الفهرس | Only 14 pages are availabe for public view |
Abstract One of the most frequent reasons for knee discomfort is medial compartment O A. Up to 30 percent of the population is affected, usually beyond the age of 40; its specific origin is unknown, although it is thought to be a complex illness. Most patients respond significantly with conservative care, such as reassurance, physiotherapy, NSAIDs, local corticosteroid injection, or immobilisation of the affected area. While 70% of individuals may have relief from pain with conservative therapy, surgery may be required in circumstances when no other options have been tried. Our research intended to assess the effectiveness of arthroscopic MCL release for the management of medial compartment osteoarthritis. This research comprised 10 patients (10 knees) with a diagnosis of medial compartment OA for at least 6 months prior to surgery, when non-operative measures had failed to alleviate their symptoms. To rule out fracture, malignancy, and infection, conventional radiographs of the knee were taken in two planes for all patients. Evaluation of pre- and post-operative knee replacement outcomes using the KNEE SOCIETY SCORING SYSTEM. Patients were followed for a minimum of 6 months following surgery. Based on our findings, arthroscopy should be reserved for patients with knee ostearthritis who have seen recent start of symptoms (less than 24 months), have symptoms that are limited to the joint line, and typically have an effusion. They need to be in 4–9° of physiologic valgus alignment in the knee and have a well-preserved range of motion in the knee (flexion range of at least 120°). Weight-bearing radiographs should also show that the joint compartment corresponding to the patient’s complaints has been damaged by joint space narrow ing of up to 50%. |