2017 ISAKOS Biennial Congress ePoster #1332

 

Arthroscopic Meniscectomy Combined with Suture for Treatment of Unstable Discoid Meniscus Injuries

Zi-Quan Yang, MD, PhD, Taiyuan, Shanxi CHINA
the second hospital of Shanxi Medical University, Taiyuan, Shanxi, CHINA

FDA Status Not Applicable

Summary

Arthroscopic meniscectomy combined with suture in treating patients with unstable discoid lateral meniscus has the advantage of less trauma than just meniscectomy and has the satisfactory outcome.

Abstract

Objective

To analyze the treatment value of the arthroscopic meniscectomy combined with suture in the patients with unstable discoid meniscus injuries, comparing with the patients with arthroscopic meniscectomy.

Method

We conducted 52 patients who suffered from unstable discoid lateral meniscus injuries from Jun. 2015 to Jun. 2016 . According to the difference of treatment methods, we divided patients into 2 groups: A group( 23 patients who had arthroscopic partial meniscectomy or total resection of meniscus); B group(29 patients who had arthroscopic meniscectomy and suture).All cases were proved by the arthroscopy and other injuries were excluded by the arthroscopy. using the Fast-fix and MM-? system to suture the meniscus injuries.The patients were followed up for 8-18 months with an average of (12.4±3.6) months after operation by to analyze the Joint activity, joint stability and the Lysholm score
Results:No complications occurred in the two groups at the end of the last follow-up.The McMurray signs were both negative in the two groups.The postoperative Lysholm score(A group and B group) improved from 60.3± 7.6 to 90.4 ± 5.6(P < 0.05)and 58.6±4.7 to 94.6±7.2 (P < 0.05)respectively. The postoperative scores of the two groups were improved compared with the preoperative and group B score is better than group A.
Conclusion:Arthroscopic meniscectomy combined with suture in treating patients with unstable discoid lateral meniscus has the advantage of less trauma than just meniscectomy and has the satisfactory outcome.