Mid-and long-term efficacy of arthroscopic meniscoplasty technique in treatment of discoid meniscus injury

doi:10.3877/cma.j.issn.1674-134X.2018.06.003

Abstract

Abstract:

Objective

To investigate the mid- and long-term efficacy of arthroscopic meniscoplasty technique in treatment of discoid meniscus injury.

Methods

Retrospective analysis of 85 cases of discoid meniscus injury treated with arthroscopic surgery from September 2008 to March 2015 in the Department of Orthopaedics, Central Hospital of Huizhou, were carried out. Among them, male patients were 36 cases, female patients were 49 cases.According to Watanabe classification, complete type were 49 cases, and incomplete type were 36 cases.The changes of preoperative and postoperative Lysholm scores and IKDC scores were recorded, and the postoperative Ikeuchi knee function level was reviewed. A paired sample t-test was performed on the Lysholm score and the IKDC score. P<0.05 was considered statistically significant.

Results

All the cases were followed up for(4.7±1.3)years; Lysholm scores increased from preoperative (51±5) to postoperative (92±4). IKDC scores increased from preoperative (45±4) to postoperative (84±3). Lysholm functional score and IKDC score were significantly improved compared with before treatment(t =5.39, 4.78, both P<0.01). Based on Ikeuchi’s grading, 68 cases showed excellent results, 12 cases good, five cases fair. The rate of excellent and good result was 94.1%.

Conclusion

Arthroscopic treatment is a preferred method for discoid meniscal injury.

Key words: Arthroscopy, Menisci, tibial, Follow-up studies

Ming Kang, Yan Zhang, Lixuan Zhang, Jiehua Huang, Hanming Guo. Mid-and long-term efficacy of arthroscopic meniscoplasty technique in treatment of discoid meniscus injury[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(06): 757-761.

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