Cirugía artroscópica en pacientes con artrosis de rodillas
Background: The optimal treatment for patients with osteoarthritis (OA) of the knees and meniscal injuries has been extensively analyzed. Most research studies of patients treated by arthroscopic surgery have shown satisfactory results in the short and medium term. Objective: To evaluate if arthroscopic knee surgery provides additional benefit over a 3-year period in middle-aged patients with meniscal and knee-locking symptoms and to demonstrate that arthroscopic surgery of osteoarthritic knees improves patient function and satisfaction. Methods: A retrospective analysis was performed on 50 consecutive patients (51 knees) with a diagnosis of OA, treated with arthroscopic surgery. Radiological lesions were classified using the Kellgren-Lawrence scale, and the extent of OA was classified using the International Cartilage Repair Society (IRCS) classification. The results were evaluated using a postoperative knee scale that contains three parameters. The follow-up period was three years. Results: The patients had 64.7% good results, 21.56% regular results, and 13.72% bad results. The best results were obtained in patients with mild and moderate OA and symptoms of mechanical joint injury. The effect of predictive factors was uncertain due to the small sample size in subgroup analyses. Conclusion: Treatment with arthroscopic surgery can improve function and activity levels in patients with mild and moderate OA, allowing the best results to be obtained in those with symptoms of pain and blockage due to loose bodies or meniscal tears. In clinical relevance, arthroscopic surgery in knee OA produces significant improvement in selected patients that allows to improve pain, mobility and function. Level of Evidence: level IV; retrospective longitudinal cohort study..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:68 |
|---|---|
| Enthalten in: |
Anales Médicos - 68(2023), 3 |
| Sprache: |
Englisch ; Spanisch |
|---|
| Beteiligte Personen: |
Sergio Abush-Torton [VerfasserIn] |
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| Links: |
doaj.org [kostenfrei] |
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| Themen: |
Medicine |
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| Förderinstitution / Projekttitel: |
|
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| PPN (Katalog-ID): |
DOAJ094637210 |
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| 520 | |a Background: The optimal treatment for patients with osteoarthritis (OA) of the knees and meniscal injuries has been extensively analyzed. Most research studies of patients treated by arthroscopic surgery have shown satisfactory results in the short and medium term. Objective: To evaluate if arthroscopic knee surgery provides additional benefit over a 3-year period in middle-aged patients with meniscal and knee-locking symptoms and to demonstrate that arthroscopic surgery of osteoarthritic knees improves patient function and satisfaction. Methods: A retrospective analysis was performed on 50 consecutive patients (51 knees) with a diagnosis of OA, treated with arthroscopic surgery. Radiological lesions were classified using the Kellgren-Lawrence scale, and the extent of OA was classified using the International Cartilage Repair Society (IRCS) classification. The results were evaluated using a postoperative knee scale that contains three parameters. The follow-up period was three years. Results: The patients had 64.7% good results, 21.56% regular results, and 13.72% bad results. The best results were obtained in patients with mild and moderate OA and symptoms of mechanical joint injury. The effect of predictive factors was uncertain due to the small sample size in subgroup analyses. Conclusion: Treatment with arthroscopic surgery can improve function and activity levels in patients with mild and moderate OA, allowing the best results to be obtained in those with symptoms of pain and blockage due to loose bodies or meniscal tears. In clinical relevance, arthroscopic surgery in knee OA produces significant improvement in selected patients that allows to improve pain, mobility and function. Level of Evidence: level IV; retrospective longitudinal cohort study. | ||
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