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Titolo:
ARTHROSCOPIC EVALUATION OF CHONDROPATHY IN OSTEOARTHRITIS OF THE KNEE
Autore:
AYRAL X; DOUGADOS M; LISTRAT V; BONVARLET JP; SIMONNET J; AMOR B;
Indirizzi:
HOP COCHIN,RHUMATOL CLIN,RHEUMATOL UNIT,27 RUE FAUBOURG ST JACQUES F-75014 PARIS FRANCE HOP COCHIN,RHUMATOL CLIN,RHEUMATOL UNIT F-75014 PARIS FRANCE
Titolo Testata:
Journal of rheumatology
fascicolo: 4, volume: 23, anno: 1996,
pagine: 698 - 706
SICI:
0315-162X(1996)23:4<698:AEOCIO>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
OSTEO-ARTHRITIS; JOINT; PLACEBO; ASSOCIATION; OBESITY; PAIN;
Keywords:
KNEE OSTEOARTHRITIS; ARTHROSCOPY; OUTCOME MEASURE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
39
Recensione:
Indirizzi per estratti:
Citazione:
X. Ayral et al., "ARTHROSCOPIC EVALUATION OF CHONDROPATHY IN OSTEOARTHRITIS OF THE KNEE", Journal of rheumatology, 23(4), 1996, pp. 698-706

Abstract

Objective. To evaluate arthroscopic findings as a potential measurement of severity and outcome of chondropathy. Methods. 110 patients withknee osteoarthritis (OA) were included in a cross sectional study and41 of them in a one year longitudinal study. The evaluation of OA performed once in the cross sectional study and twice (at entry and afterone year) in the longitudinal study, included clinical, radiologic:aland arthroscopic variables evaluating disease activity and severity. Arthroscopy was performed under local anesthesia in an outpatient procedure using a small arthroscope. Chondropathy was evaluated by the overall assessment of the investigator by visual analog scale and the Societe Francaise d'Arthroscopie (SFA) scoring and grading systems, whichrepresent a composite index taking into account depth, size, and localization of the articular cartilage lesions. Results. The intrinsic validity of the arthroscopic variables was suggested by highly significant correlation (R(2) = 80-85%) between the overall assessment of the investigator and the SFA systems. There was also highly significant correlation (p < 0.01) between the arthroscopic and radiological variables. Intraobserver reliability of the arthroscopic quantification of chondropathy was better than interobserver reliability. In the cross sectional study, severity of chondropathy correlated with both age and body mass index. In the longitudinal study there was statistically significant worsening in tile severity of chondropathy and statistically significant correlation between the changes in the severity of chondropathy and changes in functional impairment. Conclusion. We conclude that arthroscopy might be considered a relevant measurement of OA outcome for research purposes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 20:04:22