Clinical efficacy of"4-position"arthroscopic treatment of patients aged over 60 with popliteal cyst
10.12025/j.issn.1008-6358.2018.20170412
- VernacularTitle:4字位关节镜手术治疗60岁以上腘窝囊肿患者的临床疗效
- Author:
Ji-Lei TANG
1
;
Xiang-Yang SHEN
;
Hong-Wei LU
;
Wei-Ren GAO
;
Sheng-Bo NIE
;
Yi ZHONG
Author Information
1. 启东市人民医院骨科
- Keywords:
4-position;
arthroscopic treatment;
popliteal cyst;
clinical efficiency
- From:
Chinese Journal of Clinical Medicine
2018;25(2):282-284
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of"4-position"arthroscopic treatment of popliteal cyst in patients aged over 60.Methods:From June 2013 to June 2015,36 popliteal cyst patients aged over 60 with knee pain,swelling or limitation of activity were treated with arthroscopy.The fold of the joint capsule between the medial head of gastrocnemius muscle and the semimembranosus tendon was resected and enlarged up to 1 cm,and associated intra-articular diseases were treated at the same time.The preoperative and postoperative functions were evaluated with the Rauschning and Lindgren knee scores.Results:It was safe and convenient to build portals and work with 4-position.In 36 patients,34 cases(94.4%)had intra-articular diseases,24 cases(66.7%)had medial meniscus tear,10 cases(27.8%)had lateral meniscus tear,12 cases (33.3%)had cartilage lesion,and 8 cases(22.2%)had joint loose body.The follow-up time was 10-22 months,with an average of(16 ± 4)months.The symptoms of knee joint discomfort were significantly relieved after operation.The Rauschning and Lindgren scores were significantly lower than those before operation(P<0.01).Conclusions:Arthroscopic treatment of popliteal cyst patients aged over 60 with"4-position"is simple,safe,and effective,which can deal with intra-articular diseases at the same time.
