A Study of Arthroscopic Management of Meniscal Injuries in 20 Patients
Journal Title: Journal of Pharmaceutical and Biomedical Sciences - Year 2014, Vol 6, Issue 2
Abstract
Background Meniscal injuries are common as a result of sports related injuries and motor vehicle accidents. Current arthroscopic partial meniscectomy is indicated for the management of meniscal tears because of early rehabilitation and return to work and minimal complications. Present study is a hospital-based retrospective study of 20 adult cases admitted at Dr. DY Patil Medical College from January 2015 to January 2016. Common age group was between 10 and 40 years with mean of 27.05 years. Aims and Objectives To study the effectiveness of arthroscopic management of meniscal injuries using Lysholm knee scoring and Tapper and Hoover grading system. To determine the type of meniscal injury that occurs in clinically suspected cases of meniscal injuries. Materials and Methods This study includes 20 cases of menisical injuries of knee treated by closed arthroscopic partial meniscectomy at Dr. DY Patil Medical College, Pune from January 2015 to January 2016. Follow up has been done up to 6 months. This is a retrospective time-bound study conducted during the period from January 2015 to January 2016. Sample size consists of 20 patients. Results The study consists of 20 cases of meniscal injuries with or without ACL tear, treated surgically by partial meniscectomy, 17 patients were male and 3 patients were female. Meniscal injuries on right knee were 11 cases and left knee were 9 cases. Type of meniscal tear was longitudinal 10 cases, oblique 5 cases, horizontal 3 cases, radial 1 case and complex (with discoid meniscus) tear 1 case. Meniscal injuries associated with partial/complete ACL tear were 6 cases. There was one case of discoid meniscus. Surgery was performed at an average 1 month after meniscal tear, duration of hospital stay was 3–6 days ranging from 3–6 days, mean time for earliest return to work was 14.35 days with range 10–16 days. Excellent to good results were seen in 95% of cases. Conclusion Incidence of meniscal injuries is most common due to motor vehicle accident and other causes being sports related injuries and fall by slip. The advantage of arthroscopic meniscectomyis minimally invasive technique includes early return to work, minimal complications, early post-operative rehabilitation, short duration of hospital stay. Hence this is the preferred technique for treatment of meniscal injuries
Authors and Affiliations
Ajit Swamy
Keywords
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