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 OJCD  Vol.5 No.2 , June 2015
Arthroscopic Debridement with Lavage and Arthroscopic Lavage Only as the Treatment of Symptomatic Osteoarthritic Knee
Abstract: In this prospective follow up study we evaluated and compared the effect of arthroscopic lavage with and without debridement as a treatment of moderately osteoarthritic knees in middle aged and elderly population. The study group comprised of 500 patients (250 patients for each type of treatment, mean age 58 years). The patients were followed six months, three years and six years postoperatively. Following both treatments there was a clear deterioration in function of the knee function over the time, as measured starting at six months follow up until six years postoperatively (p < 0.001). This deterioration was more prominent in patients after treatment by the arthroscopic lavage only. We show that for the patients with high functional demand and expectations for long term rehabilitation and improvement both arthroscopic treatments are not satisfactory in more of 60% of cases.
Cite this paper: Karkabi, S. and Rosenberg, N. (2015) Arthroscopic Debridement with Lavage and Arthroscopic Lavage Only as the Treatment of Symptomatic Osteoarthritic Knee. Open Journal of Clinical Diagnostics, 5, 68-73. doi: 10.4236/ojcd.2015.52013.
References

[1]   Bert, J.M. and Gasser, S.I. (2002) Approach to the Osteoarthritic Knee in the Aging Athlete: Debridement to Osteotomy. Arthroscopy, 18, 107-110.
http://dx.doi.org/10.1053/jars.2002.36513

[2]   Bjordal, J.M., Ljunggren, A.E., Klovning, A., and Slørdal, L. (2004) Non-Steroidal Anti-Inflammatory Drugs, Including Cyclo-Oxygenase-2 Inhibitors, in Osteoarthritic Knee Pain: Meta-Analysis of Randomised Placebo Controlled Trials. British Medical Journal, 329, 1317-1322.

[3]   Bradley, J.D., et al. (1991) Comparison of NSAIDs in the Treatment of Osteoarthritis of the Knee. The New England Journal of Medicine, 325, 87-92.
http://dx.doi.org/10.1056/NEJM199107113250203

[4]   Divine, J.G., and Shaffer, M.D. (2011) Use of Viscosupplementation for Knee Osteoarthritis: An Update. Current Sports Medicine Reports, 10, 279-284.

[5]   Harwin, S.F. (1999) Arthroscopic Debridement for Osteoarthritis of the Knee: Predictors of Patient Satisfaction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 15, 142-146.
http://dx.doi.org/10.1053/ar.1999.v15.015014

[6]   Bonamo, J.J., Kessler, K.J. and Noah, J. (1992) Arthroscopic Menisectomy in Patients over the age of 40. The American Journal of Sports Medicine, 20, 422-428.
http://dx.doi.org/10.1177/036354659202000410

[7]   Ogilvie-Harris, D.J. and Fitsialos, D.P. (1991) Arthroscopic Management of the Degenerative Knee. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 7, 151-157.
http://dx.doi.org/10.1016/0749-8063(91)90101-3

[8]   Ranawat, C.S., Insall, J. and Shine, J. (1976) Duo-Condylar Knee Arthroplasty: Hospital for Special Surgery Design. Clinical Orthopaedics and Related Research, 120, 76-82.
http://dx.doi.org/10.1097/00003086-197610000-00012

[9]   Bourke, G.J. and Daly, L.E. (1985) Interpretation and Uses of Medical Statistics. 3rd Edition, Blackwell Scientific Publication, Oxford, 299-300.

[10]   McLaren, A.C., Blokkerb, C.P., Fowler, P.J., Roth, J.N. and Rock, M.G. (1991) Arthroscopic Debridement of the Knee for Osteoarthritis. Canadian Journal of Surgery, 34, 595-598.

[11]   Gross, D.E., Brenner, S.L., Esformes, I. and Gross, M.L. (1991) Arthroscopic Treatment of Degenerative Joint Disease of the Knee. Orthopedics, 14, 1317-1321.

 
 
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