Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.

Purpose: To evaluate the evolution of clinical and functional outcomes of symptomatic discoid lateral meniscus treated arthroscopically over time and to investigate the relationship between associated intra-articular findings and outcomes. Methods: Of all patients treated arthroscopically between 1...

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Autores Principales: Corredor, Jose, Gomez, Miguel, Cabezas, Camilo, Joeris, Alexander, Zapata, Ignacio
Otros Autores: Guzman, July
Formato: Trabajo de grado (Bachelor Thesis)
Lenguaje:Español (Spanish)
Publicado: Universidad del Rosario 2014
Materias:
Acceso en línea:http://repository.urosario.edu.co/handle/10336/4973
id ir-10336-4973
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Discoid Meniscus, arthroscopy, meniscectomy, IKDC form, saucerization.
Discoid Meniscus, arthroscopy, meniscectomy, IKDC form, saucerization.
Artroscopía
International Knee Documentation Committee (IKDC) - Formularios
Meniscectomía
Menisco - Cirugía
spellingShingle Discoid Meniscus, arthroscopy, meniscectomy, IKDC form, saucerization.
Discoid Meniscus, arthroscopy, meniscectomy, IKDC form, saucerization.
Artroscopía
International Knee Documentation Committee (IKDC) - Formularios
Meniscectomía
Menisco - Cirugía
Corredor, Jose
Gomez, Miguel
Cabezas, Camilo
Joeris, Alexander
Zapata, Ignacio
Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.
description Purpose: To evaluate the evolution of clinical and functional outcomes of symptomatic discoid lateral meniscus treated arthroscopically over time and to investigate the relationship between associated intra-articular findings and outcomes. Methods: Of all patients treated arthroscopically between 1995 and 2010, patients treated for symptomatic discoid meniscus were identified in the hospital charts. Baseline data (demographics, previous trauma of ipsilateral knee, and associated intra-articular findings) and medium term outcome data from clinical follow-up examinations (pain, locking, snapping and instability of the operated knee) were extracted from clinical records. Telephone interviews were conducted at long term in 28 patients (31 knees). Interviews comprised clinical outcomes as well as functional outcomes as assessed by the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC). Results: All patients underwent arthroscopic partial meniscectomy. The mean follow-up time for data extracted from clinical records was 11 months (SD ± 12). A significant improvement was found for pain in 77% (p<0.001), locking in 13%, (p=0.045) and snapping in 39 % (p<0.005). The mean follow-up time of the telephone interview was 60 months (SD ± 43). Improvement from baseline was generally less after five years than after one year and functional outcomes of the IKDC indicated an abnormal function after surgery (IKDC mean= 84.5, SD ± 20). In some patients, 5 year-outcomes were even worse than their preoperative condition. Nonetheless, 74% of patients perceived their knee function as improved. Furthermore, better results were seen in patients without any associated intra-articular findings. Conclusions: Arthroscopical partial meniscectomy is an effective intervention to relieve symptoms in patients with discoid meniscus in the medium-term; however, results trend to deteriorate over time. A trend towards better outcome for patients with no associated intra-articular findings was observed.
author2 Guzman, July
author_facet Guzman, July
Corredor, Jose
Gomez, Miguel
Cabezas, Camilo
Joeris, Alexander
Zapata, Ignacio
format Trabajo de grado (Bachelor Thesis)
author Corredor, Jose
Gomez, Miguel
Cabezas, Camilo
Joeris, Alexander
Zapata, Ignacio
author_sort Corredor, Jose
title Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.
title_short Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.
title_full Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.
title_fullStr Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.
title_full_unstemmed Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.
title_sort evolution of clinical and functional results after arthroscopic treatment of discoid meniscus. a case series study of 31 cases.
publisher Universidad del Rosario
publishDate 2014
url http://repository.urosario.edu.co/handle/10336/4973
_version_ 1645141987580444672
spelling ir-10336-49732019-09-19T12:37:54Z Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases. Corredor, Jose Gomez, Miguel Cabezas, Camilo Joeris, Alexander Zapata, Ignacio Guzman, July Discoid Meniscus, arthroscopy, meniscectomy, IKDC form, saucerization. Discoid Meniscus, arthroscopy, meniscectomy, IKDC form, saucerization. Artroscopía International Knee Documentation Committee (IKDC) - Formularios Meniscectomía Menisco - Cirugía Purpose: To evaluate the evolution of clinical and functional outcomes of symptomatic discoid lateral meniscus treated arthroscopically over time and to investigate the relationship between associated intra-articular findings and outcomes. Methods: Of all patients treated arthroscopically between 1995 and 2010, patients treated for symptomatic discoid meniscus were identified in the hospital charts. Baseline data (demographics, previous trauma of ipsilateral knee, and associated intra-articular findings) and medium term outcome data from clinical follow-up examinations (pain, locking, snapping and instability of the operated knee) were extracted from clinical records. Telephone interviews were conducted at long term in 28 patients (31 knees). Interviews comprised clinical outcomes as well as functional outcomes as assessed by the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC). Results: All patients underwent arthroscopic partial meniscectomy. The mean follow-up time for data extracted from clinical records was 11 months (SD ± 12). A significant improvement was found for pain in 77% (p<0.001), locking in 13%, (p=0.045) and snapping in 39 % (p<0.005). The mean follow-up time of the telephone interview was 60 months (SD ± 43). Improvement from baseline was generally less after five years than after one year and functional outcomes of the IKDC indicated an abnormal function after surgery (IKDC mean= 84.5, SD ± 20). In some patients, 5 year-outcomes were even worse than their preoperative condition. Nonetheless, 74% of patients perceived their knee function as improved. Furthermore, better results were seen in patients without any associated intra-articular findings. Conclusions: Arthroscopical partial meniscectomy is an effective intervention to relieve symptoms in patients with discoid meniscus in the medium-term; however, results trend to deteriorate over time. A trend towards better outcome for patients with no associated intra-articular findings was observed. Purpose: To evaluate the evolution of clinical and functional outcomes of symptomatic discoid lateral meniscus treated arthroscopically over time and to investigate the relationship between associated intra-articular findings and outcomes. Methods: Of all patients treated arthroscopically between 1995 and 2010, patients treated for symptomatic discoid meniscus were identified in the hospital charts. Baseline data (demographics, previous trauma of ipsilateral knee, and associated intra-articular findings) and medium term outcome data from clinical follow-up examinations (pain, locking, snapping and instability of the operated knee) were extracted from clinical records. Telephone interviews were conducted at long term in 28 patients (31 knees). Interviews comprised clinical outcomes as well as functional outcomes as assessed by the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC). Results: All patients underwent arthroscopic partial meniscectomy. The mean follow-up time for data extracted from clinical records was 11 months (SD ± 12). A significant improvement was found for pain in 77% (p<0.001), locking in 13%, (p=0.045) and snapping in 39 % (p<0.005). The mean follow-up time of the telephone interview was 60 months (SD ± 43). Improvement from baseline was generally less after five years than after one year and functional outcomes of the IKDC indicated an abnormal function after surgery (IKDC mean= 84.5, SD ± 20). In some patients, 5 year-outcomes were even worse than their preoperative condition. Nonetheless, 74% of patients perceived their knee function as improved. Furthermore, better results were seen in patients without any associated intra-articular findings. Conclusions: Arthroscopical partial meniscectomy is an effective intervention to relieve symptoms in patients with discoid meniscus in the medium-term; however, results trend to deteriorate over time. A trend towards better outcome for patients with no associated intra-articular findings was observed. 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