Step treatment of Kashin-Beck disease arthritis of the knee
10.3760/cma.j.cn231583-20211027-00362
- VernacularTitle:膝关节大骨节病性关节炎的阶梯治疗
- Author:
Gang ZHANG
1
;
Chen LIANG
;
Yingkai MA
;
Wenbo XU
;
Ren WANG
;
Jinping YU
;
Xiangning XU
;
Songcen LYU
;
Yong QIN
Author Information
1. 哈尔滨医科大学附属第二医院关节与运动医学外科，哈尔滨 150086
- Keywords:
Kashin-Beck disease;
Treatment;
Arthroplasty;
Clinical efficacy
- From:
Chinese Journal of Endemiology
2022;41(8):683-688
- CountryChina
- Language:Chinese
-
Abstract:
Kashin-Beck disease (KBD) is a disabling osteoarthropathy of unknown cause, which occurs most frequently in children and adolescents and affects many regions in China. In adults KBD patients, the degeneration of weight-bearing joints is the most serious, especially the knee joint. Up to now, there are still a large number of adult patients with KBD arthritis of the knee, and they have not been systematically and effectively treated. The main manifestations are knee joint pain, thickening, deformation and restricted movement. In severe cases, it can lead to knee joint varus, valgus, flexion contracture, and rotational deformity, which seriously affects the quality of life and work ability of the patients. Early diagnosis of KBD arthritis of the knee is difficult and there is no effective treatment, so it needs to be differentiated from knee osteoarthritis (OA). KBD and OA have common pathological characteristics. According to the "Consensus of Four-stepladder Program of Knee 0steoarthritis" (2018), OA treatment is divided into four levels: basic treatment, drug treatment, restorative treatment and reconstruction treatment. In this paper, the treatment of KBD arthritis of adult knee joint is summarized, which is also divided into four steps. It is necessary to make stepwise treatments according to the severity of KBD arthritis of the knee and the differences of patient's own condition, so that the limited medical resources can be efficiently used. At the same time, this paper also systematically summarizes the epidemiological characteristics, pathological features and diagnostic criteria of KBD arthritis of the knee, aiming to provide effective reference and guidance for the treatment of KBD arthritis of the knee.
