Submission is open for November 2024, Call for papers Volume 06, Issue 11, November 2024, Open Access; Peer Reviewed Journal; Fast Publication. The Journal is welcoming original Research Articles, Book Reviews, Commentaries, Reviewed Articles, Technical Notes Please you can reach us if you have any queries send email to: editor@journalijisr.com

ÉVALUATION DE L’INCAPACITÉ FONCTIONNELLE DE LA GONARTHROSE EN CONSULTATION DE RHUMATOLOGIE

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Author: 
*Traoré AD, Yao JC, Koffi EJ, Kouakou EC, Kpami YNC, Kouamé KG, Kouadio EJ, Soro M, Diomandé M, Daboiko FJC, Eti E
Country: 
Côte d’Ivoire
Volume & Issue: 
Volume 06, Issue 02, February 2024
Page No: 
5861-5864
Abstract: 

Objectif: Évaluer l’incapacité fonctionnelle liée à la gonarthrose à Bouaké. Méthodes: Cohorte prospective à visée descriptive et analytique, sur une période de 18 mois, allant de Janvier 2019 à Juin 2020. 60 patients sélectionnés souffraient d'une gonarthrose répondant aux critères de l'ACR (American College of Rheumatology). Résultats: La gonarthrose représentait 8% des affections rhumatologiques et 83% des gonalgies mécaniques. La gonarthrose a affecté 46 femmes (77%) et 14 hommes (23%). L’âge moyen était de 58 ans. La durée moyenne d’évolution de celle-ci était de 8 mois. L’atteinte était unilatérale chez 26 patients (43%) et bilatérale chez les 34 autres (57%). La symptomatologie était dominée par une douleur d’horaire mécanique (55 patients, 92%) et une réduction du périmètre de marche (24 patients, 40%). 35 des 60 patients avaient un IMC ≥ 25 kg/m2 et 33 (55%) avaient des déformations en varus et/ou en valgus. L’arthrose était tricompartimentale chez 37 patients (62%), bicompartimentale chez 4 patients (7%) et unicompartimentale chez 15 patients (25%) dont l’atteinte fémorotibiale interne était la plus fréquente (73%). L’indice de Lequesne moyen était de 14,9(±4,4). La chirurgie était indiquée chez 50 patients et retenue chez 12 au terme du suivi à 6 mois. Les facteurs suivants étaient associés au handicap extrême : l’âge ≥ 50 ans (p=0,0001), la profession de ménagère (p=0,008), l’IMC ˃25 kg/m2 (p=0,03), les lésions radiologiques avancées (p=0,001) et la gonarthrose globale (p=0,000002). Conclusion: La gonarthrose affecte globalement la capacité fonctionnelle des patients suivis au CHU de Bouaké.

KeyWords: 
Gonarthrose, Incapacité fonctionnelle, Indice de Lequesne, Bouaké.