Details
Category: Volume 12 Issue 06 June 2024
Hits: 453

Title: Observational Study on osteoarthritis of the knee

Authors: Mustafa M Alfadli, Hadia Ihmaidat, Hassan A Boshalla, Ayman B Alhowty, Seraj Elzentani

 DOI: https://dx.doi.org/10.18535/jmscr/v12i06.03

Abstract

Knee Osteoarthritis (KOA) is a common cause of functional impairment reducing independence in the elderly and increases cost.

Aims: To assess factors associated with KOA

Settings and Design: demographic and clinical data collected in a questionnaire.

Methods and Material: Prospective cross-sectional study was performed over a period of 12 months. Patients attending orthopaedic clinic at Benghazi Medical Centre [BMC] with knee pain were included.

Statistical analysis: Data were analysed by SPSS-version 23. Descriptive statistics to present numbers and percentages and Inferential statistics (x2) used to find difference in distribution of variables between groups, P-value ≤ 0.05 was considered significant.

Results: Six Hundred and Sixty-Four (664) patients with KOA were included, 76.7% females and 23.3% males. 78.6% of the females were housewives, 40% of the males were retired, 38.7% of these were heavy labourer. 26.2 % were diabetic, 32.4 % were hypertensive. Bilateral KOA were 40%, 60.1%, and 76.8% in patients aged ≤40, 41-60 years and >60 years respectively. Right knee was involved in  (22%) in age group 40-60 years, left knee (38.3%) in age group ≤ 40years (p = 0.0001). Stage 4 KOA and Body Mass Index [BMI] ≥ 35 km2 (61% in males) and (68% in females) with (p 0.005).

Conclusions: Obesity and female gender are significant risk factors for Osteoarthritis of the knee. Age and BMI determine the severity and the bilaterally of KOA.

Keywords: Osteoarthritis, knee, Body weight Age ,Occupation, Gender

Keymessages  of KOA

  • Average age 57 years
  • Female predominance
  • Obese patients have severe disease
  • Quarter are diabetic and a third are hypertensive.

Two-thirds [aged 40-60 years] have bilateral disease.

References

  1. Yuan Liu Haifeng,  Zhang  Ningxia Liang, Weimin Fan, Jun Li, Zuhu Huang, Zhijian et al. Prevalence and associated factors of knee osteoarthritis in a rural Chinese adult population: an epidemiological survey. BMC Public Health (2016)
  2. Ronald Plotnikoff, Nandini Karunamuni, Ellina Lytvyak, Christopher Penfold, Donald Schopflocher,Ikuyo Imayama et al. Osteoarthritis prevalence and modifiable factors: a population study BMC Public Health (2015)
  3. Kathryn R Martin, Diana Kuh, Tamara B Harris, Jack M Guralnik, David Coggon and Andrew K Wills. Body mass index, occupational activity, and leisure-time physical activity: an exploration of risk factors and modifiers for knee osteoarthritis in the 1946 British birth cohort. BMC Musculoskeletal Disorders 2013
  4. Felson DT: Epidemiology of knee and hip osteoarthritis. Epidemiol Rev 1988
  5. Huaqing Zheng, Changhong Chen .Body mass index and risk of knee osteoarthritis: systematic review and meta-analysis of prospective studies. BMJ Open 2015
  6. Bliddal H, Christensen R. The treatment and prevention of knee osteoarthritis: a tool for clinical decision-making. Expert Opin Pharmacother. 2009
  7. Prashant Bhandarkar1, Patil Priti1, Shekhar Chander, Kamat Nandan Prevalence of osteoarthritis knee: four year study based on digital records of comprehensive healthcare setup at Mumbai, India. International journal of community medicine and public health,  2016 
  8. Chandra Prakash Pal, Pulkesh Singh, Sanjay Chaturvedi, Kaushal Kumar Pruthi1, Ashok Vij. Epidemiology of knee osteoarthritis in India and related factors. Year : 2016
  9. C. Breedveld. Osteoarthritis—the impact of a serious disease. Rheumatology 2004.
  10. Dinesh Bhatia, Tatiana Bejarano, and Mario Novo .Current interventions in the management of knee osteoarthritis. J Pharm Bioallied Sci. 2013
  11. Coggon D, Reading I, Croft P, McLaren M, Barrett D,Cooper C. Knee osteoarthritis and obesity. Int JObesRelatMetabDisord. 2001
  12. Ismail AI, Al-Abdulwahab AH, Al-Mulhim AS.Osteoarthritis of knees and obesity in Eastern Saudi Arabia. Saudi Med J. 2006 Nov
  13. Muhammad Umair Khalid,Muhammad Anas Bin Akhtar, Muhammad Haris Bin Akhtar. Frequency of Osteoarthritis Among Patients of Knee Joint Pain. JSZMC 2015
  14. Patil P, Dixit U , Shettar C. Risk factors of osteoarthritis- knee .Across-sectional study. IOSR-JDMS.2012

Corresponding Author

Mustafa M Alfadli

Orthopedic Department, Benghazi Medical Center