Eti E, Kouakou H B, Daboiko J C, Ouali B, Ouattara B, Gabla K A, Kouakou M N
Rheumatology Department, Cocody Teaching Hospital, Abidjan, Ivory Coast.
Rev Rhum Engl Ed. 1998 Dec;65(12):766-70.
We retrospectively studied 369 cases of knee osteoarthritis in 240 patients seen at the Cocody Teaching Hospital in Abidjan, Ivory Coast, from November 1984 through March 1989. There were 126 cases (34.14%) of patellofemoral osteoarthritis, 104 cases (28.18%) of femorotibial osteoarthritis and 139 cases (37.66%) of global knee osteoarthritis (defined as patellofemoral and femorotibial osteoarthritis in the same joint). There was a marked female bias (80.42% of patients). Onset was earlier in patellofemoral osteoarthritis (51.25 years) than in femorotibial osteoarthritis (57.85 years). Half the patients (51.25%) were housewives. The Akan and Mandé ethnic groups contributed 61.54% and 33.03% of patients, respectively. Obesity was present in 19.04% of cases of patellofemoral osteoarthritis and in 10.57% of cases of femorotibial osteoarthritis. Of the patients with femorotibial osteoarthritis, 20.20% had a history of arthritis of the knee and of those with global knee osteoarthritis, 12.23% reported a prior injury to the knee. Varus deformity was found in 24.03% and valgus deformity in 19.23% of the patients with femorotibial osteoarthritis.
我们回顾性研究了1984年11月至1989年3月期间在科特迪瓦阿比让的科科迪教学医院就诊的240例患者中的369例膝骨关节炎病例。其中髌股关节骨关节炎126例（34.14%），股胫关节骨关节炎104例（28.18%），全膝关节骨关节炎（定义为同一关节同时存在髌股关节和股胫关节骨关节炎）139例（37.66%）。女性明显居多（占患者的80.42%）。髌股关节骨关节炎的发病年龄（51.25岁）早于股胫关节骨关节炎（57.85岁）。一半的患者（51.25%）是家庭主妇。阿肯族和曼丁哥族分别占患者的61.54%和33.03%。髌股关节骨关节炎病例中有19.04%存在肥胖，股胫关节骨关节炎病例中有10.57%存在肥胖。在股胫关节骨关节炎患者中，有20.20%有膝关节关节炎病史，在全膝关节骨关节炎患者中，有12.23%报告有膝关节既往损伤史。股胫关节骨关节炎患者中24.03%发现有内翻畸形，19.23%发现有外翻畸形。
