Artroskopik parsiyel menisektominin klinik ve radyografik sonuçları

Objective & Hypothesis:Objectives: The purpose of this study was to evaluate the results of the arthroscopic partial meniscectomy and to investigate correlations between preoperative findings and the clinical and radiographic results.Patients and methods: The study included 49 patients (49 knees; 28 females, 21 males; mean age 42 years; range 16 to 68 years) who underwent arthroscopic partial meniscectomy for medial (n=39) or lateral (n=10) meniscus tears.

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Key Findings & Data:Thirty patients (61.2%) were over 40 years of age at the time of surgery.

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Conclusion & Impact:The mean Lysholm score showed a significant improvement from 52.4 to 94.5 postoperatively (p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objectives: The purpose of this study was to evaluate the results of the arthroscopic partial meniscectomy and to investigate correlations between preoperative findings and the clinical and radiographic results.Patients and methods: The study included 49 patients (49 knees; 28 females, 21 males; mean age 42 years; range 16 to 68 years) who underwent arthroscopic partial meniscectomy for medial (n=39) or lateral (n=10) meniscus tears. Thirty patients (61.2%) were over 40 years of age at the time of surgery. Final evaluations were made at the end of a mean follow-up of 62.7 months (range 31 to 109 months) with preoperative and postoperative Lysholm scores, Tegner activity scores, standing anteroposterior x-rays of both knees, and subjective evaluation of the patients. Radiographic evaluations were made separately for medial and lateral meniscectomy groups. The femorotibial axis, medial and lateral clear spaces, and the degree of degeneration according to the Fairbank criteria were determined and compared with the contralateral side.Results: Functional results were excellent in 29 knees (59.2%), good in 17 knees (34.7%), and poor in three knees (6.1%). The mean Lysholm score showed a significant improvement from 52.4 to 94.5 postoperatively (p

Özet

Amaç: Artroskopik parsiyel menisektomi yapılan hastalarda tedavi sonuçları değerlendirildi ve ameliyat öncesi bulgular ve klinik ve radyografik sonuçlar arasındaki ilişkiler araştırıldı.Hastalar ve yöntemler: Çalışmaya, artroskopik parsiyel menisektomi uygulanan 49 hasta (49 diz; 28 kadın, 21 erkek; ort. yaş 42; dağılım 16-68) alındı. Otuz dokuz hastaya medial, 10 hastaya lateral menisektomi yapıldı. Parsiyel menisektomi sırasında 30 hasta (%61.2) 40 yaşından büyüktü. Değerlendirmeler ameliyat öncesi ve sonrası Lysholm skorları, Tegner aktivite skoru, her iki dizin ayakta çekilen ön-arka radyografileri ve subjektif değerlendirme ile yapıldı. Radyografik değerlendirmeler medial ve lateral menisektomi gruplarında ayrı ayrı yapıldı. Ameliyat edilen dizlerde femorotibial eksen, medial ve lateral eklem aralıkları ve Fairbank ölçütlerine göre dejenerasyon miktarı belirlendi ve diğer taraf ile karşılaştırıldı. Ortalama takip süresi 62.7 ay (dağılım 11-109 ay) idi.Bulgular: Fonksiyonel sonuçlar 29 dizde (%59.2) mükemmel, 17 dizde (%34.7) iyi, üç dizde (%6.1) kötü bulundu. Ortalama Lysholm skoru ameliyat sonrasında anlamlı bir düzelme ile 52.4'ten to 94.5'e çıktı (p

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Cite This Article

ÖĞÜT, T., KESMEZACAR, H., ERGİNER, R., UZPAK, A., DİNÇAL, T., BABACAN, M., CAN, G. (2022). Artroskopik parsiyel menisektominin klinik ve radyografik sonuçları. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 17 - Sayı: 1, 21–27. https://ajindex.com/articles/498845

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