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Journals / Osmangazi Tıp Dergisi / 2023 / Cilt: 45 Sayı: 4

Surgical Management of Symptomatic Discoid Meniscus; Treatment modalities and functional outcomes

Semptomatik Diskoid Menisküsün Cerrahi Tedavisi; Tedavi modaliteleri ve fonksiyonel sonuçları

Yavuz Şahbat(Maresal Cakmak Military Hospital, Department of Orthopaedics and Traumatology,)0000-0002-9963-5334
Servet İğrek(Dr. Lutfi Kirdar Kartal Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul/ Turkey.)0000-0002-7952-4223
Erdem Koç(Marmara University, Department of Orthopaedics and Traumatology, Istanbul/ Turkey,)0000-0003-4893-3988
Omar Bihi(Marmara University, Department of Orthopaedics and Traumatology, Istanbul/ Turkey,)0000-0003-3388-2823
Elif Tufan(Marmara University, Department of Orthopaedics and Traumatology, Istanbul/ Turkey,)0009-0007-4711-6771
Hüseyin Aytek Çeliksöz(Eskişehir City Hospital)0000-0003-4630-1856
Osman Mert Topkar(Marmara University, Department of Orthopaedics and Traumatology, Istanbul/ Turkey,)0000-0003-2452-1954
Pages
590–596
Publication Date
2023-07-20
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Reshaping the meniscus and repairing instability are the main goals of surgery.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The aim of the study was to evaluate the treatment modalities and the outcomes of patients operated on for discoid meniscus, and to compare the patients results with the existing literature.
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Key Findings & Data:Materials and Methods: The study included 24 patients with discoid meniscus who underwent surgery between 2012 and 2022.
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Conclusion & Impact:Reshaping the meniscus and repairing instability are the main goals of surgery.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Diskopid Menisküs · Saucerization · Tedavi yöntemleri

Abstract

Purpose: The aim of the study was to evaluate the treatment modalities and the outcomes of patients operated on for discoid meniscus, and to compare the patients results with the existing literature. Materials and Methods: The study included 24 patients with discoid meniscus who underwent surgery between 2012 and 2022. Patients with incidentally discovered asymptomatic discoid meniscus were not included in the study. The diagnosis of the patients was made based on pain or mechanical symptoms accompanied by pain and X-Ray + MRI evaluation. Watanabe classification was used for macroscopic classification, and perioperative operation data of the patients were documented. The Oxford Knee Score was used for pre- and postoperative clinical evaluation. Results: The average age of the 24 patients was 18.1. Eleven patients had right kne discoid meniscus, and five had a bilateral discoid meniscus. The most common symptom was pain (79%). Lateral discoid meniscus was detected in 22 patients (91%). Watanabe Type 1 was the most commonly observed macroscopic variant (41%). Tear were found in 10 patients. All patients underwent arthroscopic saucerization. There was a significant improvement in the Oxford Knee scores in the first postoperative year. Discussion: The long-term outcomes of symptomatic discoid meniscus are quite good. Surgery should be recommended for patients with predominant mechanical symptoms and pain. Reshaping the meniscus and repairing instability are the main goals of surgery.

Özet

Amaç: Bu çalışmanın amacı diskoid menisküs nedeniyle opere edilen hastalarda uygulanan tedavi yöntemlerini sunmak, hasta sonuçlarını değerlendirmek ve sonuçları literatür ile karşılaştırmaktır. Araç ve yöntemler: Çalışmaya 2012-2022 yılları arasında opere edilen 24 diskoid menisküs hastası dahil edildi. İnsidental saptanan asemptomatik discoid menisküse sahip hastalar çalışmaya dahil edilmedi. Hastaların tanısı ağrı veya ağrının eşlik ettiği mekanik semptomlar ve X-Ray + Mr değerlendirme ile konuldu. Klinik değerlendirme de preop ve post op Oxford Knee skoru kullanıldı. Sonuçlar: 24 hastanın yaş ortalaması 18.1 idi. On bir hastada sağ diz diskoid menisküsü ve beşinde bilateral diskoid menisküs vardı. En sık semptom ağrıydı (%79). 22 hastada (%91) lateral diskoid menisküs saptandı. Watanabe Tip 1 en sık gözlenen makroskobik varyanttı (%41). 10 hastada yırtık saptandı. Tüm hastalara artroskopik saucerization uygulandı. Ameliyat sonrası 1. yılda Oxford Knee skorlarında anlamlı düzelme oldu. Tartışma: Semptomatik diskoid menisküsün uzun vadeli sonuçları oldukça iyidir. Baskın mekanik semptomları ve ağrısı olan hastalarda cerrahi önerilmelidir. Menisküsün yeniden şekillendirilmesi ve instabilitenin onarılması cerrahinin ana hedefleridir.

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Cite This Article

Şahbat, Y., İğrek, S., Koç, E., Bihi, O., Tufan, E., Çeliksöz, H. A., Topkar, O. M., *, H. A. Ç. (2023). Surgical Management of Symptomatic Discoid Meniscus; Treatment modalities and functional outcomes. Osmangazi Tıp Dergisi, Cilt: 45 Sayı: 4, 590–596. https://doi.org/10.20515/otd.1297725

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