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OA Sekunder ec Trauma

Fractures involving the articular surface are obvious precursors of


secondary OA, so too lesser injuries which result in joint instability. What
is less certain is whether malunion of a long-bone fracture predisposes
to OA by causing segmental overload in a joint above or below the
healed fracture (for example, in the knee or ankle after a tibial fracture).
Contrary to popular belief, research has shown that moderate angular
deformities of the tibia (up to 15 degrees) are not associated with an
increased risk of OA (Merchant and Dietz, 1989). This applies to mid-
shaft fractures; malunion close to a joint may well predispose to
secondary OA.

Tanda OA pada X-Ray


1. Narrowing of the joint space

2. Subchondral sclerosis

3. Marginal osteophytes

4. Subchondral cysts

5. Bones remodelling

Indikasi Operasi pada OA


Progressive joint destruction, with increasing pain, instability and
deformity (particularly of one of the weightbearing joints

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