Arthroscopic evaluation of articular cartilage in knee injuries: A predictor of early osteoarthritis in young population.

Authors

  • Wasim Anwar Hayatabad Medical Complex Peshawar Pakistan.
  • Zeeshan Aziz Hayatabad Medical Complex, Peshawar, Pakistan.
  • Noor Rahman Hayatabad Medical Complex, Peshawar, Pakistan.
  • Sabir Khan Khattak Hayatabad Medical Complex, Peshawar.
  • Israr Ahmad Hayatabad Medical Complex, Peshawar, Pakistan.
  • Azhar Hayat Khan Hayatabad Medical Complex, Peshawar, Pakistan.

DOI:

https://doi.org/10.29309/TPMJ/2023.30.05.7322

Keywords:

Cartilage, Chondral Lesion, Osteoarthritis

Abstract

Objective: To evaluate articular Cartilage after Knee injuries in young population as predictor of early Osteoarthritis, to pave the much more effective OA preventive measures in young population. Study Design: Descriptive Case Series. Setting: Department of Orthopedics, Hayatabad Medical Complex, Peshawar. Period: 2020 to 2021. Material & Methods: One hundred forty five patients was conducted in Early Osteoarthritis was defined as a diffuse and ill-defined involvement, but originated in the cartilage surrounding a focal lesion, considered to include a maximal involvement of 50% of the cartilage thickness (ICRS Grade II) based on the macroscopic ICRS classification. Articular cartilage evaluation (Chondral lesions and OA) were recorded on set proforma according to ICRS grading system. Results: Mean age was 32 years. Significant risk for early osteoarthritis was 17.9%; female had higher risk for early osteoarthritis as compared to male with p value of 0.03. Correlation between patient’s age and grade of chondral lesion with risk for early Osteoarthritis were significant with p value of 0.00 and .002 respectively. Significant risk for early osteoarthritis was 10.25%, 23.08% and 15.38% respectively for anterior cruciate ligament tear, medial meniscus, and lateral meniscus injury. 42.65% anterior cruciate ligament injuries were associated with concomitant injuries, whereas significant risk for early OA was 17.24% as compared to isolated ACL injuries of 57.35% with significant risk for early OA of 10.25%. Concomitant meniscal and ACL injuries had significant risk for early OA was 23.53%. Conclusion: Arthroscopic evaluation of articular Cartilage damage after Knee injuries is good predictor of early Osteoarthritis in young population.

Author Biographies

Wasim Anwar, Hayatabad Medical Complex Peshawar Pakistan.

FCPS, Associate Professor Orthopaedics and Trauma,  

Zeeshan Aziz, Hayatabad Medical Complex, Peshawar, Pakistan.

MBBS, Resident Orthopaedic, 

Noor Rahman, Hayatabad Medical Complex, Peshawar, Pakistan.

FCPS, Assistant Professor Orthopaedics and Trauma, 

Sabir Khan Khattak, Hayatabad Medical Complex, Peshawar.

MBBS, Resident Orthopaedics and Trauma, 

Israr Ahmad, Hayatabad Medical Complex, Peshawar, Pakistan.

FCPS, Associate Professor Orthopaedics and Trauma, 

Azhar Hayat Khan, Hayatabad Medical Complex, Peshawar, Pakistan.

MBBS, Resident Orthopaedics and Trauma, 

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Published

2023-05-02