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SAS Journal of Surgery | Volume-7 | Issue-12
Outcome of Intraarticular Steroid Injection and Physical Therapy in Osteoarthritic Knees: A Study on Tertiary Hospital in Bangladesh
Dr. M. Sharif Uddin, Dr. Shahana Parvin
Published: Dec. 27, 2021 | 150 97
DOI: 10.36347/sasjs.2021.v07i12.009
Pages: 784-790
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Abstract
Introduction: An estimated 30% of all general follow-up are due to osteoarthritis (OA). For decades, medical experts have used intraarticular (IA) corticosteroid injections to treat the pain and inflammation associated with osteoarthritis (OA). Objective: To evaluate the patient's functional improvement and clinical result, Evaluations of Intraarticular Steroid Injection Therapy in Osteoarthritis Knee were conducted. Methods: A prospective interventional non-randomized clinical study was conducted in the Department of Orthopaedic surgery, Rajshahi Medical College & Hospital, Bangladesh, from June 2019 to December 2020. A total number (n=54) of patients between 35 and 75 years with knee discomfort for at least three months with radiographic evidence of primary osteoarthritis, male or female, were included in the study. Then, they were split into A and B groups. They had 27 patients in each group, with each group being assigned a random number. There were 6 weeks of follow-up in both groups of patients. Results: 9 (33.3%) were male in group A, and 18 (66.7%) were female. In group B, 10 (37.0%) were male and 18 (63.0%) were female. The mean visual analogue scale (VAS) in group A and group B during pre-treatment were 6.22±1.60 and 7.15±1.56, respectively. The mean age of patients in groups A and B were 52.33±9.62 years and 52.29±9.67 years, respectively. The mean range of motion (ROM) during pre-treatment in group A and group B were 117.33±13.05 and 112.37±19.01, respectively. Meantime taken to walk 50 feet during pre-treatment in group A and group B were 18.22±2.39 and 18.81±2.13 minutes, respectively. After treatment in both groups, visual analogue scale (VAS), range of motion (ROM), time taken to walk 50 feet and range of motion (ROM) gradually increased, which were statistically significant. Conclusion: Steroid injection remains a regular feature in the management of osteoarthritis, particularly osteoarthritis of the knee, despite the lack of strong, ...............