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

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

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, P=001 ) and the visual analogue pain rating scale improved from 5 (IQR=1.5) to 3 (IQR=2.5) (Z= -3.346, P=001 ).

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

Keywords: Arthroscopy; Meniscal tear; Meniscectomy; Outcome..