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Abstract Aim of the work Is to study the relationship between radiographic and arthroscopic evidence of cartilage damage in osteoarthritis of the knee. Conclusion We conclude that there is no significant difference Kellgren and Lawrence (K/L) radiographic scoring system and joint space narrowing weighted radiographic scores for diagnosis of severity of osteoarthritis of the knee joint. The major point to be drawn from the present study is that neither osteophytosis nor JSN provides a good assessment of OA in patients with relatively early disease; the radiograph is simply not a good tool for this task. Recommendations Therapy that might notify the progression of OA (chondroprotective drugs) could be expected to be more effective in the earlier stages of the disease than when structural changes are advanced so, further efforts to develop alternatives approaches other than radiographic methods, such as, magnetic resonance imaging, scintigraphy, ultrasonography and serologic markers of cartilage in OA for the detection of subclinical and preclinical OA are needed. |