Comparison of the relativity of MRI appearance of cartilage injuries and postoperative effect of arthroscope on articular cartilage disease of knee.
- Author:
Guang YANG
1
;
Shi-gui YAN
;
Jian-jv FENG
;
Ye-jun WANG
;
Jian-ping ZHONG
;
Tie-min LIU
;
Yun-miao MA
;
Zhi-yang GAO
;
Tie-feng XU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Arthroscopy; Cartilage, Articular; pathology; Female; Humans; Knee Joint; pathology; Magnetic Resonance Imaging; Male; Middle Aged; Osteoarthritis, Knee; pathology; surgery
- From: China Journal of Orthopaedics and Traumatology 2010;23(2):90-93
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze the indication of arthroscope by examining the correlations between cartilage injury degree confirmed by MRI and postoperative effect.
METHODSFrom Aug. 2005 to April 2008, 87 cases with knee osteoarthritis were treated by arthroscopes including 44 males and 43 females,aged from 16 to 67 years (means 46.3 years). Arthrodial cartilage of knee was graded by ICRS MR, and the therapeutic effect was evaluated by Lysholm scoring.
RESULTSAll 87 knees of 87 cases were followed-up for from 12 to 30 months (averaged 23 months). The cartilage injury degree of knees was graded as follows: grade 4 in 30 cases, grade 3 in 23 cases, grade 2 in 20 cases, grade 1 in 12 cases, grade 0 in 2 cases, means grade (2.770 +/- 1.138). Postoperative Lysholm score was from 59 to 100, means (95.170 +/- 7.556). Coefficient correlation (r) = -0.152, P = 0.159 > 0.05. Although the results had no correlations between cartilage injury degree and Lysholm score, negative correlation tendency existed.
CONCLUSIONThe patients with higher grade of knee cartilage injury degree confirmed by MRI (1.5T) have worse effect after operation, the grade is not a gold standard as a operation indication in arthroscopic procedure.
