Role of Arthroscopic Surgery in Degenerative Knees with Mechanical Symptoms
| Autor: | Anubhav Malhotra, Ashwani Soni, Dinesh Kumar Walia, Sudhir Kumar Garg, Ravi Gupta, Aditya Singla |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Exacerbation Visual analogue scale mechanical symptoms degenerative knees 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery Medicine Orthopedics and Sports Medicine Prospective cohort study Vas score 030222 orthopedics arthroscopic surgery business.industry Retrospective cohort study 030229 sport sciences medicine.disease Acute exacerbation of symptoms Surgery lcsh:RD701-811 Venous thrombosis Orthopedic surgery Original Article business Complication |
| Zdroj: | Indian Journal of Orthopaedics Indian Journal of Orthopaedics, Vol 53, Iss 3, Pp 446-451 (2019) |
| ISSN: | 0019-5413 |
| Popis: | Background: This study was conducted to evaluate functional outcome in patients undergoing/underwent arthroscopic surgery for degenerative knees with mechanical symptoms or acute exacerbation of symptoms, not amenable to conservative measures. Materials and Methods: This was a longitudinal type of study (prospective and retrospective). For the prospective cohort, followup was done at an interval of 2 weeks, 6 weeks, 6 months and 1 year to record visual analog scale (VAS), International Knee Documentation Committee (IKDC), and short form-8 (SF-8) scores. For the retrospective cohort, hospital records were studied to record the preoperative VAS score. Preoperative IKDC and SF-8 scores were recorded at final followup based on recall method (patient's memory). Furthermore, postoperative VAS, IKDC, and SF-8 scores at final followup were recorded. Results: There were a total of 46 knees (28 retrospective and 18 prospective) in 44 patients. The mean age was 52.34 ± 11.73 years. There were 28 female knees and 18 male knees. The mean followup of patients in the retrospective cohort was 55 months (range: 13–126 months), whereas all patients in prospective cohort completed the minimum followup of 1 year. The improvements in VAS, IKDC, and SF-8 were statistically significant. Forty-one cases were successful and five cases were failure. All successful patients (41 cases) said “yes” and all failure cases (05) said “no” to the question-”If given a choice, would you still like to get the same surgery done for the same problem??”. There was one complication deep venous thrombosis. Conclusion: We recommend arthroscopic surgery in patients with degenerative knees, with mechanical symptoms and acute exacerbation of symptoms, not amenable to conservative measures. |
| Databáze: | OpenAIRE |
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