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Degenerative Osteoarthritis, Lecture notes of Orthopedics

Cairo UniversityOrthopedics

Degenerative Osteoarthritis Orthopedic surgery pdf presentation for physiotherapy student

Typology: Lecture notes

2023/2024

Uploaded on 02/16/2025

mohamed-adel-38
mohamed-adel-38 🇪🇬

26 documents

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DEGENERATIVE ARTHRITIS
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Download Degenerative Osteoarthritis and more Lecture notes Orthopedics in PDF only on Docsity!

DEGENERATIVE ARTHRITIS

HYALINE ARTICULAR CARTILAGE COMPOSED MAINLY FROM:

CHONDROCYTE AND EXTRAARTICULAR MATRIX: COLLAGEN TYPE Ⅱ,

GLYCOPROTEIN AND PROTEOGLYCANS WITH SOME ELASTIN FIBRES.

70% WATER OF EXTRAARTICULAR MATRIX IS WATER.

DIVIDED INTO: SUPERFICIAL LAYER RESIST SHEARING FORCES; MIDDLE

AND DEEP LAYERS RESIST AXIAL LOADING.

OSTEOARTHRITIS CLASSIFICATION:

GRADE1OSTEOPHYTE+ LIPPING

GRADE 2 : OSTEOPHYTE + JOINT NARROWING

GRADE 3 : SCLEROSIS+ DEFORMITY

GRADE 4: SEVER SCLEROSIS+ SEVER DEFORMITY

PRESENTATION:

TREATMENT :

  • THE FIRST LINE OF TREATMENT IS NON-OPERATIVE
    • DECREASED BODY WEIGHT
      • PHYSICAL EXERCISES
  • NON STEROIDAL ANTI-INFLAMMATORY
  • BRACING

OPERATIVE TREATMENT:

- OSTEOTOMY; YOUNG ACTIVE, UNICOMPARTMENTAL OA

- ARTHROPLASTY

KNEE; UNI-COMPARTMENT REPLACEMENT, TOTAL KNEE

REPLACEMENT

HIP; YOUNG PATIENTS; CEMENTLESS THR BUT OLD PATIENTS

CEMENTED