Lawande Malini, Daftary Aditya, Ahuja Ankita, Sabnis Bhushan
Innovision Imaging, Sportsmed, 2nd Floor, Parel premises, Junction of Gokhale and Sayani road, Parel west, Mumbai 400025, Maharashtra, India.
Department of Orthopaedics, Sportsmed, 2nd Floor, Parel premises, Junction of Gokhale and Sayani road, Parel west, Mumbai 400025, Maharashtra, India.
Eur J Radiol Open. 2022 Aug 24;9:100436. doi: 10.1016/j.ejro.2022.100436. eCollection 2022.
Osteoarthrosis is the most common form of knee arthritis, characterized by pain and discomfort from primarily articular cartilage wear. Traditionally in its end stage, it has been treated with total knee arthroplasty, a permanent process with a life span of ten to fifteen years and challenges with revision. With an increasing longevity and epidemic of obesity that the population is facing, naturally, we are seeing more and more patients with osteoarthrosis at a younger age. This makes it imperative to extend the life of the native knee by conservative measures, injections of steroid, hyaluronic acid, or biologicals and finally a slew of surgical alternatives ranging from joint realignment to partial and total joint replacement. Besides the clinical presentation, decisions are made based on joint alignment, extent and degree of cartilage wear and the status of the subchondral bone. Imaging plays an invaluable role in surgical decision making. In this article, we will discuss how imaging is used in our practice during decision making for the management of the young osteoarthritic knee.
骨关节炎是膝关节炎最常见的形式，主要特征是关节软骨磨损导致疼痛和不适。传统上，在其终末期，一直采用全膝关节置换术进行治疗，这是一个永久性的手术，使用寿命为十至十五年，且翻修存在挑战。随着人口寿命的延长和肥胖症的流行，自然而然地，我们看到越来越多的年轻患者患有骨关节炎。这使得通过保守措施、注射类固醇、透明质酸或生物制剂，以及最终一系列从关节重新排列到部分和全关节置换的手术替代方案来延长原生膝关节的使用寿命变得势在必行。除了临床表现外，决策还基于关节排列、软骨磨损的程度和范围以及软骨下骨的状况。影像学在手术决策中起着至关重要的作用。在本文中，我们将讨论在年轻骨关节炎膝关节管理的决策过程中，影像学在我们的实践中是如何应用的。
