OA treatment should include non-pharmacological, pharmacological and, when necessary, surgical methods. The publication of the study reports presenting new treatment recommendations in the literature for OA patients continues, and the guidelines on the treatment options for these patients are updated day by day. The aim of this review is to evaluate the general information about knee OA and to present the current treatment guidelines for this disease with the evidence levels.

Anahtar Kelimeler

• Guidelines
• Knee Osteoarthritis
• Treatment

Proje Numarası

Yok

Diz Osteoartriti Hastalarında Tanı ve Kılavuzlar Işığında Güncel Tedavi

Öz

Osteoartrit (OA) eklem sertliği ve ağrı ile birlikte; işlevsellikte azalma ve ardından yaşam kalitesinde bozulmaya yol açan; genellikle yaşla ilişkili, inflamatuar kaynaklı, dejeneratif bir eklem hastalığıdır ve dünya çapında pek çok insanı etkilemektedir. Diz eklemi primer olarak osteoartritin en sık görüldüğü eklemlerden biri olup, diz OA yaşlılardaki ağrı ve fiziksel engelliliğin ana nedenleri arasında yer alır. Diz OA tanısı her ne kadar klinik bulgular ve fizik muayene ile yapılabilse de, eklem tutulumunun derecesinin yanı sıra diyagnostik doğrulama için radyolojik değerlendirme yapılır. OA’de tedavi planlanması hastanın eğitimi, semptomların kontrol altına alınması, hastalık progresyonunun sınırlandırılması, fonksiyonların korunması ve iyileştirilmesi üzerine kurulmalıdır. Bu hedeflere ulaşabilmek için diz OA tedavisi, nonfarmakolojik, farmakolojik ve gerektiğinde cerrahi yöntemleri içermelidir. OA hastaları için literatürde yeni tedavi önerileri sunan çalışma raporlarının yayınlanmasına devam edilmekte ve bu hastaların tedavi seçeneklerini içeren yönergeler gün geçtikçe güncellenmektedir. Bu derlemenin amacı diz OA hakkındaki genel bilgilerin değerlendirilmesi ve bu hastalıktaki güncel tedavi rehberlerinin kanıt düzeyleri eşliğinde sunulmasıdır.

Anahtar Kelimeler

• Diz Osteoartriti
• Kılavuzlar
• Tedavi

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

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