TMSS Medical College Journal

Background: Osteoarthritis of the knee is one of the most common degenerative joint diseases and is responsible for a huge burden of pain and physical disability. Objectives: This study was done to identify clinical profile of patients with osteoarthritis of the knee. Materials and Methods: It is a cross-sectional study done in physical medicine and rehabilitation outpatient department (OPD) of TMSS Medical College Hospital for a period of six months from 1 March 2019 to 31¢ August 2019. Results: In this study, total number of patients were 560 (five hundred sixty), out of them 326(58.2%) were male and 234(41.8%) were female. Most of the patients of were in the age group of S0 years to 59 years. Maximum number of females in the age group of 40 years to 50 years was affected. Most of the males were affected in the later ages, between 55 years to 63 years. Most of the patients were middle class 69.1% and housewives 36.1%. Most patients gave the history of gradual onset of the pain 88.1%. Most of the patients had no morning stiffness in the knee 89.5%. Maximum patients had intermittent pain 61.4% but 38.6% patients noticed constant pain. Most of the patients 51.8% also noticed no swelling. Conclusion: By this study, it can be concluded that OA knee is more common in males and mostly manifests around the 5 decade.

Osteoarthritis is the most important of the rheumatic diseases and is responsible for a huge burden of pain and physical disability." Osteoarthritis is characterized by both degeneration of articular cartilage and simultaneous proliferation of new bone, cartilage, and connective tissue. It is the most prevalent form of arthritis and it is the principal cause of disability in the elderly. The area of local damage occurs in those parts of the joint subjected to maximal mechanical load.” This in addition to the epidemiologic associations with trauma and abnormal joint biomechanics makes it clear that OA is a mechanically driven disorder. The process of abnormal tissue turnover with loss of cartilage volume and on increase in bone and capsular tissue, are chemically mediated.” Mild OA of the knee is extremely common, mainly affecting middle aged and elderly women.® The knee is a complex joint, with three major compartments: the medial and lateral tibio-femoral joints and the patello-femoral joint. Each of these areas can be affected by OA separately, or in any combination. Maximum evidence of cartilage damage is usually found on the lateral facet of the patella in the patello-femoral OA, and on the tibial plateau area least well protected by the meniscus in tibio-femoral disease.” Obesity is very strongly associated with knee OA, particularly in the older female group.” Pain on walking, stiffness of the joint and difficulty with steps and stairs are the major symptoms. The physical signs depend on the distribution and severity of the OA within the joint. Wasting of the quadriceps muscle, bony swelling, and tenderness on and around the joint line, painful limitation of full flexion and course crepitus are the usual signs. Medial compartment disease often results in a varus deformity, a very common finding in knee OA." A wide variety of treatments are available for those who suffer from OA of the knee. To improve quality of life, we should know the problems and condition of the patients of OA knee joints. For this purpose we studied clinical profile of OA knee.