The definition of indication for the surgical treatment on menisci
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2016, Vol 602, Issue 1
Abstract
Pathology of knee menisci (KM) leads to osteoarthritis (OA) development in 20–40% in nearest 7–10 years after primary surgical treatment. The same situation is observed after the arthroscopic interventions. Goal of investigation: to show the most common tactical mistakes during the surgical interventions on menisci. Methods of investigation: the results of treatments of 131 patients with meniscus pathology of different genesis from 5 to 36 years after primary surgery. The patinets were divided into 3 groups: I (85 patietns) — meniscogenic syndrom, determined by congenital predisposition, II (19 patients) — traumatic injury of meniscus; III (7 patients) — pathic pathology. OA stages were determined according to Kellgren-Lawrence classification. Results: the most common mistakes in the meniscus surgery were determined. It was found out, that the worst results developed in the conditions of frontal deformity on knee level. The resection of meniscus under these circumstances increased OA development. The development of pain, in remote terms after operation, localized in anterior parts determined by the status of femur-patella joint. It was proved that if an angle of varus deformity on knee joint (KJ) is equal to 8°, pressure on medial meniscus is increased on 30.8 %, that provokes its disruption. Outcome: its necessary to assess KJ structure during the planning of meniscus surgery. Lateral X-ray view charcterizes the interrelationship between patella and distal femur joint surface contacting with patella, that play a large role for determing an abnormality of patella-femoral joint. MRI and CT are the modern methods of investigation, meanwhile they allow to assess meniscus damage only, but not the status of KJ in general. That is why these methods of investigation are just additional for the patients with meniscus abnormality.
Authors and Affiliations
Elena Baburkina
Keywords
Related Articles
- EP ID EP203514
- DOI 10.15674/0030-59872016134-40
- Views 325
- Downloads 0
Investigation of stress-strain state in spinal model for various methods of surgical treatment of thoracolumbar burst fractures (part one)
There are different views on the treatment of burst fractures of the lower thoracic and lumbar spine. Some specialists prefer conservative methods of treatment, others use a spinal fusion of 360° (anterior and posterio...
Study of the cytokine profile at surgeries on the lumbar spine: influence of the method of anesthesia [Дослідження цитокінового профілю за умов хірургічних втручань на поперековому відділі хребта: вплив методу анестезії]
Surgical interventions on the lumbar spine are performed at both general and spinal anesthesia. It is proved that any surgery is accompanied by the releasing of cytokines, but the effect of anesthesia on this process is...
MRI signs of anterior cruciate ligament graft restructuring in bone canal
One of the reason for succeed anterior cruciate ligament reconstruction is the process of graft remodeling on the border «tendon-bone» in the bone canal. This factor can influence on the mechanical stability of the knee...
A comparison of patient reported outcomes between total knee arthroplasty patients receiving the journey II bi-cruciate stabilizing knee system and total hip arthroplasty patients
Patients who have undergone total hip arthroplasties (THA) tend to report greater satisfaction than those who underwent total knee arthroplasties (TKA). Progress in TKA and THA procedures requires maximizing perceived pa...
The peculiarities of location of medial twigs of posterior branches of spinal nerves (topographic-anatomical studies)
Unsatisfactory results afterthe interventional treatment of pain syndrome associated with lumbar spondyloarthrosis could be explained by underestimation of variants of location of posterior branches (PB) of spinal nerves...