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Long-Term Efficacy of Arthroscopic Debridement on Knee Osteoarthritis in Patients with Kashin–Beck Disease

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Abstract

Kashin–Beck Disease (KBD) is a chronic and degenerative joint disease with decreased health conditions causing major functional limitations and disability. In this study, we investigated the long-term clinical outcomes of arthroscopic debridement for knee osteoarthritis in KBD patients with Kellgren–Lawrence I–III classification. 31 KBD patients underwent arthroscopic debridement and 24 of them were followed up 8 years after the surgery. The Lysholm scores, femorotibial angle (FTA), and joint space angle (JSA) of the knees were assessed and compared preoperatively and postoperatively to evaluate the clinic outcome. Our results showed that the Lysholm scores, but not the FTA or JSA, of these patients were significantly improved 8 years after the therapy, suggesting that arthroscopic surgery has long-term efficacy in KBD patients with Kellgren–Lawrence I–III classification.

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References

  1. Cao, J., Li, S., Shi, Z., Yue, Y., Sun, J., et al. (2008). Articular cartilage metabolism in patients with Kashin-Beck disease: An endemic osteoarthropathy in China. Osteoarthritis Cartilage, 16, 680–688.

    Article  CAS  PubMed  Google Scholar 

  2. Stone, R. (2009). Diseases. A medical mystery in middle China. Science, 324, 1378–1381.

    Article  CAS  PubMed  Google Scholar 

  3. Zhai, S. S., Kimbrough, R. D., Meng, B., Han, J. Y., LeVois, M., et al. (1990). Kashin-Beck disease: A cross-sectional study in seven villages in the People’s Republic of China. Journal of Toxicology and Environment Health, 30, 239–259.

    Article  CAS  Google Scholar 

  4. Schepman, K., Engelbert, R. H., Visser, M. M., Yu, C., & de Vos, R. (2011). Kashin Beck Disease: more than just osteoarthrosis: A cross-sectional study regarding the influence of body function-structures and activities on level of participation. International Orthopaedics, 35, 767–776.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Xiong, G. (2001). Diagnostic, clinical and radiological characteristics of Kashin-Beck disease in Shaanxi Province, PR China. International Orthopaedics, 25, 147–150.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Mathieu, F., Begaux, F., Suetens, C., De Maertelaer, V., & Hinsenkamp, M. (2001). Anthropometry and clinical features of Kashin-Beck disease in central Tibet. International Orthopaedics, 25, 138–141.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Farooq, U., Guo, X., Chuang, L. H., Fang, H., Zhuang, G., et al. (2011). Measuring health-related quality of life in Kashin-Beck disease using EQ-5D. Quality of Life Research, 20, 425–429.

    Article  PubMed  Google Scholar 

  8. Li, Y., Zhou, Z., Shen, B., Yang, J., Kang, P., et al. (2013). Clinical features of Kashin-Beck disease in adults younger than 50 years of age during a low incidence period: severe elbow and knee lesions. Clinical Rheumatology, 32, 317–324.

    Article  PubMed  Google Scholar 

  9. Luo, R., Liu, G., Liu, W., Pei, F., Zhou, Z., et al. (2011). Efficacy of celecoxib, meloxicam and paracetamol in elderly Kashin-Beck disease (KBD) patients. International Orthopaedics, 35, 1409–1414.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Tang, X., Zhou, Z. K., Liu, G., Shen, B., & Kang, P. D. (2014). The long-term efficacy and tolerability of hyaluronic acid in adult patients with Kashin-Beck disease of the knee. Clinical Rheumatology, 34, 15–151.

    Google Scholar 

  11. Tang, X., Pei, F. X., Zhou, Z. K., Liu, G., Shen, B., et al. (2012). A randomized, single-blind comparison of the efficacy and tolerability of hyaluronate acid and meloxicam in adult patients with Kashin-Beck disease of the knee. Clinical Rheumatology, 31, 1079–1086.

    Article  PubMed  Google Scholar 

  12. Tang, X., Zhou, Z. K., Shen, B., Kang, P. D., Yang, J., et al. (2014). Total knee arthroplasty in elderly patients with severe Kashin-Beck disease of the knee. International Orthopaedics, 38, 753–759.

    Article  PubMed Central  PubMed  Google Scholar 

  13. MacDonald, P. B. (2013). Arthroscopic partial meniscectomy was not more effective than physical therapy for meniscal tear and knee osteoarthritis. Journal of Bone and Joint Surgery. American Volume, 95, 2058.

    Article  Google Scholar 

  14. Figueroa, D., Calvo, R., Villalon, I. E., Melean, P., Novoa, F., et al. (2013). Clinical outcomes after arthroscopic treatment of knee osteoarthritis. Knee, 20, 591–594.

    Article  PubMed  Google Scholar 

  15. Moseley, B. (2009). Arthroscopic surgery did not provide additional benefit to physical and medical therapy for osteoarthritis of the knee. Journal of Bone and Joint Surgery. American Volume, 91, 1281.

    Article  Google Scholar 

  16. Howell, S. M. (2010). The role of arthroscopy in treating osteoarthritis of the knee in the older patient. Orthopedics, 33, 652.

    PubMed  Google Scholar 

  17. Ming, L. Z. Y., Yan-hai, C., Jian-fa, L., & Zhen-qun, L. (2003). The pathological form of Kashin-Beck disease and Osteoarthritis contrast and analysis by arthroscope. Chinese Journal of Endemiology, 22, 253–255.

    Google Scholar 

  18. (1995) Diagnostic criteria of Kaschin-Beck disease. China Standardization Administration, Beijing: Available at http://www.gfjl.org/viewthread.php?tid=72217.

  19. Kellgren, J. H., & Lawrence, J. S. (1957). Radiological assessment of osteo-arthrosis. Annals of the Rheumatic Diseases, 16, 494–502.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  20. Tegner, Y., & Lysholm, J. (1985). Rating systems in the evaluation of knee ligament injuries. Clinical Orthopaedics and Related Research, 198, 43–49.

    PubMed  Google Scholar 

  21. Moreland, J. R., Bassett, L. W., & Hanker, G. J. (1987). Radiographic analysis of the axial alignment of the lower extremity. Journal of Bone and Joint Surgery. American Volume, 69, 745–749.

    CAS  Google Scholar 

  22. Fond, J., Rodin, D., Ahmad, S., & Nirschl, R. P. (2002). Arthroscopic debridement for the treatment of osteoarthritis of the knee: 2- and 5-year results. Arthroscopy, 18, 829–834.

    Article  PubMed  Google Scholar 

  23. Aaron, R. K., Skolnick, A. H., Reinert, S. E., & Ciombor, D. M. (2006). Arthroscopic debridement for osteoarthritis of the knee. Journal of Bone and Joint Surgery. American Volume, 88, 936–943.

    Article  Google Scholar 

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Acknowledgments

This study was supported by the Science and Technology Coordination and Innovation Project of Shaanxi Province (2013KTCG01-13), innovation Project of special major science and technology of Shaanxi province 13115 (2008ZDKG-57), and science and technology Project of Shaanxi Province (2001K10-G9).

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The authors declare that there are no conflicts of interest.

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Correspondence to Ming Ling.

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Ling, M., Sun, Z., Yi, Z. et al. Long-Term Efficacy of Arthroscopic Debridement on Knee Osteoarthritis in Patients with Kashin–Beck Disease. Cell Biochem Biophys 73, 125–128 (2015). https://doi.org/10.1007/s12013-015-0635-3

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