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KNEE
Year : 2004  |  Volume : 38  |  Issue : 3  |  Page : 158-161

Short and long term results of arthroscopic partial meniscectomy


Department of Orthopaedics, Kasturba Medical College, Manipal, India

Correspondence Address:
Shyamasunder N Bhat
Department of Orthopaedics, Kasturba Medical College, Manipal - 576 119
India
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Source of Support: None, Conflict of Interest: None


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Background: Arthroscopic partial meniscectomy is the treatment of choice for meniscal tears. The ultimate effect of meniscectomy on the joint has been controversial. Methods: This study was done to determine the short and longterm end results of arthroscopic partial meniscectomy. The results were assessed on the basis of Lysholm scoring and Tapper and Hoover scoring systems. Detailed questionnaires including different criteria like pain, swelling, locking etc. were sent to 323 patients with meniscal injuries. One hundred and sixty five patients responded to the questionnaire. The patients were categorized as long term for more than 2 years and short term for 2 years or less of follow up. Patients who underwent reconstruction of anterior cruciate ligament were excluded from the study. Results: The best clinical results were observed in patients who were operated within 3 months after injury (81.25% excellent & good results). Patients below the age of 40 showed consistently better results than those above the age of 40 years. Associated cartilage defects and anterior cruciate ligament rupture vitiated the results. Results were similar for short-term and long-term. The overall scoring showed 76.06% excellent and good results in the Lysholm scoring method and 69.72% excellent and good results in Tapper and Hoover scoring system. Conclusion: Arthroscopic partial meniscectomy gives good shortand long-term clinical results when performed early and in patients below the age of 40 years for meniscal injuries. Cartilage damage and anterior cruciate ligament injury vitiated clinical end results.


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