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슬관절 퇴행성 관절염에서 관절경적 내측 반월상 연골 절제술의 효과

Other Titles
 The Effect of Arthroscopic Medial Meniscectomy in Degenerative Arthritis of the Knee 
Authors
 김도연  ;  최윤진  ;  이승주  ;  고민석  ;  최종혁 
Citation
 Journal of Korean Orthopaedic Sports Medicine (대한정형외과스포츠의학회지), Vol.9(2) : 79-84, 2010 
Journal Title
 Journal of Korean Orthopaedic Sports Medicine (대한정형외과스포츠의학회지) 
ISSN
 1598-5695 
Issue Date
2010
Keywords
Knee ; Degenerative arthritis ; Medial meniscal tear ; Partial meniscectomy
Abstract
Purpose: In patients with meniscal tear with degenerative arthritis, controversy remains as to whether arthroscopic menisectomy is worthwhile or not. The purpose of this study was to evaluate the effect of arthroscopic medial meniscectomy in degenerative arthritis of the knee with meniscal tear. We also intended to identify pertinent indications and risk factors. Materials and Methods: 287 patients underwent arthroscopic medial meniscectomy from 2006 to 2008; 103 patients who had Kellgren-Lawrence grade II, III arthritis of the knee, were over 50 years old, and had minimum 1 year follow-up, were analyzed in this study. Clinical assessment was performed retrospectively using the arthroscopic surgery database, medical records, questionnires and interviews. Assessment included visual analogue scale (VAS) scores and Lysholm scores. Results: The mean Lysholm score increased from 69 to 85 after surgery. The mean VAS score improved from 7 to 3.1 after surgery. Kellgren-Lawrence grade II group and group with trauma history showed significant improvement of pain and function compared with grade III and group without trauma history. Outerbridge grade I showed significantly more improvement of pain than grade III and IV. Multiple regression analysis showed that trauma history and Outerbridge grade affect the improvement of Lysholm score. Conclusion: In one year follow-up, arthroscopic medial menisectomy can improve pain and function of patients in Kellgren-Lawrence grade II, III degenerative arthritis of the knee. We could expect good results especially in group with low Kellgren-Lawrence grade, trauma history, and mild articular cartilage lesion
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Yeon(김도연)
Choi, Yun Jin(최윤진)
Choi, Chong Hyuk(최종혁) ORCID logo https://orcid.org/0000-0002-9080-4904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102798
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