Osteoarthritis natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Natural History
The orthopedic surgeons are frequently asked by their patients regarding the final outcome and the prognosis of their diseased joint/joints caused by OA. Information about the natural history of OA is very important for upcoming determinations and planing for patients management. Small number of studies are available studied the roll of the radiographic findings, joint congruence, or even the daily life activity on the OA progression.
Hip OA
Its been reported that the patients with unilateral idiopathic hip OA are most likely to develop OA in the contralateral hip. In a 10 years expectancy, the frequencies of OA development and undergoing the total hip arthroplasty among the contralateral hips considered as normal are 35-45% and 5-20%, respectively. Therefore, due to the importance of this topic and lack of confidential information in this regard, a long-term longitudinal study is needed in order to answer this big question that how often and how long does takes for symptomatic joint injury and requirement of surgical involvement in this regard.
Knee OA
Based on the radiological evaluation of knee OA , the incidence rate of knee OA was 2-4% annually and this incidence rate was higher among women. The most importantly its been reported that the incidence rate of OA in radiography evaluations were twice higher than symptomatic OA which highlights the roll of radiography in this regard.
Complications
Prognosis
Prognosis of osteoarthritis is good, although the disease may limit your movements.