关节镜下半月板部分切除术——尼日利亚西南部一家骨科中心的短期临床结果

ARTHROSCOPIC PARTIAL MENISCECTOMY - SHORT-TERM CLINICAL OUTCOME IN AN ORTHOPAEDIC CENTER IN SOUTHWESTERN NIGERIA.

作者信息

Babalola O R, Laiyemo A E, Itapke S E, Madubueze C, Shodipo O, Okanu F, Alatise K

机构信息

National Orthopaedic Hospital, Igbobi, PMB 2009, Yaba, Lagos, Nigeria.

National Hospital, Abuja, Nigeria.

出版信息

J West Afr Coll Surg. 2017 Jan-Mar;7(1):1-8.

PMID:29951452

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6018036/

Abstract

BACKGROUND

Meniscal tears are one of the common causes of knee pain.

AIM

To evaluate the early clinical results of arthroscopic partial meniscectomy in the treatment of meniscal tears.

STUDY DESIGN

This was a prospective study in which consecutive patients presenting with meniscal injury, who met the inclusion criteria were recruited for the study.

SETTING

National Orthopaedic Hospital, Lagos.

METHODOLOGY

Biodemographic data and clinical findings were obtained. The visual analogue pain score and WOMET score were computed pre-operatively and at least 6-months post-operatively and these values compared using the Wilcoxon's signed rank. The level of significance was set at 0.05.

RESULTS

A total of 19 patients with 19 knees were included. Degenerative longitudinal tears were the commonest findings in 15 (79%), complex tears in 3 (16%) and radial tear in 1 (5%). The medial meniscus was more affected (52%) than lateral meniscus (48%). The red-white zone was involved in 12 (63%) cases and the white-white zone in 5 (37%). The median duration of follow up was 7 months while the median (IQR) WOMET score decreased from 59 (IQR =22) to 26.5(IQR=23), (Z= -3.409, =001 ) and the visual analogue pain rating scale improved from 5 (IQR=1.5) to 3 (IQR=2.5) (Z= -3.346, =001 ).

CONCLUSION

Arthroscopic partial meniscectomy offers a good short term clinical outcome for patients with knee pain secondary to meniscal injury.

摘要

背景

半月板撕裂是膝关节疼痛的常见原因之一。

目的

评估关节镜下部分半月板切除术治疗半月板撕裂的早期临床效果。

研究设计

这是一项前瞻性研究，连续纳入符合纳入标准的半月板损伤患者进行研究。

研究地点

拉各斯国立骨科医院。

方法

获取生物人口统计学数据和临床检查结果。术前及术后至少6个月计算视觉模拟疼痛评分和WOMET评分，并使用Wilcoxon符号秩检验比较这些值。显著性水平设定为0.05。

结果

共纳入19例患者的19个膝关节。退行性纵向撕裂最为常见，共15例（79%），复杂撕裂3例（16%），放射状撕裂1例（5%）。内侧半月板比外侧半月板受累更常见（52%比48%）。红白区受累12例（63%），白白区受累5例（37%）。中位随访时间为7个月，WOMET评分中位数（四分位间距）从59（四分位间距=22）降至26.5（四分位间距=23），（Z=-3.409，P=0.001），视觉模拟疼痛评分从5（四分位间距=1.5）改善至3（四分位间距=2.5）（Z=-3.346，P=0.001）。