Speciality
Spotlight

 



 


Orthopaedics


 

 


Osteoarthritis
       

  • Sandmark H, Hogstedt C, Lewold S, et al (Karolinska Hosp, Stockholm; Karolinska Inst, Stockholm; Natl Inst for Working Life, Solna, Sweden; et al)

    Osteoarthrosis of the Knee in Men and Women in Association With Overweight, Smoking, and Hormone Therapy

    Ann Rheum Dis 58: 151-155, 1999



    Obesity was significantly associated with knee arthrosis. High bone mass index (B.H.I) in females at the age of 40 had high risk of knee arthritis 9.2 and in men of the same age it was 3.2.



    At the age of 50 the relative risks were 7.8 and 5.9 respectively. Male and female smokers were less likely than non-smokers to have knee arthrosis. 



    Estrogen therapy after the age of 50 years increased the relative risk of prosthetic surgery among women by 1.8, conceptive use decreased the risk slightly to 0.9.



    Conclusion – This important study confirms what may have been assumed to be true but poorly documented in the literature. The female gender predilection for obesity and osteoarthritis is worthy of note. The assessment of hormonal influence may provide additional insights into the mechanism of the association. Influence of smoking on arthrosis is doubtful.

       

  • Harwin SF (Beth Israel, Med Ctr, New York)

    Arthroscopic Debridement for Osteoarthritis of the Knee: Predictors of Patient Satisfaction

    Arthroscopy 15: 142-146, 1999



    Since arthroscopy has come in existence it is quite common to have arthroscopic debridement done for painful knees below the age of the total knee arthroplasty. After this procedure some patients felt better.



    204 knees of 190 patients who underwent arthroscopic debridement. 109 women and 81 men – mean age 62. According to patients 63% knees had improved, 21% were unchanged and additional surgery was needed in 26.5% in those with marked misalignment.



    Conclusion- Arthroscopic debridement has given good results in younger patients and particularly those who do not have deformity and previous surgery. Approximately 85% of procedures are satisfactory.

       

  • Hobby JL, Lyall HA, Meggitt BF (Addenbrooke’s Hosp, Cambridge, England; Broomfield Hosp, Essex, England)

    First Metacarpal Osteotomy for Trapeziometacarpal Osteoarthritis

    J Bone Joint Surg Br 80-B: 508-512, 1998



    Abduction extension osteotomy of the first metacarpal provides lasting pain relief for patients with painful trapeziometacarpal osteoarthritis. This simple procedure also corrects adduction contracture and restores grip and pinch strength, providing good results with few complications.



    Trapeziectomy, with or without simple dynamic interposition of biological or man-made material has been the mainstay for advanced stage IV osteoarthritis when conservative methods have failed. In North America arthrodesis is a method of choice in younger patients.



    This operation is to be done in younger patients and in case pain reoccurs one is able to do the surgery which is meant for severe arthritis i.e. soft tissue interposilum and or silastic implants.





     



 

         

Speciality Spotlight

 

 

Osteoarthritis
       

  • Sandmark H, Hogstedt C, Lewold S, et al (Karolinska Hosp, Stockholm; Karolinska Inst, Stockholm; Natl Inst for Working Life, Solna, Sweden; et al)
    Osteoarthrosis of the Knee in Men and Women in Association With Overweight, Smoking, and Hormone Therapy
    Ann Rheum Dis 58: 151-155, 1999

    Obesity was significantly associated with knee arthrosis. High bone mass index (B.H.I) in females at the age of 40 had high risk of knee arthritis 9.2 and in men of the same age it was 3.2.

    At the age of 50 the relative risks were 7.8 and 5.9 respectively. Male and female smokers were less likely than non-smokers to have knee arthrosis. 

    Estrogen therapy after the age of 50 years increased the relative risk of prosthetic surgery among women by 1.8, conceptive use decreased the risk slightly to 0.9.

    Conclusion – This important study confirms what may have been assumed to be true but poorly documented in the literature. The female gender predilection for obesity and osteoarthritis is worthy of note. The assessment of hormonal influence may provide additional insights into the mechanism of the association. Influence of smoking on arthrosis is doubtful.
       

  • Harwin SF (Beth Israel, Med Ctr, New York)
    Arthroscopic Debridement for Osteoarthritis of the Knee: Predictors of Patient Satisfaction
    Arthroscopy 15: 142-146, 1999

    Since arthroscopy has come in existence it is quite common to have arthroscopic debridement done for painful knees below the age of the total knee arthroplasty. After this procedure some patients felt better.

    204 knees of 190 patients who underwent arthroscopic debridement. 109 women and 81 men – mean age 62. According to patients 63% knees had improved, 21% were unchanged and additional surgery was needed in 26.5% in those with marked misalignment.

    Conclusion- Arthroscopic debridement has given good results in younger patients and particularly those who do not have deformity and previous surgery. Approximately 85% of procedures are satisfactory.
       

  • Hobby JL, Lyall HA, Meggitt BF (Addenbrooke’s Hosp, Cambridge, England; Broomfield Hosp, Essex, England)
    First Metacarpal Osteotomy for Trapeziometacarpal Osteoarthritis
    J Bone Joint Surg Br 80-B: 508-512, 1998

    Abduction extension osteotomy of the first metacarpal provides lasting pain relief for patients with painful trapeziometacarpal osteoarthritis. This simple procedure also corrects adduction contracture and restores grip and pinch strength, providing good results with few complications.

    Trapeziectomy, with or without simple dynamic interposition of biological or man-made material has been the mainstay for advanced stage IV osteoarthritis when conservative methods have failed. In North America arthrodesis is a method of choice in younger patients.

    This operation is to be done in younger patients and in case pain reoccurs one is able to do the surgery which is meant for severe arthritis i.e. soft tissue interposilum and or silastic implants.


     

 

By |2022-07-20T16:42:27+00:00July 20, 2022|Uncategorized|Comments Off on Osteoarthritis

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