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Register a new userHyagan Injections Effect in Knee Osteoarthritis
حقن الركبة التنكسية بال Hyalgan
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Added by
Damascus University ورقة بحثية
Publication date
2009
fields
Medicine
and research's language is
العربية
Authors
ميسون قدسي( باحث )
Created by
Shamra Editor
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يعد الداء التنكسي من أكثر اضطرابات النسيج الضام مصادفة عند الإنسان، لذلك هدف معظم الباحثين إلى إيجاد علاج للسيطرة على الألم، و التورم، و إنقاص العجز الناجم عن الفقد التدريجي لوظيفة المفصل و تحسين نمط الحياة و منه استخدم الحمض الهيالوروني الذي يشكل أحد المركبات المهمة للمادة الأساسية للغضروف المفصلي و الطبقات السطحية للغشاء الزليل. حيث يؤدي دوراً رئيساً في الحفاظ على لزوجة هذا السائل و مرونته، و ذلك بالحفاظ على تركيب المادة الأساسية، و تنظيم عمل الخلايا الغضروفية و تنظيم مستقبلات الحمض الهيالوروني-البروتيوغليكان، لذلك عدته الدراسات من الأدوية المعدلة للهيكل الغضروفي.
Osteoarthritis (OA) is a frequent cause of joint pain and is estimated to be the most common cause of disability in adults. The goals of management of patients with osteoarthritis (OA) are to control pain and swelling, minimize disability, improve the quality of life, and educate the patient about his or her role in the management team. The effects of intraarticular hyaluronans in OA have been the subject of several studies. Their aim has been to determine whether intraarticular supplementation of these macromolecules, which are deficient in degenerative cartilage, can lead to decreased symptoms of osteoarthritis.
References used
Vejc K, Hyllested JL, Ostergaard K. Osteoarthritis, pathogenesis, clinical features and treatment. Vgeskr Laegev. 2002 Jun 10; 164(24):3173-9
Kirwan, JR, Elson, CJ. Is the progression of osteoarthritis phasic? Evidence and implications. J Rheumatol 2000; 27:834
Van Dijk GM; Dekker J; Veenhof C; van den Ende CH .Course of functional status and pain in osteoarthritis of the hip or knee: A systematic review of the literature. Arthritis Rheum. 2006 Sep 29; 55(5):779-785
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The role of arthroscopic debridement in the treatment of osteoarthritis of the knee is
still controversy.
We present in this work a retrospective series including 22 cases of gonarthrosis
treated with arthroscopic debridement of the knee in the Tr
aumatology orthopedic service
in Alassad hospital in Lattakia in 2013 -2015.
Our objective through this small series was to show the interest of arthroscopic
debridement in this type of knee pathology, improving quality of life for patients.
This study included 12 men (55%),and 10 women (45%) with an average age of 50
years ,with extremes ranging from 44 to 65 years. Clinically ,our patients complained of
mechanical pain in the majority of cases .And all our patients were benefice a clinical
examination and radiological .The Lequesene score was used to assess the condition of the
knee before and after surgery.
The surgical procedure consisted of a joint lavage ,and gestures at the demand :
synovectomy, debridement and excision of fragments meniscal, cartilage or osteophyte.
The postoperative complications were marked by a single case of intra-articular
breaking instrument during surgery.
No cases of hematoma or phlebitis or sepsis have been reported .
The clinical results after a decline of 12 months were satisfactory.
The results depend on good pre-operative planning, and irreproachable technical
gesture.
The experience of operators and technologic advances in has extended its indication.
Background: Many options are available for the treatment of synovitis or target joint in hemophilia to prevent recurrent bleeding and further joint destruction when conservative therapy fails such as chemical synovectomy. Chemical synovectomy with Ri
fampicin has been used for many years in several clinical trials with good results and without serious complications.
Objective :evaluate the safety and the efficacy of this procedure in the Syrian hemophilic patients.
Conclusion: chemical synovectomy with rifampicin is a good treatment, cheap and safe in hemophilic patients.
The research provides a comparison between two methods for treating osteoarthritis. In the knee joint using platelet-rich plasma injections after or without arthroscopy, the study included 100 cases every fifty of them were treated in one way and the
results were evaluated after surgery and the researcher reached the following results. Treatment with platelet-rich plasma injections after arthroscopy provided an advantage in terms of pain reduction and reduced joint effusion in the knee, improvement of the ability to rest on the limb (walking), and a marked reduction in the severity of symptoms and signs of degeneration was noted.
This study includes ٨٠ cases of total knee Arthroplasty, They
were treated in Al-Moassat Hospital during the years ٢٠٠٠-
٢٠٠١.
Idiopathic primary osteoarthrihis was the main reason for total
knee Arthroplasly. Some cases of Rheumatoid arthritis w
ere
observed too.
The short term chinicaln gools of total arthoplasty include
restoration of the normal activity of the limb and pain relief ,
which can be obtained under the proper surgical condition,
and requirements, supported by better understanding of the
biomechanics of the knee joint and good rehabilitation there
after.
The rate of venous thromboembolism is unacceptable without prophylaxis.
Venographic studies of patients without prophylaxis show that the deep vein-thrombosis rates range from
40-84% after total knee replacement, and rates of pulmonary embolism ran
ge from 1.5-10%.
Surgeons must balance the need for thromboprophylaxis with the need to avoid bleeding complications.
The purpose of this study is to evaluate the status of thrombo prophylaxis after primary total knee
replacement in ALMouassat university hospital, and to improve our outcome in future, to get better
results and fewer complications.
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