Osteoarthritis in Latin America

Reginato, Anthony M.; Riera, Humberto; Vera, Miguel; Torres, Adrián; Espinosa, R.; Esquivel, Jorge; Felipe, Óscar; Roman‐Blas, Jorge A.; Rillo, Oscar; Papasidero, Sílvia; Souto, Renée; Rossi, César; Molina, José Fernando; Ballesteros, Francisco; Radrigán, Francisco; Guibert, Marlene; Chico, Araceli; Gil, María López; Camacho, Walter; Urioste, Lorena; Garcia, A; Iraheta, Isa; Gutiérrez, Carmen E.; Duarte, Margarita; Castañeda, Oswaldo; Coimbra, Ibsen Bellini; Louis, René; Reveille, John D.; Quintero, Maritza

doi:10.1097/rhu.0000000000000281

Cited by 34 publications

(23 citation statements)

References 46 publications

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“…Osteoarthrosis of the knee is a common cause of pain, disability, and decreasing quality of life, affecting 41.1% of certain population groups, especially women over 70 years 1, 2, 3. Total knee arthroplasty (TKA) is a well-established procedure associated with good clinical outcomes, particularly regarding functional improvement 4, 5, 6…”

Section: Introductionmentioning

confidence: 99%

Range of motion predictability after total knee arthroplasty with medial pivot prosthesis

Júnior

Teixeira

Bernardes

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo assess whether there the final range of motion (ROM) results achieved by patients undergoing total knee arthroplasty (TKA) with prosthesis using Medial Pivot design are predictable.MethodsBetween January and August of 2014, 155 patients with primary osteoarthritis of knee who underwent TKA using the prosthesis ADVANCE® Medial Pivot were prospectively assessed. All ROM measures were made and recorded before, during, and after surgery. All patients were clinically assessed preoperatively and postoperatively (15, 45 days, three months, six months, one year, and annually thereafter after surgery); their functional status was assessed using the WOMAC questionnaire.ResultsSignificant differences (p < 0.001) were observed between the means and medians of ROM in the preoperative when compared with those during the perioperative; the perioperative values, when compared with those after six months postoperative, were also different (p < 0.001). No significant differences were found between the means and medians ROM between the intraoperative period and at the 45-day assessment (ns) and between the means and medians ROM between the preoperative period and at the six-month evaluation (ns).ConclusionThe final ROM achieved by patients that underwent TKA with medial pivot prosthesis can be predicted. The perioperative ROM correlates with that at 45 days after surgery. The final ROM is correlated with that of the pre-operative period.

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Section: Introductionmentioning

confidence: 99%

Range of motion predictability after total knee arthroplasty with medial pivot prosthesis

Júnior

Teixeira

Bernardes

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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“…The comprehensive 3-step search approach [21] described in detail in the published protocol [20] was followed. The first limited search was undertaken to: (1) scope the literature for available records relevant to the review question; (2) analyse the text words contained in the titles and abstracts and (3) pilot the developed search strategy.…”

Section: Searchmentioning

confidence: 99%

“…Hand Osteoarthritis (OA) is a globally recognized disabling condition with a high prevalence in women and the elderly [1,2]. Individuals with hand OA often experience pain, finger joint stiffness and reduced grip strength [3].…”

Section: Introductionmentioning

confidence: 99%

Exercises for hand osteoarthritis: a systematic review of clinical practice guidelines and consensus recommendations

Sankah

Stokes

Adams

2019

Physical Therapy Reviews

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Background: Individuals with hand osteoarthritis (OA) often experience hand pain, joint stiffness and reduced grip strength, which affect performance of everyday functional tasks. There is a need to evaluate evidence-based rehabilitation strategies that aim to lessen the burden and improve the quality of life of people living with hand OA. Objectives: Our objectives were to: (1) identify guidelines and consensus recommendations on hand OA management to ascertain whether hand exercises are recommended as part of best practice; (2) identify the type and dosage of exercises recommended regarding frequency, intensity and duration and (3) provide a summary of exercise recommendations for the management of hand OA. Methods: This systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and was registered on Prospero (CRD42018086440). Seven published databases and 20 grey literature sources were searched (January 1997-January2019). Quality assessment was conducted with the Appraisal of Guidelines, Research and Evaluation (AGREE) II instrument and, using a narrative approach, evidence was synthesized based on the levels of evidence and strength of recommendations. Results: Eight guidelines and consensus recommendations were identified and included. Evidence from seven guidelines was rated between fair to high quality. Five out of seven guidelines recommended exercises for the management of hand OA. Limited information on exercise dosage (frequency, intensity and duration) was reported. Three strong and two weak recommendations for using different hand exercises were proposed in this systematic review. Conclusion: Available guidelines and consensus recommendations on hand OA recommend exercises as part of current best practice for hand OA management. There is strong evidence to support the recommendation of strengthening, stretching and joint mobility exercises for the management of the hand OA. These recommended exercises, however, lacked specific details regarding the type and dosage (frequency, intensity and time) for optimal uptake, which therefore need to be established through research.

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“…Osteoarthritis (OA) is a disease entity that is characterized by alterations in the articular cartilage, subchondral bone, ligaments, capsule, and synovial membrane. In Latin America, according to the Community Oriented Program for the Control of Rheumatic Diseases (COPCORD), the prevalence of OA ranges from 2.3 to 20.4%, and the global burden of disease in individuals between 50 and 69 years is 679.55 years lived with disability per 100,000 habitants ( http://www.healthdata.org ) [ 1 – 4 ]. Nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics are the predominant modality of OA treatments, which at long-term or high-dose use may cause significant side effects, such as gastrointestinal bleeding, nephrotoxicity, and cardiovascular disease.…”

Section: Introductionmentioning

confidence: 99%

“…Nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics are the predominant modality of OA treatments, which at long-term or high-dose use may cause significant side effects, such as gastrointestinal bleeding, nephrotoxicity, and cardiovascular disease. However, intra-articular (IA) therapies employing diverse active drugs, such as corticosteroids and viscosupplementation, are also used [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Effectiveness of Polymerized-Type I Collagen Intra-Articular Injections in Patients with Symptomatic Knee Osteoarthritis: Clinical and Radiographic Evaluation in a Cohort Study

Borja-Flores¹,

Macías‐Hernández

Hernández-Molina

et al. 2020

Advances in Orthopedics

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Objective. Polymerized-type I collagen (polymerized-collagen) is a downregulator of inflammation and a tissue regenerator. The aim was to evaluate the effect of intra-articular injections (IAIs) of polymerized-collagen among patients with symptomatic knee osteoarthritis (OA) in delaying or preventing joint replacement surgery. Patients and Methods. This was a cohort study of 309 patients with knee OA. Patients with mild-to-moderate disease were treated weekly with IAIs of 2 mL of polymerized-collagen for six weeks (n = 309). Follow-up was for 6–60 months. The primary endpoints included the following determinations: (1) therapeutic effect; (2) survival from total knee replacement surgery (TKR); (3) Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and pain (visual analogue scale, VAS). Clinical improvement was defined as a decrease in pain exceeding 20 mm on the VAS and the achievement of at least 20% improvement from baseline with respect to the WOMAC score. Radiographic analysis was performed at baseline and 60 months. The joint space width in the medial, lateral, and patellofemoral compartments was calculated. Results. Patients who received IAIs of polymerized-collagen had a statistically significant improvement in the primary criteria (p<0.05). Kaplan–Meier survival analysis of the therapeutic effect demonstrated 98.8% survival at 60 months with TKR as the endpoint. There was no significant reduction in joint space in any compartment based on the analyzed radiographs. No serious adverse events were recorded. Conclusion. Polymerized-collagen increased the time to TKR by at least 60 months, modifying the disease course, improving functional disability, and decreasing pain.

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Osteoarthritis in Latin America

Cited by 34 publications

References 46 publications

Range of motion predictability after total knee arthroplasty with medial pivot prosthesis

Range of motion predictability after total knee arthroplasty with medial pivot prosthesis

Exercises for hand osteoarthritis: a systematic review of clinical practice guidelines and consensus recommendations

Long-Term Effectiveness of Polymerized-Type I Collagen Intra-Articular Injections in Patients with Symptomatic Knee Osteoarthritis: Clinical and Radiographic Evaluation in a Cohort Study

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