Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

ISSN:1897-2276
e-ISSN: 2449-9145

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Ashraf Yousef1* and Ildar Akhtiamov2
 
1 Department of Orthopedic Surgery, New Mowasat Hospital, Salmiya, Kuwait, Email: abooni@mail.ru
2 Department of Traumatology, Orthopedics and Extreme Medicine, Kazan State Medical University, Kazan, Kuwait, Email: Ildarakhtiamov2@aol.com
 
*Correspondence: Ashraf Yousef, Department of Orthopedic Surgery, New Mowasat Hospital, Salmiya, Kuwait, Email: abooni@mail.ru

Received: 10-Sep-2018 Accepted Date: Dec 26, 2018 ; Published: 03-Jan-2019

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact reprints@pulsus.com

Abstract

Background: Osteoarthritis is one of the most common systemic diseases leading to physical disability reducing the quality of life. Osteoarthritis affects all the structures of the joint and the surrounding tissues. In the state of Kuwait, osteoarthritis of the knee joint is prevalent, especialy among women. The purpose of this article is to view our experience in the staged treatment of knee osteoarthritis in one of the leading privet hospitals in Kuwait. Methods: A deferent approach of treatment is applied depending on the severity of osteoarthritis, co-morbidities, and age of the patient. Conservative and joint preserving surgical treatment used in mild to moderate cases. The main steps for the conservative treatment consist of patient education and changing of the style of life, medications, physical medicine and rehabilitation, intra and periarticular injections, weight loss, hydrotherapy, orthosis, and braces. The last step is knee arthroplasty. Results: There is no evidence-based medical treatment to stop or reverse the progression of knee osteoarthritis (OA), and thus the available treatments aim is to reduce pain and improve knee function which is also beneficial for other co-morbidities. Almost all the patients eventually reached the final stage of treatment, which is a total knee replacement, regardless, the conservative active treatment and joint preserving surgical treatment. Conclusion: Non-operative treatment in early stages of OA can dramatically help in the prevention of progression of the disease and improve the quality of life.



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Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
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