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ISSN 1025-0255 (Electronic)

2017, Number 5

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AMC 2017; 21 (5)

Arthroscopic meniscectomy in 100 patients

Álvarez LA, Soto-Carrasco SR, García LYC

Language: Spanish
References: 36
Page: 574-583
PDF size: 607.27 Kb.


ABSTRACT

Background: meniscal lesions of the knee due to degenerative and traumatic causes are common. Patients usually complain of mechanical symptoms and signs. Treatment is usually surgical by arthroscopy because of several advantages.
Objective: the aim of this study was to evaluate the use of arthroscopic meniscectomy in patients with meniscal lesions.
Methods: a quasi experimental study before and after modality with a level of evidence III and recommendation grade B in Manuel Ascunce Domenech hospital in Camaguey city from February 2013 to January 2017 was performed in 158 patients diagnosed with meniscal lesions, but 100 of them were selected as a non-probabilistic sample, based on selected criteria.
Results: average age was 46,95 years. Female sex, right knee and medial meniscus prevailed. Degenerative tears were detected in 50 % of the cases. Synovial plica and cartilage lesions were found in 41 and 78 patients respectively. Joint line tenderness and McMurray test were positive in a huge number of patients. Partial arthroscopic meniscectomy was the common used surgical procedure. There were significant statistical differences between before and after while using WOMET and short KOOS scales.
Conclusions: arthroscopic meniscectomy is an effective surgical procedure in patients with meniscal lesions.


REFERENCES

  1. Beaufils P, Verdonk R. The Meniscus. New York: Springer Verlag; 2010.

  2. Kelly JD IV. Meniscal Injuries. New York: Springer Verlag; 2014.

  3. Mordecai SC, Al-Hadithy N, Ware HE, Gupte CM. Treatment of meniscal tears: an evidence based approach. World J Orthop. 2014 Jul;5(3):233-41.

  4. Zedde P, Mela F, Del Prete F, Masia F, Manunta AF. Meniscal injuries in basketball players. Joints. 2015 Feb;2(4):192-6.

  5. Sihvonen R, Englund M, Turkiewicz A, Järvinen TL. Mechanical symptoms and arthroscopic partial meniscectomy in patients with degenerative meniscus tear: a secondary analysis of a randomized trial. Ann Intern Med. 2016 Apr;164(7):449-55.

  6. Petersen W, Achtnich A, Lattermann C, Kopf S. The treatment of non-traumatic meniscus lesions. Dtsch Arztebl Int. 2015 Oct;112(42):705-13.

  7. Vidriero EM, Johnson DH. Meniscal resection. En: Johnson DH, editor. Operative Arthroscopy. 4 th ed. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 615-26.

  8. Hulet C, Menetrey J, Beaufils P, Chambat P, Djian P, Hardy P, et al. Clinical and radiographic results of arthroscopic partial lateral meniscectomies in stable knees with a minimum follow up of 20 years. Knee Surg Sports Traumatol Arthrosc. 2015 Jan;23(1):225-31.

  9. Ha AY, Shalvoy RM, Voisinet A, Racine J, Aaron RK. Controversial role of arthroscopic meniscectomy of the knee: a review. World J Orthop. 2016 May;7(5):287-92.

  10. Hall M, Juhl CB, Lund H, Thorlund JB. Knee extensor muscle strength in middle-aged and older individuals undergoing arthroscopic partial meniscectomy: a systematic review and meta-analysis. Arthritis Care Res (Hoboken). 2015 Sep;67(9):1289-96.

  11. Lamplot JD, Brophy RH. The role for arthroscopic partial meniscectomy in knees with degenerative changes: a systematic review. Bone Joint J. 2016 Jul;98-B(7):934-8.

  12. El Ghazaly SA, Rahman AA, Yusry AH, Fathalla MM. Arthroscopic partial meniscectomy is superior to physical rehabilitation in the management of symptomatic unstable meniscal tears. Int Orthop. 2015 Apr;39(4):769-75.

  13. Thorlund JB, Juhl CB, Roos EM, Lohmander LS. Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms. Br J Sports Med. 2015 Oct;49(19):1229-35.

  14. Gauffin H, Tagesson S, Meunier A, Magnusson H, Kvist J. Knee arthroscopic surgery is beneficial to middle-aged patients with meniscal symptoms: a prospective, randomised, single-blinded study. Osteoarthritis Cartilage. 2014 Nov;22(11):1808-16.

  15. Tong WW, Wang W, Xu WD. Development of a Chinese version of the Western Ontario Meniscal Evaluation Tool: cross-cultural adaptation and psychometric evaluation. J Orthop Sur Res. 2016 Aug;11:90.

  16. Sihvonen R, Järvelä T, Aho H, Järvinen TL. Validation of the Western Ontario Meniscal Evaluation Tool (WOMET) for patients with a degenerative meniscal tear. J Bone Joint Surg Am. 2012 May;94(10):e65(1-8).

  17. Dašic Ž, Bulatovic N, Kezunovic M, Benicic I, Bokan V. Treatment of medial meniscus injury with partial meniscectomy. Acta Clin Croat. 2015 Sep;54(3):319-25.

  18. Álvarez López A, García Lorenzo Y. Comportamiento de pacientes con lesión de menisco. Arch Med Camagüey. 2013 Mar-Abr;17(3):230-8.

  19. Haviv B, Bronak S, Kosashvili Y, Thein R. Arthroscopic meniscectomy of traumatic versus atraumatic tears in middle aged patients: is there a difference? Arch Orthop Trauma Surg. 2016 Sep;136(9):1297-301.

  20. Haviv B, Bronak S, Kosashvili Y, Thein R. Gender effect on the outcome of partial medial meniscectomy. Orthopedics. 2015 Oct;38(10):e925-8.

  21. Álvarez López A, García Lorenzo Y. Lesiones de menisco en pacientes con osteoartritis de la rodilla. Arch Med Camagüey. 2012 Mar-Abr;16(3):65-72.

  22. Kim JG, Lee SY, Chay S, Lim HC, Bae JH. Arthroscopic meniscectomy for medial meniscus horizontal cleavage tears in patients under age 45. Knee Surg Relat Res. 2016 Sep;28(3):225-32.

  23. Mutsaerts EL, van Eck CF, van de Graaf VA, Doornberg JN, van den Bekerom MP. Surgical interventions for meniscal tears: a closer look at the evidence. Arch Orthop Trauma Surg. 2016 Mar;136(3):361-70.

  24. Beaufils P, Becker R, Kopf S, Englund M, Verdonk R, Ollivier M, et al. Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus. Knee Surg Traumatol Arthrosc. 2017 Jan;25(1):335-46.

  25. Haviv B, Bronak S, Kosashvili Y, Thein R. Does timing of arthroscopic partial meniscectomy in stable knees matter? J Knee Surg. 2017 Jan;30(1):47-50.

  26. Lee DJ, Elfar JC. Utility of arthroscopic surgery for osteoarthritis of the knee. Geriatr Orthop Sur Rehab. 2015 Mar;6(1):47-9.

  27. Azam M, Shenoy R. The role of arthroscopic partial meniscectomy in the management of degenerative meniscus tears: a review od the recent literatura. Open Orthop J. 2016 Dec;10:797-804.

  28. Scillia AJ, McDermott JD, Issa K, Goljan P, Harwin SF, Festa A, et al. Arthroscopic partial meniscectomy for meniscal tears: a review and commentary on a study by NEJM. J Knee Surg. 2016 Jul;29(5):387-90.

  29. Weiss WM, Johnson D. Update on meniscus debridement and resection. J Knee Surg. 2014 Dec;27(6):413-22.

  30. Katz JN, Losina E. Arthroscopic partial meniscectomy for degenerative tears: where do we stand? Osteoarthritis Cartilage. 2014 Nov;22(11):1749-51.

  31. Buldu MT, Marsh JL, Arbuthnot J. Mechanical symptoms of osteoarthritis in the knee and arthroscopy. J Knee Surg. 2016 Jul;29(5):396-402.

  32. Howell R, Kumar NS, Patel N, Tom J. Degenerative meniscus: pathogenesis, diagnosis, and treatment options. World J Orthop. 2014 Nov;5(5):597-602.

  33. Ji C, Lin X, Zhu L, Li M. McMurray test: a prediction of arthroscopic meniscectomy outcomes in patients with knee osteoarthritis. Cell Biochem Biophys. 2015 May;72(1):269-73.

  34. Álvarez López A, García Lorenzo Y. Meniscectomía artroscópica: principios básicos. Arch Med Camagüey. Ene-Feb 2011;15(1):1-10.

  35. Hagino T, Ochiai S, Watanabe Y, Senga S, Wako M, Ando T, et al. Complications after arthroscopic knee surgery. Arch Orthop Trauma Surg. 2014 Nov;134(11):1561-4.

  36. Sofu H, Oner A, Camurcu Y, Gursu S, Ucpunar H, Sahin V. Predictors of the clinical outcome after arthroscopic partial meniscectomy for acute trauma-related symptomatic medial meniscal tear in patients more than 60 years of age. Arthroscopy. 2016 Jun;32(6):1125-32.




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