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Radiographic Prognostic Factors Relevant to Surgical Outcomes of Arthroscopic Partial Medial Meniscectomy in Elderly Patients with Mild Osteoarthritis

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dc.contributor.author김성환-
dc.contributor.author문현수-
dc.contributor.author정민-
dc.contributor.author최종혁-
dc.date.accessioned2021-09-29T02:25:05Z-
dc.date.available2021-09-29T02:25:05Z-
dc.date.issued2021-09-
dc.identifier.issn1538-8506-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/184879-
dc.description.abstractThe aim of this study was to investigate radiographic factors relevant to predict surgical outcomes of arthroscopic partial meniscectomy (APM) in elderly patients with mild osteoarthritis (Kellgren-Lawrence grades 1 and 2). Data of 172 consecutive patients aged >70 years who underwent arthroscopic meniscal surgery were reviewed retrospectively. The patients who met the inclusion criteria were classified into two groups based on the minimal clinically important difference value of the Lysholm knee scoring scale comparing the score of the last visit with that of the preoperative period: group 1 (with clinically significant improvement) and group 2 (without clinically important change). Radiographic factors assessed on X-ray and magnetic resonance images were evaluated using bivariate and logistic regression analyses. A total of 73 patients were included in this study. Bivariate analysis revealed that the extent of meniscus extrusion (p = 0.031), meniscus extrusion ratio (p = 0.001), and grade of meniscus degeneration (p = 0.019) were significantly different between the groups. Multivariate logistic regression analysis showed that the meniscus extrusion ratio was the most important independent predictive factor for surgical outcomes with clinically important changes (coefficient = 0.159, p = 0.009). On receiver operating characteristic (ROC) curve analysis, the cutoff point of the meniscus extrusion ratio discriminating the two groups was 34.2% (sensitivity: 79.3%; specificity: 68.6%; accuracy: 72.6%). Meniscus extrusion ratio was the most relevant predictive factor for discriminating patients with clinically important change. Meniscus extrusion ratio, with the cutoff point of 34.2%, could serve as a guide to determine whether to perform APM in elderly patients with mild osteoarthritis. This is a Level IV, therapeutic case series study.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherThieme Medical-
dc.relation.isPartOfJOURNAL OF KNEE SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleRadiographic Prognostic Factors Relevant to Surgical Outcomes of Arthroscopic Partial Medial Meniscectomy in Elderly Patients with Mild Osteoarthritis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학교실)-
dc.contributor.googleauthorSang Hoon Park-
dc.contributor.googleauthorChong Hyuk Choi-
dc.contributor.googleauthorJu Hyung Yoo-
dc.contributor.googleauthorSung Hwan Kim-
dc.contributor.googleauthorHan Kook Yoon-
dc.contributor.googleauthorMin Jung-
dc.contributor.googleauthorKi Hong Choi-
dc.contributor.googleauthorHyun Soo Moon-
dc.identifier.doi10.1055/s-0040-1702191-
dc.contributor.localIdA00592-
dc.contributor.localIdA05826-
dc.contributor.localIdA03605-
dc.contributor.localIdA04187-
dc.relation.journalcodeJ03102-
dc.identifier.eissn1938-2480-
dc.identifier.pmid32185788-
dc.identifier.urlhttps://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0040-1702191-
dc.contributor.alternativeNameKim, Sung Hwan-
dc.contributor.affiliatedAuthor김성환-
dc.contributor.affiliatedAuthor문현수-
dc.contributor.affiliatedAuthor정민-
dc.contributor.affiliatedAuthor최종혁-
dc.citation.volume34-
dc.citation.number11-
dc.citation.startPage1189-
dc.citation.endPage1195-
dc.identifier.bibliographicCitationJOURNAL OF KNEE SURGERY, Vol.34(11) : 1189-1195, 2021-09-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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