Ahmad Ensafdaran, MD; Amir Reza Vosoughi, MD; Mohammad Reza Ensafdaran, MD; Hamid Reza Ensafdaran, MD; Amir Reza Vosoughi, MD
Abstract
Background: Meniscal injury is a major cause of functional impairment of the knee. Total meniscectomy was the treatment of choice for many years, but long-term results were not satisfactory. Nowadays, minimal partial meniscectomy performed arthroscopically, or meniscal repair when practically, have become ...
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Background: Meniscal injury is a major cause of functional impairment of the knee. Total meniscectomy was the treatment of choice for many years, but long-term results were not satisfactory. Nowadays, minimal partial meniscectomy performed arthroscopically, or meniscal repair when practically, have become the standard choice.Methods: One hundred and ten patients with stable knee and history of pain, giving way, and locking, which their MRI showed only medial meniscus tear, were selected for partial meniscectomy. Evaluation included a patient radiological evaluation by Fairbanks classification for operated and non-operated knee, physical examination and Lysholm score before and 6, 18, 36 months after operation.Results: Only 87 patients (78 men, 9 women) were available for follow-up. Mean age for men was 27.8 years (18-53 years) and for women 36.9 years (22-50 years). Meniscus tear was bucket handle in 54%, flap in 10.4%, radial in 8%, and complex in 27.6% of cases. Mean Lysholm score was 48.4 (range: 41-55) before operation which increased to 80.87 (range: 73-85), 90.6 (range: 78-95), and 90.87 (range: 68-95) 6, 18, and 36 months after operation, respectively (p < /em>
Ahmad Ensafdaran, MD; Amir Reza Vosoughi, MD; Mohammad Reza Ensafdaran, MD; Amir Reza Vosoughi, MD
Abstract
Background: Osteoarthritis is common especially in over 50 years of age patients. There are several non–surgical treatment modalities such as non-steroid anti-inflammatory drugs, physiotherapy, and intra-articular injection of steroids and Hyaluronic Acid. Surgical procedures include arthroplasty, ...
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Background: Osteoarthritis is common especially in over 50 years of age patients. There are several non–surgical treatment modalities such as non-steroid anti-inflammatory drugs, physiotherapy, and intra-articular injection of steroids and Hyaluronic Acid. Surgical procedures include arthroplasty, osteotomy of tibia and arthroscopic débridement. Careful selection of patients in particular, for arthroscopic débridement is a very important point.Methods: In a prospective study, 88 patients with mean age of 55.28 (55-63 years) with knee osteoarthritis who had failed non-surgical treatments were selected for arthroscopic débridement. Radiographic inclusion criteria were presence of 3-4 millimeters of joint space, less than 10 degrees flexion contracture and varus/valgus malalignment, and at least 100 degrees of flexion. The treatment results were assessed annually in 3 successive years, using Lysholm knee Scale. Seventy-four patients (43 females, 31 males) had complete follow-up and are reported here.Results: The pre operative Lysholm score of 37.2 (range: 26-55) increased to 81.9 (range: 70-90) in first year, to 82.9 (range: 70-95) by the second year and to 78.5 (60-90) in the third year (p < /em>
