Morales PS, Lennox WD, Mata CR, Morera EL

Language: Spanish
References: 17
Page: 27-37
PDF size: 362.85 Kb.

ABSTRACT

Introduction: arthroscopy is an advanced technology offered in Villa Clara province since the middle decade of the 80's.
Objective: to determine the manifestation of knee arthroscopy in the older adult in patients attended in the Orthopedics and Traumatology Service at «Mártires del 9 de Abril» Hospital in Sagua la Grande from January, 2011 to December, 2012.
Methods: a prospective, longitudinal and descriptive study was carried out. Study population was constituted by all the geriatric population who were attended at knee arthroscopy services. Sample was selected using a non-probabilistic sampling according to criteria and it was made up by 152 patients.
Results: female sex aged 60 to 64 years predominated. Right knee was the most frequent location, and pain was the universal symptom followed by crackling sounds and joint effusion. Obesity and Böhler and Mc Murray Tests were positive during physical examination, with a higher frequency in internal meniscus. Chondromalacia grade IV predominated among other non-meniscal diagnoses followed by chronic synovitis. Evaluation of pain, rigidity and functional capacity before applying the treatment showed important impairments; a significant increase of the spheres evaluated by Lysholm score was reached after arthroscopic treatment.
Conclusions: encouraging mid-term results were obtained with this treatment in older adults. That is why, its rational practice is recommended in this population group in order to improve their quality of life and to reduce morbidity.

REFERENCES

1. Vega Ojeda AP, Maestre Márquez H, Robaina Ruiz L. Sala de Geriatría para pacientes con afecciones traumatológicas y ortopédicas. Rev Cubana Ortop Traumatol [internet]. 2004 ene.- jun. [citado 21 ene. 2014];18(1):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2004000100004&lng=es

2. Luyten FP, Denti M, Filardo G, Kon E, Engebretsen L. Definition and classification of early osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc. 2012;20(3):401-6.

3. Frías G, Font P, Muñoz-Gomariz E, Caracuel MA, Escudero A, Castro MC, et al. Valoración de la eficacia del lavado articular no artroscópico en pacientes con artrosis de rodilla. Reumatol Clín. 2009;5(5):189-93.

4. Ibarra-Ponce de León JC, Cabrales-Pontigo M, Crisóstomo-Martínez JF, Almazán-Díaz A, Cruz-López F, Encalada-Díaz MI, et al. Resultados obtenidos con la limpieza articular artroscópica de rodilla en pacientes con osteoartritis. Acta Ortop Mex. 2009;23(2):85-9.

5. Morasén Cuevas JR, Calisté Manzano O, Vergés Callard L. Principales aspectos clínicos y endoscópicos de la enfermedad degenerativa de la rodilla. MEDISAN [internet]. 2010 [citado 21 sep. 2013];14(9):[aprox. 7 p.]. Disponible en: http://scielo.sld.cu/pdf/san/v14n9/san04910.pdf

6. Cruz-Sánchez PM, Gámez-Pérez A, Rodríguez-Orta CA, González Portales Y, López González E, Pérez Mesa DS, et al. Impacto del tratamiento con células madre adultas en la osteoartrosis de la rodilla. Rev Cubana Hematol Inmunol Hemoter [internet]. 2013 jul.-sep. [citado 23 nov. 2013];29(3):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 02892013000300007&lng=es&nrm=iso&tlng=es

7. Logerstedt DS, Snyder-Mackler LPT, Ritter RC, Axe MJ. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions. J Orthop Sports Phys Ther. 2010;40(6):1-35.

8. Calisté Manzano O, Morasén Cuevas JR, Fresneda Laborí JR, Matamoros Rodríguez A, Jorges Fonseca C. Características clínico epidemiológicas y endoscópicas de la plica sinovial en pacientes operados mediante artroscopia. MEDISAN [internet]. 2011 ago. [citado 21 sep. 2013];15(8):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192011000800002&lng=es

9. Allan CA, Mc Lachlan RI. Androgens and obesity. Curr Opin Endocrinol Diabetes Obes. 2010;17:224-32.

10. Rönn K, Reischl N, Gautier E, Jacobi M. Current Surgical Treatment of Knee Osteoarthritis. Arthritis. 2011;2011:45-48.

11. Brennan SL, Cicuttini FM, Pasco A. JA, Henry MJ, Wang Y, Mark A, et al. Does an increase in body mass index over 10 years affect knee structure in a population-based cohort study of adult women? Arthritis Res Ther. 2010;12(4):R139.

12. Havin B, Bronak S, Thein R. Correlation between body mass index and chondral lesions in isolated medial meniscus tears. Indian J Orthop. 2015;49(2):176-80.

13. Nickinson R, Darrah C, Donell S. Accuracy of clinical diagnosis in patients undergoing knee arthroscopy. Int Orthop. 2010;34(1):39-44.

14. Helmark IC, Mikkelsen UR, Børglum J, Rothe A, Petersen MC, Andersen O et al. Exercise increases interleukin-10 levels both intraarticularly and peri-synovially in patients with knee osteoarthritis: a randomized controlled trial. Arthritis Res Ther. 2010; 12(4):R126.

15. Ng CT, Biniecka M, Kennedy A, McCormick J, Fitz Gerald O, Bresnihan B, et al. Synovial tissue hypoxia and inflammation in vivo. Ann Rheum Dis. 2010 May 3;69(7): 1389-95.

16. Álvarez López A, García Lorenzo Y, Ortega González C, Guillen de la Rosa R. Lesiones de menisco en pacientes con osteoartritis de la rodilla. Arch Méd Camagüey [internet]. 2012 mayojun. [citado 21 sep. 2013];16(3):[aprox. 10 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552012000300012&lng=es

17. Falah M, Nierenberg G, Soudry M, Hayden M, Volpin G. Treatment of articular cartilage lesions of the knee. Int Orthop. 2010;34(5):621-30.