Giri Saurabh, Singh Ch Arun Kumar, Datta Snehasish, Paul Vinil, Masatvar Pranav, Hmarj Christopher L, Marbaniang Graham Bell
Assistant Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College , Sewangi, Wardha, Maharastra, India .
Post Graduate Trainee, Department of Orthopaedics, Regional Institute of Medical Science , Imphal, Manipur, India .
J Clin Diagn Res. 2015 Aug;9(8):RC08-11. doi: 10.7860/JCDR/2015/13809.6390. Epub 2015 Aug 1.
A variety of procedures have been described for treatment of the osteoarthritic knee. Comprehensive Arthroscopic treatment regime has definite role in treating patients with knee Osteoarthritis.
To evaluate the role of arthroscopy in functional and subjective outcomes of patient with moderate to severe osteoarthritis of knee.
Between October 2011 to September 2013, 30 patients were treated with an arthroscopic regimen. Patients with primary osteoarthritis who fulfilled clinical and radiographic classification criteria of American College of Rheumatology for osteoarthritis were included. All patients were followed for 18 months. All patients were subjected to comprehensive arthroscopic treatment.
Overall, mean age was 59 years, with 17 females and 13 males. According to Kellgren Lawrence scale, 17 patients had grade 2 osteoarthritis, 10 had grade 3 osteoarthritis and 3 patients had grade 4. The average preoperative Lysholm score was 38.8. According to Outerbridge grading of chondral surface lesions, 14 patients were in grade-1, 5 in grade-2, 8 in grade-3 and 3 patients were in grade-4. The average 18 months postoperative Lysholm score was 83.3 (range 60- 96). 73.33% patients showed good/ excellent outcome. 80% of patients with chondral and meniscal lesions showed excellent/good outcome.
This arthroscopic treatment regimen can improve function and activity levels in patients with moderate to severe osteoarthritis. Patients with meniscal and chondral pathology will be benefited more by arthroscopic treatment.
已经描述了多种用于治疗骨关节炎膝关节的手术方法。综合关节镜治疗方案在治疗膝关节骨关节炎患者中具有明确作用。
评估关节镜检查在中重度膝关节骨关节炎患者功能和主观结果中的作用。
2011年10月至2013年9月期间，30例患者接受了关节镜治疗方案。纳入符合美国风湿病学会骨关节炎临床和放射学分类标准的原发性骨关节炎患者。所有患者随访18个月。所有患者均接受了综合关节镜治疗。
总体而言，平均年龄为59岁，女性17例，男性13例。根据Kellgren Lawrence分级，17例患者为2级骨关节炎，10例为3级骨关节炎，3例为4级。术前Lysholm评分平均为38.8。根据软骨表面损伤的Outerbridge分级，14例患者为1级，5例为2级，8例为3级，3例为4级。术后18个月Lysholm评分平均为83.3（范围60 - 96）。73.33%的患者显示出良好/优秀的结果。80%的软骨和半月板损伤患者显示出优秀/良好的结果。
这种关节镜治疗方案可以改善中重度骨关节炎患者的功能和活动水平。半月板和软骨病变患者将从关节镜治疗中获益更多。
