A study of role of arthroscopy in diagnosis and therapeutic intervention at tertiary health care centre Rajkumar Indrasen
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 3
Abstract
Background: Arthroscopy (also called arthroscopic or keyhole surgery) is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope. Aims and Objectives: To Study role of arthroscopy in diagnosis and therapeutic intervention at tertiary health care centre. Methodology: After approval from institutional Ethical committee this longitudinal study was carried out in the Orthopedic patients at tertiary health centre who were associated with various joint related pathology during the one year period i.e. January 2017 to January 2018. In the one year there were 50 patients. The statistical analysis was done by Chi-square test and analyzed by SPSS 19 version software. Results: In our study we have seen that The majority of the patients were in the age group 50-60 i.e. 30% followed by 30-40 were18%, >60-16%. 40-50-10%, 20-30 were 4%. The majority of the patients were Male i.e. 58% and Female were 42%. MRI Detected 35 patients as TP, 7 as TN, 3 as FP and hence Sensitivity was 87.50% and Specificity was 70.00%, Accuracy of Diagnosis was 84%, Where as Arthroscopy detected 37 patients as TP,9 as TN, 3 as FN and 1 as FP and hence the Sensitivity was 92.50%, Specificity was 90% and Accuracy was 92.00%. The majority of the patients who undergone Arthroscopic surgeries were having Excellent and Satisfactory results i.e. 63.15% and 63.64% as compared to Non Arthroscopic Surgery i.e. 36.85% and 36.36% this observed difference was statistically significant(χ2 = 8.534, df=3,p<0.03) Conclusion: It can be concluded from our study that the diagnostic efficacy of Arthroscopy was superior to MRI and the therapeutic results were superior to conventional non arthroscopic surgical management, so with the minimal complication, arthroscopy should be preferred for conventional diagnostic and therapeutic intervention.
Authors and Affiliations
Rajkumar Indrasen Suryawanshi, Amol Khairnar
Keywords
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