Evaluation of the Early Functional Outcome Following Arthroscopic Partial Meniscectomy for Meniscal Tears.

Evaluation of the Early Functional Outcome Following Arthroscopic Partial Meniscectomy for Meniscal Tears.

Author by Dr. Kelechukwu Onuoha

Journal/Publisher: International Journal Of Orthopaedics Research,

Volume/Edition: 2

Language: English

Pages: 52 - 56

Abstract

Meniscal tears are among the common knee pathologies which affect activities
of daily living if not managed properly. Arthroscopic knee surgery is an
evolving procedure in our environment and patient satisfaction with this
procedure needs to be evaluated. This was a prospective study carried out
between June 2017 and May 2018 with the aim to determine the effectiveness
of Arthroscopic Partial Meniscectomy in the management of meniscal tears in
our environment. The Western Ontario Meniscal Evaluation Tool (WOMET)
Knee Score was used to assess patient satisfaction with this procedure. A total
of thirty-one patients were recruited into the study consisting of eighteen
males and thirteen females with an average age of thirteen years (17 - 48
years) who underwent arthroscopic partial meniscectomy. Preoperative and
postoperative knee scores at 6 weeks and 12 weeks were compared using the
Western Ontario Meniscal Evaluation Tool. At the end of the study period,
data collated were analyzed using the specified tools. In terms of clinical outcomes,
arthroscopic partial meniscectomy showed statistically significant improvement
of symptoms as evidenced by a mean knee score of 75.6 (SD 9.3)
at 6 weeks, 87.7 (SD 4.7) at 12 weeks compared with a preoperative knee
score of 46.7. Medial meniscal tears were more common than lateral meniscal
tears in all age groups and both sexes recruited into the study. The most
common type of meniscal tear seen was the longitudinal type of tear while
complex tear is the least type of tear seen. The surgery (arthroscopic partial
meniscectomy) is an evolving area of sports medicine that requires
sub-specialization, however solves the problem of increased mobility following
open surgery. This study will tend to add to existing knowledge as patients
who are mostly sports inclined can return to play very early with better
outcome scores as regards pain and function.


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