Nietiayurk Aminake Ghislain1, Ji-Nan Wei2, Yong-Gang Li3. 1. Master of Surgery, Physician Assistant, American Medical Center (AMC) , 888 Tianlin Road, Shanghai, Minghang District, P.R. China . 2. Medical Doctor, Attendin Physician, Orthopaedic Surgery, Zhongda Hospital , Medical College, Southeast University, 87 Ding Jia Qiao, Nanjing, Jiangsu-210009, P. R. China . 3. Medical Doctor, Chief Physician, Department of Orthopaedic Surgery, Zhongda Hospital , Southeast University, 87 Ding Jia Qiao, Nanjing, Jiangsu-210009, P. R. China .
Abstract
INTRODUCTION: The meniscus is a biconcave fibrocartilage in the knee joint interpose between the femoral condyles and tibial plateau; the meniscus has functions in load bearing, load transmission, shock absorption joint stability, joint lubrication, and joint congruity. AIM: The aim of this study is to provide orthopeadic surgeon a base of reference in the choice of the optimal course of management for meniscal tears. MATERIALS AND METHODS: One hundred and seventeen patients met the criteria of inclusion for the present study. Patients were divided in two groups T and NT according to the presence of distinct previous traumatic events to the knees. Two subgroups were formed in each groups T and NT respectively at a mean follow up of 1 and 4 years. Postoperative clinical outcome were assessed using Lysholm scores and Rand SF-36 survey. RESULTS: One hundred and seventeen patients were included in the present study with 60(51.28%) patients in the traumatic group and 57(48.71%) in the degenerative group. 95(81.19%) patients in total were satisfied with their health status at end of follow up. The mean value of Lysholm scores at 1 year were respectively 85.25±8.78 for traumatic group and 86.38±12.14 for non-traumatic group and at 4 years were respectively 92.63±7.31 for traumatic group and 72.90±20.77 for non-traumatic group. According to Rand SF-36 health, traumatic group showed better improvements compare to non-traumatic group between 1 and 4 years after arthroscopic meniscus surgery. CONCLUSION: A total of 95(81.19%) patients in total were satisfied with their health status at follow up, however, we found that arthroscopy as a treatment for meniscal tear have a relatively better mid-term clinical outcome for traumatic meniscal tears compare to non-traumatic/degenerative meniscal tears.
INTRODUCTION: The meniscus is a biconcave fibrocartilage in the knee joint interpose between the femoral condyles and tibial plateau; the meniscus has functions in load bearing, load transmission, shock absorption joint stability, joint lubrication, and joint congruity. AIM: The aim of this study is to provide orthopeadic surgeon a base of reference in the choice of the optimal course of management for meniscal tears. MATERIALS AND METHODS: One hundred and seventeen patients met the criteria of inclusion for the present study. Patients were divided in two groups T and NT according to the presence of distinct previous traumatic events to the knees. Two subgroups were formed in each groups T and NT respectively at a mean follow up of 1 and 4 years. Postoperative clinical outcome were assessed using Lysholm scores and Rand SF-36 survey. RESULTS: One hundred and seventeen patients were included in the present study with 60(51.28%) patients in the traumatic group and 57(48.71%) in the degenerative group. 95(81.19%) patients in total were satisfied with their health status at end of follow up. The mean value of Lysholm scores at 1 year were respectively 85.25±8.78 for traumatic group and 86.38±12.14 for non-traumatic group and at 4 years were respectively 92.63±7.31 for traumatic group and 72.90±20.77 for non-traumatic group. According to Rand SF-36 health, traumatic group showed better improvements compare to non-traumatic group between 1 and 4 years after arthroscopic meniscus surgery. CONCLUSION: A total of 95(81.19%) patients in total were satisfied with their health status at follow up, however, we found that arthroscopy as a treatment for meniscal tear have a relatively better mid-term clinical outcome for traumatic meniscal tears compare to non-traumatic/degenerative meniscal tears.
Authors: Thomas Stein; Andreas Peter Mehling; Frederic Welsch; Rüdige von Eisenhart-Rothe; Alwin Jäger Journal: Am J Sports Med Date: 2010-06-15 Impact factor: 6.202
Authors: Jonas Bloch Thorlund; Robin Christensen; Nis Nissen; Uffe Jørgensen; Jeppe Schjerning; Jens Christian Pørneki; Martin Englund; L Stefan Lohmander Journal: BMJ Open Date: 2013-10-14 Impact factor: 2.692
Authors: Jonas Bloch Thorlund; Martin Englund; Robin Christensen; Nis Nissen; Kenneth Pihl; Uffe Jørgensen; Jeppe Schjerning; L Stefan Lohmander Journal: BMJ Date: 2017-02-02