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Abstract

RÉSUMÉ
Objectif. Décrire la posture du pied chez les patients atteints de la gonarthrose fémoro-tibiale interne suivis en consultation de rhumatologie au Centre Hospitalier Universitaire de Brazzaville. Patients et Méthodes. Étude Cas-témoin, avec recueil des données prospectif conduite du 1er mars 2023 au 31 juillet 2023, en consultation de Rhumatologie au CHU de Brazzaville, Congo. Le diagnostic de gonarthrose a été retenu sur les critères de l’ACR de 1986. Les témoins étaient les sujets sains de gonarthrose après appariement selon l'âge et le sexe. Résultats. Il s’est agi de 100 patients gonarthrosiques dont 79 (79%) de sexe féminin et 21(21 %) de sexe masculin avec un sexe ratio de 0,26. L’âge moyen était 59,68 ± 7,64 ans, avec des extrêmes de 44 et 76 ans. L’IMC moyen des malades était de 30,89 ± 4,94kg/ m2 avec des extrêmes allant de 20,06 à 50,66 kg/ m2. Un vice architectural a été retrouvé dans 30% des cas. Au plan radiographique, L’index de posture du pied moyen était de 1,50 ± 2,68 avec des extrêmes de - 4 à 8, La hauteur naviculaire moyenne des patients était de 3,90 ± 0,85 cm avec des extrêmes allant de 2 à 6 cm. Nous avons trouvé 58% des patients avec un angle inférieur à 120 ° ; et 42% des cas un angle supérieur à 128. À l´analyse multivariée, l’index de posture du pied et le poids avaient un lien significatif avec la gonarthrose. Conclusion. Notre étude confirme que la posture du pied est corrélée à la survenue et à la progression de la gonarthrose fémoro-tibiale interne.


ABSTRACT
Objective. To describe foot posture in patients with internal femoro-tibial knee osteoarthritis followed in rheumatology consultation at the University Hospital Center of Brazzaville. Patients and Methods. Case-control study, prospective data collection conducted from March 1, 2023 to July 31, 2023, in Rheumatology consultation at the Brazzaville University Hospital, Congo. The diagnosis of knee osteoarthritis was based on the 1986 ACR criteria. The controls were healthy subjects with knee osteoarthritis after matching according to age and sex. Results. There were 100 knee osteoarthritis patients, 79 (79%) female and 21 (21%) male with a sex ratio of 0.26. The mean age was 59.68 ± 7.64 years, with extremes of 44 and 76 years. The average BMI of the patients was 30.89 ± 4.94 kg/ m2 with extremes ranging from 20.06 to 50.66 kg/ m2. An architectural defect was found in 30% of cases. Radiographically, the average foot posture index was 1.50 ± 2.68 with extremes of - 4 to 8. The average navicular height of the patients was 3.90 ± 0.85 cm with extremes ranging from 2 to 6 cm. We found that 58% of patients with an angle less than 120° and 42% of cases an angle greater than 128. It was found, in the multivariate analysis, that the foot posture index and weight have a significant link with the gonarthrosis. Conclusion. Our study confirms that foot posture is strongly correlated with the occurrence and progression of internal femoro-tibial gonarthrosis.

Keywords

Foot posture Internal femoro-tibial gonarthrosis Rheumatology CHU of Brazzaville Posture du pied Gonarthrose fémoro-tibiale interne Rhumatologie CHU de Brazzaville

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Angalla ARL, Lamini N, Norbert E, Akoli E, Nkouala KC, Omboumahou BF, Salémo A, Ntsiba H, & Bileckot R. (2023). La Posture du Pied Chez les Patients Suivis pour Gonarthrose Fémoro-Tibiale Interne en Consultation Rhumatologique à Brazzaville: Posture du pied chez patients avec gonarthrose au CHU de Brazzaville . HEALTH SCIENCES AND DISEASE, 25(1). https://doi.org/10.5281/hsd.v25i1.5142
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