Literature DB >> 29951452

ARTHROSCOPIC PARTIAL MENISCECTOMY - SHORT-TERM CLINICAL OUTCOME IN AN ORTHOPAEDIC CENTER IN SOUTHWESTERN NIGERIA.

O R Babalola1, A E Laiyemo1, S E Itapke1, C Madubueze2, O Shodipo1, F Okanu1, K Alatise1.   

Abstract

BACKGROUND: Meniscal tears are one of the common causes of knee pain. AIM: To evaluate the early clinical results of arthroscopic partial meniscectomy in the treatment of meniscal tears. STUDY
DESIGN: This was a prospective study in which consecutive patients presenting with meniscal injury, who met the inclusion criteria were recruited for the study.
SETTING: National Orthopaedic Hospital, Lagos.
METHODOLOGY: Biodemographic data and clinical findings were obtained. The visual analogue pain score and WOMET score were computed pre-operatively and at least 6-months post-operatively and these values compared using the Wilcoxon's signed rank. The level of significance was set at 0.05.
RESULTS: A total of 19 patients with 19 knees were included. Degenerative longitudinal tears were the commonest findings in 15 (79%), complex tears in 3 (16%) and radial tear in 1 (5%). The medial meniscus was more affected (52%) than lateral meniscus (48%). The red-white zone was involved in 12 (63%) cases and the white-white zone in 5 (37%). The median duration of follow up was 7 months while the median (IQR) WOMET score decreased from 59 (IQR =22) to 26.5(IQR=23), (Z= -3.409, P=001 ) and the visual analogue pain rating scale improved from 5 (IQR=1.5) to 3 (IQR=2.5) (Z= -3.346, P=001 ).
CONCLUSION: Arthroscopic partial meniscectomy offers a good short term clinical outcome for patients with knee pain secondary to meniscal injury.

Entities:  

Keywords:  Arthroscopy; Meniscal tear; Meniscectomy; Outcome.

Year:  2017        PMID: 29951452      PMCID: PMC6018036     

Source DB:  PubMed          Journal:  J West Afr Coll Surg        ISSN: 2276-6944


  14 in total

Review 1.  Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years' follow-up.

Authors:  Catherine A Petty; James H Lubowitz
Journal:  Arthroscopy       Date:  2010-12-03       Impact factor: 4.772

2.  Health needs assessment and determinants of health-seeking behaviour among elderly Nigerians: a house-hold survey.

Authors:  I S Abdulraheem
Journal:  Ann Afr Med       Date:  2007-06

3.  Knee joint changes after meniscectomy.

Authors:  T J FAIRBANK
Journal:  J Bone Joint Surg Br       Date:  1948-11

4.  The movements of bones and joints; the synovial fluid and its assistants.

Authors:  M A MacCONAILL
Journal:  J Bone Joint Surg Br       Date:  1950-05

Review 5.  Meniscal repair versus partial meniscectomy: a systematic review comparing reoperation rates and clinical outcomes.

Authors:  E Scott Paxton; Michael V Stock; Robert H Brophy
Journal:  Arthroscopy       Date:  2011-08-06       Impact factor: 4.772

6.  Stabilizing mechanisms of the loaded and unloaded knee joint.

Authors:  H H Hsieh; P S Walker
Journal:  J Bone Joint Surg Am       Date:  1976-01       Impact factor: 5.284

7.  Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006.

Authors:  Sunny Kim; Jose Bosque; John P Meehan; Amir Jamali; Richard Marder
Journal:  J Bone Joint Surg Am       Date:  2011-06-01       Impact factor: 5.284

Review 8.  A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up.

Authors:  F Chatain; P Adeleine; P Chambat; P Neyret
Journal:  Arthroscopy       Date:  2003-10       Impact factor: 4.772

9.  The effects of arthroscopic partial lateral meniscectomy in an otherwise normal knee: a retrospective review of functional, clinical, and radiographic results.

Authors:  J W Jaureguito; J S Elliot; T Lietner; L B Dixon; B Reider
Journal:  Arthroscopy       Date:  1995-02       Impact factor: 4.772

10.  Arthroscopic partial meniscectomy: 5-year follow-up.

Authors:  K P Benedetto; C Rangger
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  1993       Impact factor: 4.342

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