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Research Article | DOI: https://doi.org/10.31579/2639-4162/203
1Department of Postgraduate and Research, University of Medical Sciences of Sancti Spiritus, Cuba.
2Medical Student, University of Medical Sciences of Sancti Spiritus, Cuba.
3Department of Pharmacology, Provincial Health Sector of Sancti Spiritus, Cuba.
4Project Department, Science and Technology Subdelegation Sancti Spiritus, Cuba.
5Department of Medicine Intern, Camilo Cienfuegos Provincial General Hospital of Sancti Spiritus, Cuba.
6Department of Public Health, University of Medical Sciences of Sancti Spiritus, Cuba.
*Corresponding Author: Adrian González Méndez, Department of Postgraduate and Research, University of Medical Sciences of Sancti Spiritus, Cuba.
Citation: Adrian G. Méndez, Yunior I. Fiallo, Manuel de Jesús Pérez González, Deiber Antonio E. Salas, Morell León LR, (2024), Behavior of coxarthrosis at the Camilo Cienfuegos Provincial General Hospital of Sancti Spiritus, 2022, J. General Medicine and Clinical Practice, 7(13); DOI:10.31579/2639-4162/203
Copyright: © 2024, Adrian González Méndez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 12 July 2024 | Accepted: 26 July 2024 | Published: 31 July 2024
Keywords: vocational guidance; imaging; medical radiophysics
Introduction: Hip osteoarthritis became a primary problem over time, in relation to the greater current longevity of people. Objective: Determine the behavior of coxarthrosis at the Camilo Cienfuegos Provincial General Hospital of Sancti Spiritus in the year 2022. Methods: A cross-sectional descriptive study was carried out by the University of Medical Sciences at the Camilo Cienfuegos Provincial General Hospital of the province of Sancti Spiritus, Cuba. The sample consisted of 28 patients who underwent surgery with a diagnosis of coxarthrosis in the Orthopedics and Traumatology service.
Results: The most representative age group was 50 to 59 years old, 57.14% belonged to the female sex. All patients reported suffering from limitation of external rotation and abduction movement, 92.85% reported suffering from deterioration in muscle strength. Grade 4 osteoarthritis prevailed in the patients, of which 92.85% of those operated on had a satisfactory evolution.
Conclusions: Patients with a diagnosis of coxarthrosis operated on at the Camilo Cienfuegos Provincial General Hospital of Sancti Spiritus in 2022 were described, which made it possible to determine that this procedure had good results and with a low percentage of complications.
Hip osteoarthritis became a primary problem over time, in relation to the greater current longevity of people. Structural alterations of the joint, that is, dysplasia and femoro-acetabular conflicto, occur in different degrees. In the last ten years there have been notable advances both in the understanding of the etiopathogenesis of this type of osteoarthritis and in therapeutic attempts to stop its evolution and natural history. [1] Hip osteoarthritis is a common location of osteoarthritis and the most disabling form. Symptomatic osteoarthritis of the hip affects 3.5 and 5.6% of those over 50 years of age, and can reach 10% in people over 80 years of age. In Spain, the prevalence of symptomatic osteoarthritis is estimated at 4.4%. The distribution by sex varies depending on the age group, with a slight predominance in males before the age of 50 and with an increase in females after menopause. [2] polyarticular involvement is more common and more severe forms require prosthetic joint replacement. Hip osteoarthritis is unilateral in 55-65% of cases. [2] Osteoartritis is the most common cause of coxofemoral pain in adults, especially in older subjects, increasing its incidence with aging. It has a prevalence that ranges between 1.1% in men and 3.6% in women, very significantly affecting their daily activities and quality of life.[3]
Primary or idiopathic hip osteoarthritis is part of the primary polyarthrosis condition, such that a quarter of cases present osteoarthritis manifestations in one or two other joints [2] They represent 50% of all osteoarthritis and, regarding their causes, aging, factors due to overexertion, deficiency factors, etc. should be considered. Secondary coxarthrosis would represent the other 50%, although some authors suggest that up to 80% of cases are secondary to other patologías. [2]
The situations that are most frequently related to this pathology are developmental dysplasia of the hip, septic arthritis, and detachment. epiphyseal . The lower limb scanogram serves to document the presence of any deformity of the femur and tibia in the coronal plane in addition to hip pathology and estimation of limb length inequality. [4] In its pathogenesis, a series of risk factors are described that are usually capable of triggering the disease, or aggravating its course; Among them, it is important to point out disorders of joint alignment and mobility, overweight and obesity, infectious processes and chronic diseases that include a sustained inflammatory process within their mechanisms of action. [5] In the beginning, hip osteoarthritis may cause pain to appear slowly, located in the anterior aspect of the thigh and in the groin, causing impotence in walking and claudication. [6] At the Provincial General Hospital of the province of Sancti Spiritus, the prevalence of this degenerative disease is unknown, which mainly affects older age groups. Due to its degree of involvement in the hip, it limits their ambulation and they must undergo surgery. Therefore, this work aims to determine the behavior of coxarthrosis at the C a milo Cienfuegos Provincial General Hospital in Sancti Spiritus in the year 2022.
was carried out by the University of Medical Sciences at the C a milo Cienfuegos Provincial General Hospital in the province of Sancti Spiritus, Cuba, in the time period from January to December 2022. The sample was made up of 28 patients who underwent surgery with the diagnosis of coxarthrosis or osteoarthritis of the hips in the Orthopedics and Traumatology service in the center study of the year 2022 with the following criteria:
Inclusion criteria:
Exclusion criteria:
A review of the national and international literature on the topic was carried out and the results were contrasted with those presented by other authors who have investigated the topic.
To obtain the primary data, interviews were carried out and the individual medical records of each patient in the study were worked cita. The information was processed computerized, a database was created with the results of the reviews carried out. The results obtained were grouped into statistical tables for analysis and discussion. The Kellgren and Lawrence assessment method was used to classify osteoarthritis.cited by Torres et al., (7) (Table 1). =
| Grade 1 | Questionable narrowing of the joint space and possible thin osteophytes. |
| Grade 2 | Defined osteophytes and possible narrowing of the joint space. |
| 3rd grade | Multiple moderate osteophytes, definite joint space narrowing, little sclerosis, and possible bone contour deformity. |
| Grade 4 | Large osteophytes, significant narrowing of the joint space, severe sclerosis and defined bone contour deformity |
Table 1. Kellgren and Lawrence valuation method
The authors declared their commitment to confidentiality and protection of the information collected during the research; patients' acceptance of participating in the study was requested through informed consent. Authorization was also requested from the management of the Provincial General Hospital, approval from the Ethics Committee and the Scientific Council of the University of Medical Sciences for the execution of the study.
According to age groups and sex, the most representative age group was 50 to 59 years old with nine patients (32.14%). 57.14
According to the World Health Organización, [8] the decade between 2021 and 2030 has been called the decade of healthy aging. Osteoarthritis is a leading cause of disability in adults, in analysis of temporal variables, age-related, geographic and site-specific trends in the burden of osteoarthritis may benefit policy decisions, if trends continue as before. It has been calculated, where it is estimated that almost one billion individuals will have some type of osteoarthritis in the year 2050.
In a study carried out by Gutiérrez, [9] on patients treated at the Santa María del Socorro Hospital in Ica with a diagnosis of osteoarthritis, the average age of the patients ranged between 61-80 years, of which 71.6
In conclusion, patients with a diagnosis of coxarthrosis operated on at the Camilo Cienfuegos Provincial General Hospital of Sancti Spiritus in 2022 were described, which made it possible to determine that this procedure achieved good results and with a low percentage of complications.
The authors declare that does not exist an interest conflict.
The authors have not received any financial support for the completion of this work.
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