Akkaya Semih, Akkaya Nuray, Kıter Esat, Kılıç Alper, Ardıç Füsun
Department of Orthopedics and Traumatology, Medical Faculty of Pamukkale University, Kınıklı, Denizli, Turkey.
Eklem Hastalik Cerrahisi. 2012 Apr;23(1):9-14.
This study aims to investigate the effects of clinical and demographic variables on functional status, patient satisfaction and quality of life following arthroscopic partial meniscectomy.
Between January 2001 and December 2010, 98 patients (44 males, 54 females; mean age 52.1±12.5 years; range 18 to 88 years) who underwent arthroscopic partial meniscectomy in our clinic and were eligible for the study. Demographic and clinical data of patients and surgical characteristics were recorded. Preoperative activity levels of patients were measured. Severity of activity pain and patient satisfaction following surgery were evaluated using Visual Analog Scale (VAS). Functional status was evaluated by Lysholm knee score and WOMAC (Osteoarthritis Index Western Ontario and McMaster Universities), while quality of life was evaluated by Short Form-36 (SF-36).
Postoperative mean time from surgery was 62.5±26.1 (8-120) months, GAS score at rest was 1.7±2.6 (0-10), GAS activity score was 3.4±3.3 (0-10) and GAS patient satisfaction score was 7.0±3.0 (0-10). It was found that 68 of the patients (69.4%) were evaluated themselves as excellent or better than preoperative period with a mean Lysholm knee score of 73.8±17.4 (24-95). Significant influences of body mass index and preoperative symptom duration on evaluation parameters were not detected. Male gender, less than five years after surgery, less intraoperative joint degeneration and moderate to severe activity level before the onset of symptoms had a positive influence on the severity of pain, patient satisfaction and functional status.
Our study provided critical data for optimal patient selection during the preoperative period to predict which patients may have better results in the mid-term follow-up after arthroscopic partial meniscectomy.
本研究旨在探讨临床和人口统计学变量对关节镜下半月板部分切除术术后功能状态、患者满意度和生活质量的影响。
2001年1月至2010年12月期间，98例在我院接受关节镜下半月板部分切除术且符合研究条件的患者（44例男性，54例女性；平均年龄52.1±12.5岁；年龄范围18至88岁）。记录患者的人口统计学和临床数据以及手术特征。测量患者术前的活动水平。采用视觉模拟评分法（VAS）评估术后活动疼痛的严重程度和患者满意度。采用Lysholm膝关节评分和WOMAC（西安大略和麦克马斯特大学骨关节炎指数）评估功能状态，采用简明健康状况调查量表（SF-36）评估生活质量。
术后平均时间为62.5±26.1（8 - 120）个月，静息时的视觉模拟评分（VAS）为1.7±2.6（0 - 10），活动时的VAS评分为3.4±3.3（0 - 10），患者满意度的VAS评分为7.0±3.0（0 - 10）。发现68例患者（69.4%）自我评估为优于术前或与术前相当，平均Lysholm膝关节评分为73.8±17.4（24 - 95）。未检测到体重指数和术前症状持续时间对评估参数有显著影响。男性、术后不到五年、术中关节退变较少以及症状发作前活动水平为中度至重度对疼痛严重程度、患者满意度和功能状态有积极影响。
我们的研究为术前最佳患者选择提供了关键数据，以预测哪些患者在关节镜下半月板部分切除术后的中期随访中可能有更好的结果。
