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

Cell Biochem Biophys. 2015 Sep;73(1):125-8. doi: 10.1007/s12013-015-0635-3.

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.

Keywords: Arthroscopic debridement; Kashin–Beck disease; Kellgren–Lawrence classification; Knee osteoarthritis; Lysholm scores.

MeSH terms

  • Adult
  • Aged
  • Arthroscopy / adverse effects*
  • Arthroscopy / methods
  • Debridement / adverse effects*
  • Debridement / methods
  • Female
  • Humans
  • Kashin-Beck Disease / complications
  • Kashin-Beck Disease / surgery*
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / complications
  • Osteoarthritis, Knee / surgery*
  • Postoperative Complications*