Berkes I
Orv Hetil. 1989 Jun 18;130(25):1311-2, 1315-6.
On the Traumatological Orthopaedic Surgery Department of the Hungarian National Institute of Physical Education and Sports Hygiene 1629 arthroscopic operations of the knee joint were made between 1984-87. From these arthroscopic meniscectomy was made in 543 cases. A follow up study was performed in 302 arthroscopic meniscectomised and in 326 traditionally operated patients from the point of view of objective therapeutic results, hospitalization, convalescence and economic efficacy as well. The average follow up period was 8.2 months. The objective estimation of the therapeutic result was made by Lysholm score and Tapper-Hoover's functional classification. The mean hospitalization was 2 days after arthroscopic meniscectomy and 7 days following the traditional meniscectomy respectively. Twenty days shorter convalescence was observed in the arthroscopic meniscectomy cases. The patients were able to start regular physical activity 43 days earlier than traditionally operated athletes. The difference in Lysholm scores was 12 in favour of arthroscopic operations. On basis of the above considerable several millions reduction of expenses could be revealed what evidently proved the economic efficacy of arthroscopy.
1984年至1987年间，匈牙利国家体育与运动卫生研究所创伤骨科进行了1629例膝关节镜手术。其中543例行关节镜半月板切除术。从客观治疗效果、住院情况、康复情况和经济效益等方面，对302例行关节镜半月板切除术的患者和326例传统手术患者进行了随访研究。平均随访期为8.2个月。治疗效果的客观评估采用Lysholm评分和Tapper-Hoover功能分级。关节镜半月板切除术后平均住院2天，传统半月板切除术后平均住院7天。关节镜半月板切除术患者的康复期缩短了20天。与传统手术的运动员相比，关节镜手术患者能够提前43天开始常规体育活动。Lysholm评分方面，关节镜手术优势为12分。基于上述情况，可发现费用显著减少了数百万，这明显证明了关节镜检查的经济效益。
