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Research ArticleOriginal Article
Open Access

Arthroscopic joint lavage in osteoarthritis of the knee. Is it effective?

Abdullah S. Al-Omran and Mir Sadat-Ali
Saudi Medical Journal June 2009, 30 (6) 809-812;
Abdullah S. Al-Omran
Department of Orthopedic Surgery, King Fahd University Hospital, PO Box 40052, Al-Khobar 31952, Kingdom of Saudi Arabia. Tel. +966 504802005. Fax. + 966 (3) 8820887. E-mail: [email protected]
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  • For correspondence: [email protected]
Mir Sadat-Ali
Department of Orthopedic Surgery, King Fahd University Hospital, PO Box 40052, Al-Khobar 31952, Kingdom of Saudi Arabia. Tel. +966 504802005. Fax. + 966 (3) 8820887. E-mail: [email protected]
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Abstract

OBJECTIVE: To assess the benefits of arthroscopic washout in osteoarthritis of the knee (OAK).

METHODS: One hundred and fifty patients who underwent arthroscopic washout for early OAK between January 2001 and December 2006, at the King Fahd University Hospital, Al-Khobar, Kingdom of Saudi Arabia were analyzed. Preoperative assessment of patients included clinical assessment by modified Lequesne grading (MLG), antero-posterior and lateral radiographs of weight bearing of knee joints and the skyline view of the patella, and was graded by Kellegren and Lawrence grading (KLG). Arthroscopically, the knee joint was graded by Outerbridge classification (OC). The data were entered in the database and analyzed using the Statistical Package for Social Sciences version 14.

RESULTS: One-hundred and seven patients were analyzed. Fifty-five patients were males and 52 were females, with a mean age of 51±9.3 years. The mean follow up was 39.45 months. Preoperative MLG was 14.2 ± 4.1, at 6 months it was 7.39, and at 12 months was 7.75 ±0.37, which improved from 6 months onwards (p=0.001). Kellgren and Lawrence grading and OC were significantly lower in younger patients age (=50) as compared to older patients (>/=51 years) (p=0.05). Seventy-one percent of our patients had excellent and satisfactory results, and 12 (11.2%) had no improvement.

CONCLUSION: Arthroscopic joint debridement has benefits in the extent of pain relief and improvement of joint mobility. We believe that this procedure should be carried out in patients with OA for pain relief and delay of definite arthroplasty. Arthroscopic joint debridement has benefits in the extent of pain relief and improvement of joint mobility. We believe that this procedure should be carried out in patients with OA for pain relief and delay of definite arthroplasty.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 30 (6)
Saudi Medical Journal
Vol. 30, Issue 6
1 Jun 2009
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Arthroscopic joint lavage in osteoarthritis of the knee. Is it effective?
Abdullah S. Al-Omran, Mir Sadat-Ali
Saudi Medical Journal Jun 2009, 30 (6) 809-812;

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Arthroscopic joint lavage in osteoarthritis of the knee. Is it effective?
Abdullah S. Al-Omran, Mir Sadat-Ali
Saudi Medical Journal Jun 2009, 30 (6) 809-812;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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