Correlation of Ahlback grading and knee society score in patients with moderate to severe osteoarthritis of the knee

Authors

  • Uma Phalswal Department of Nursing, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
  • Vandna Pandey College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Ashok Kumar College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Abhay Elhence Department of Orthopaedics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20211617

Keywords:

Ahlback grading, KSS, Osteoarthritis, Knee

Abstract

Background: Knee osteoarthritis (OA) is a most common rheumatological disorder that causes functional limitation and disability. The most common problem in knee OA are joint pain and stiffness. It will lead to decreased quality of life and it have a serious economic burden on any country due to effect of disability and treatment.

Methods: A correlational study was conducted to find out correlation between Ahlback grading and knee society score (KSS) on a sample of 100 moderate to severe knee OA patients and 142 OA knees. Data was collected at orthopedics OPD, for a period of 3 months by purposive sampling.

Results: On evaluation, mean age of the participants was 60.19±1.01. Out of 100 patients, 42 patients had bilateral knee OA, therefore total 142 knees included in the analysis. More than half (51%) participants were overweight. Only 34% subjects had compliament to physiotherapy. Around 76% subjects taking analgesics and massage therapy to reduce knee pain. Maximum 82.4% subjects had a poor knee condition in KSS and mean score is 49.07±1.06. Ahlback grading in X-ray had negative correlation -0.610 with KSS. Hence it is evaluated, both the scales have approximately same result as it is analyzed that both scales are moderately correlated. There is significant association of age, occupation and physiotherapy with Ahlback grading followed with KSS significant associated with BMI, occupation and physiotherapy.

Conclusions: The study concluded that there is a moderate correlation found between Ahlback X-ray grading and knee society scoring. X-ray and knee society scoring (clinical evaluation) both are essential for effective treatment of OA.

References

REFERNCES:

John Ebnezar. Textbook of Orthopaedics. Jaypee publication. 3rd ed. New delhi, 2010: 674-78 & 581-92

Liu congying, Wan Qiaoqin, Zhou Weijiao, Feng Xiaolin, Shaomei Shang. Factor associated with balance function in patients with knee osteoarthritis: a multicenteric review. International journal of nursing sciences. 2017; 402-409

Garza P.P flores, Espinoza O.A Garcia, Longoria K. Salas, Fraire O. Salas. Association between ischiotibial muscle flexibility, functional capacity and pain in patients with knee osteoarthritis. Medicina Universitaria 2017; 19(76) :111-114

Serban O, Porojan M, Deac M, Cozma F, Solomon C, Lenghel M, Micu M, Fodor D. Pain in bilateral knee osteoarthritis - correlations between clinical examination, radiological, and ultrasonographical findings. Med Ultrason 2016 Sep;18(3):318-25.

Martimbianco AL, Calabrese FR, Iha LA, Petrilli M, Lira Neto O, Carneiro Filho M. Reliability of the American Knee Society Score (AKSS). Acta Ortop Bras 2012; 20(1):34-8.

Pal CP, Singh P, Chaturvedi S, Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop. 2016 Sep; 50(5):518-522

Martins GC, Camanho GL, Ayres LM, Oliveiras ES. Correlation between Ahlbäck radiographic classification and anterior cruciate ligament status in primary knee arthrosis. Rev Bras Ortop. 2016 Dec 30; 52(1): 69-74.

Dowsey MM, Choong PF. The utility of outcome measures in total knee replacement surgery. Int J Rheumatol. 2013;2013:506518. doi: 10.1155/2013/506518. Epub 2013 Oct 31.

Radhakrishna AM, Shivananda S, Girish S. A study of clinical and functional outcome of primary total knee arthroplasty using posterior cruciate substitute design. Int J Res Orthop 2017;3:380-9.

Sancheti KH, Laud NS, Bhende H, Reddy G, Pramod N, Mani JN. The INDUS Knee Prosthesis - Prospective Multicentric Trial of a Posteriorly Stabilized High-flex Design: 2 Years Follow-up. Indian J Orthop. 2009;43(4):367-74.

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Published

2021-04-26

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Original Research Articles