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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255


ALVAREZ LOPEZ, Alejandro; GARCIA LORENZO, Yenima  and  GARCIA LORENZO, Maruldis. Articular washout by puncture in patients with osteoarthritis of the knee. AMC [online]. 2011, vol.15, n.1, pp.1-9. ISSN 1025-0255.

Background:osteoarthritis of the knee constitutes one of the most frequent causes of pain of this joint, nowadays for its relief, one of the used methods is the articular washout by puncture associated to the use of intra-articular steroids. Objective: to determine the effectiveness of this treatment modality for pain relief and the decrease of non-steroid anti-inflammatory consumption. Method: a descriptive and cross-sectional study was performed in 75 patients with osteoarthritis of the knee and treated them by means of articular washout by puncture, besides the use of intra-articular steroids in the Integral Diagnostic Medical Center from Caracas, Venezuela from December 2008 to May 2009; the universe coincided with the sample. Results: the female sex in more than 60% of patients prevailed. The mean age was about 56,9 years. The 48% of sick persons kept relief of pain to the three months of carrying out proceeding. The use of non-steroid anti-inflammatories diminished considerably after proceeding. The 17,3% of patients required a second articular washout especially starting from the first month of the first washout. The 76% of sick persons to the three months stayed with excellent or good results. Factors of bad prognostic that most influenced in the result was the pain to the rest, long period of evolution of the symptoms and marked radiographic changes. Conclusions: articular washout by puncture associated to the use of intra-articular steroids is a useful method of pain relief in the majority of sick persons with osteoarthritis of the knee until the three months of carrying out the procedure, besides diminishing in a significant way the use of non-steroid anti-inflammatories. 


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