Arthroscopic management of knee disorders in Erbil hospitals retro-prospective study

Other Title(s)

معالجة الاعتلالات الغضاريف الهلالية بواسطة تنظير الركبة في مستشفيات أربيل : دراسة رجعية مستقبيلة

Joint Authors

Muti, Srud Salim
al-Saffar, Zuhayr Muhsin Ahmad

Source

Duhok Medical Journal

Publisher

University of Duhok College of Medicine

Publication Date

2012-12-31

Country of Publication

Iraq

No. of Pages

10

Main Subjects

Pharmacy, Health & Medical Sciences

English Abstract

Objective: To analyze and evaluate the findings of our twelve months arthroscopy practice starting February 1, 2010 till January 31, 2011 in the department of Orthopedics for patient underwent operation of arthroscopy for management of meniscal lesions within Erbil city hospitals, governmental and private.

Aim of Study: The aim of this study is to evaluate the short term result and to analyze their data according to age, sex distribution, mode of trauma, clinical findings, radiographic x ray and MRI findings, anaesthesia type, duration of hospital stay, performed procedures and arthroscopic findings and their short term clinical and functional outcomes .

Methods: This is a retro - prospective study of 160 patients who underwent knee arthroscopy for meniscal lesions at Erbil city hospitals.

Patient ages ranged from 21 to 70 years old with an average age of 39.5 years.

Results: Arthroscopy was performed on 82 right and 78 left symptomatic knees of 113 males and 47 females, the etiology were classified as sport injury in 82 knees (51.25 %), falling 30 knees (18.75 %), traffic accident 17 knees (10.62 %), working accident 8 knees (5%) and un known 23 knees (14.37 %).

Arthroscopic findings of patients were posterior horn tear of medial meniscus in 61 knees( 38%), anterior horn tear of medial meniscus in 30 knees ( 18%), anterior and posterior horn tear of medial meniscus in 2 knees (1.25%), bucket handle tear of medial meniscus in 24 knees ( 15%), Degenerative tear of medial meniscus in 8 knees (5 %), and anterior horn tear of lateral meniscus 14 knees (8.75%) and posterior horn tear of lateral meniscus 3 knees (1.25%), bucket handle tear of lateral meniscus in 1 knee (0.6%) and tears involving both menisci in 6 knees (5.6%) and normal menisci in 11 knees ( 6.8%).

Meniscal lesions were associated with complete tear of ACL in 12 knees (7.5%), partial tear of ACL in 30 knees (18%), partial tear of PCL in 3 knees ( 2%), complete tear of PCL in 4 knees ( 2.5%).

Tight and tethered plica was founded in 19 knees (11%) distributed as medial patellar plica in 13 knees, infrapatellar plica – ligamentum mucosum in 5 knees and suprapatellar plica in 1 knee.

Small tiny osteochondral bodies were found in 2 knees and in 1 patient there was cyst in lateral meniscus.

Conclusion: because of many advantages and few complication rate and arthroscopic partial menisectomy to be the definite means of therapy for the isolated meniscal lesion of the knee joint.

Quick recovery and excellent early results after surgery are characteristics of the method.

Also arthroscopy is the method of choice in the diagnosis of knee disorders

Data Type

Conference Papers

Record ID

BIM-832314

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