ROLE OF PARTIAL MEDIAL MENISECTOMY IN MENISCAL TEARS

Muhammad shafiq Khan, Sadaf Rasheed, Muhammad Javed Khan, Assadullah Jan, Nusrat Rasheed, Wahid Bakhsh

Abstract


Background: Partial medial menisectomy has no adverse results. The objective of the study was to determine the demographic attributes of meniscal tears cases and to assess the radiological findings before and after partial medial menisectomy.
Material & Methods: This cross-sectional study was conducted in department of Orthopedics, DHQ Teaching Hospital, DIKhan and DHQ Hospital Tank from January 2005 to December 2006. Sample size was 60 and sampling technique was non probability, consecutive. Adult, admitted patients with medial meniscus injury in whom conservative treatment failed to produce relief were included in the study. Patients with associated ligamentous injuries and those having grade 3 osteoarthritis were excluded. The demographic variables were sex and age groups. Research variables were; presenting symptoms, types of meniscal tears, mechanisum of injury, time interval between injury and surgery, duration of relief of symptoms after surgery and radiological findings before and after surgery. All the variables being categorical, were calculated by frequency and percentages. SPSS Version 20 was used for data analysis.
Result: Out of 60 patients, 42(70%) were males and 18(30%) were females. Forty (66.7%) of our patients had age below 40 years. The presenting symptoms were pain in 37(61.7%), locking in 18(30%) and instability in 5(8.3%) patients. The mechanism of injury was history of slip in 16(26.7%), sport’s injury in 34(56.7%) and in the rest 10(16.7%) patients the cause was unknown. The right knee was found to be involved in 80% patients. Modal duration of time between injury and surgery was less than 1 month 20(33.3%). Modal type of meniscal tear was Bucket handle 42(70%). Modal duration of relief of symptoms after surgery was less than 1 month 40(66.7%) and modal radiological findings before and after 10 years of surgery were grade 0 55(91.7%) and 48(80%).
Conclusion: Mostly the right knees undergo meniscal tears in young males engaged in physical activities including sports. The major presenting symptom is pain. Partial medial menisectomy is an alternative procedure to treat meniscal tear, after conservative management fails and indication for meniscus repair is not there.

Keywords


Meniscus; Osteoarthritis; Menisectomy.

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