A study of arthroscopy in diagnosis and management of knee joint pathologies at tertiary health care center
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 10, Issue 2
Abstract
Background: Out of all patientsApproximately 28% of patients orthopedic OPD with complaints of knee pain. Aims and Objectives: To study arthroscopy in diagnosis and management of knee joint pathologies at tertiary health care center. Methodology: This was a cross-sectional study carried out in the orthopedic department of a tertiary health care centre during the one year period i.e. June 2017 to July 2018. In the one year period there were 80 patients with symptoms of Knee joint were assessed at the department with the written and explained consent were enrolled to study . The outcomes of the treatment were assessed at the end of 6 week. The statistical analysis was done by Chi –square test and calculated by SPSS 19 version. Results: The majority of the patients were in the age group of >60 were 29.63%, followed by 50-60 were 25.93%, 40-50 were 20.99%, 30-40 were 16.05%, 20-30 were 6.17%. The majority of the patients were Male i.e. 55.56% and female were 43.21% . Common findings under MRI , Joint effusion in 90% followed by ACL tear in 74%, Medial meniscus injury in 67%, PCL tear in 55%, most common arthroscopic findings were ACL tear in 86% followed by Joint effusion in 84%. our study the proportion of the patients with excellent outcome were 32.50% for arthroscopy groups where as for Non-arthroscopic group was 5.00% , Satisfactory were 52.50% Vs 37.50%; Non satisfactory were 15.00% Vs 57.50% this observed difference in outcome of both the group was statistically significant (X2=19.03,df=2,p<0.0001). Conclusion : It can be concluded from our study that the majority of the patients were age more than 60 the most common findings under MRI and Arthroscopy were Joint effusion followed by ACL tear and ACL tear , Joint effusion the results of Arthroscopic treatment were superior as compared to non arthroscopic way of treatment hence Arthroscopy is very valuable in the diagnosis and treatment of Knee pathologies.
Authors and Affiliations
Channabasava . , Sandeep DN
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