精准医学杂志 (Oct 2023)

A COMPARISON OF DIFFERENT KNEE ARTHROSCOPIC MEDIAL COLLATERAL LIGAMENT RELEASE TECHNIQUES IN TREATMENT OF MEDIAL MENISCUS POSTERIOR HORN INJURY

  • YANG Guodong, GUO Jia, QU Di, ZHANG Jing, FU Haitao, QI Chao

DOI
https://doi.org/10.13362/j.jpmed.202305014
Journal volume & issue
Vol. 38, no. 5
pp. 436 – 439

Abstract

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Objective To explore the effectiveness of different knee arthroscopic medial collateral ligament release techniques in the treatment of patients with medial meniscus posterior horn injury and their prognoses. Methods A total of 54 patients with medial meniscus posterior horn injury who underwent surgical treatment at the Department of Sports Medicine in our hospital from June to August 2021 were enrolled. They were divided into group A (who underwent knee arthroscopic percutaneous outside-in, superficial release) and group B (who underwent knee arthroscopic inside-out, anteromedial release) based on the conditions and wishes of the patients. The two groups of patients were recorded and compared for surgical duration and follow-up outcomes of the following indices at 1, 3, and 12 months after surgery: local symptom duration, visual analogue score of knee pain, Lysholm score of knee joints, International Knee Documentations Committee Rating System-based score, and knee joint range of motion score. Results There was no significant difference in surgical duration between the two groups of patients (P>0.05), but the local symptom duration in group B was significantly shorter than that in group A (t=11.950,P<0.01). The results of repeated measures analysis of variance showed that time had a significant impact on postoperative knee joint function scores of the patients (Ftime=1 805.492-2 715.143,P<0.05). Compared with the scores 1 month after surgery, knee joint function scores of the patients in groups A and B significantly improved at 3 and 12 months after surgery (F=700.701-1 557.491,P<0.05). However, there were no significant differences in knee joint function scores between the two groups of patients at each follow-up time point after surgery (P>0.05). Conclusion For patients with simple medial meniscus posterior horn injury, it is recommended to use knee arthroscopic anteromedial inside-out, superficial release if the surgeons are confident of the condition.

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