Evaluation of Arthroscopic findings & operative treatment of meniscal injuries

Dr. Sanjay Shyam Deo; Dr. Yuvraj Singh Hira; Dr. Tushar Pisal; Dr. Nilesh Kalwar; Dr. Kavaljitsinh Parmar

Volume : V, Issue : I, January - 2016

Evaluation of Arthroscopic findings & operative treatment of meniscal injuries

Dr. Sanjay Shyam Deo, Dr. Yuvraj Singh Hira, Dr. Tushar Pisal, Dr. Nilesh Kalwar, Dr. Kavaljitsinh Parmar

Abstract :

Background : Medial meniscal injury is also associated with other ligamentous injury.Unnecessary MRI scanning increases the financial burden and delays patient treatment. Arthroscopy has played an important role in diagnosis of meniscal tear which cannot be assessed either clinically or radiologically. Objective : To evaluate the suspected cases of knee injuries and to rule out meniscal tears. & to perform diagnostic and therapeutic arthroscopy of knee joints after documenting the meniscal tears and on MRI and correlating these findings. Methods: This is a prospective nonrandomized study conducted on 42 traumatic meniscal injuries . Out of 42 cases, only 30 patients in the age group above 18 years old were enrolled for the study those who had fulfilled the inclusion and exclusion criteria were included in the study. Those who enrolled as said in inclusion criteria were all patients with history of injury of knee who underwent both MRI and arthroscopy Arthroscopy was carried out under spinal anaesthesia under pneumatic tourniquet control under all aseptic precaution. Scrubbing, painting and draping were done. Data collected from 30 subjects& statistical analysis was done. Results : It was found that 8 cases have Bucket Handle tear, 7 cases have Parrot Beak and Radial tear respectively. 4 cases have Frayed Edge and Circumferential tear respectively. & among 30 cases in study group. Meniscal balancing is done in 12 cases, Meniscal repair is done in 11 cases and 7 cases have menisectomy. Conclusion: arthroscopy thus is useful in diagnosing the lesion, type and planning for its treatment in same sitting & it could serves as a diagnostic as well as therapeutic tool.