Risk factors for the postoperative effect of symptomatic discoid lateral meniscus after arthroscopy.
10.12200/j.issn.1003-0034.2021.12.005
- Author:
Shun-Jie YANG
1
;
Jian LI
1
;
Yang XUE
1
;
Gang CHEN
1
Author Information
1. Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.
- Publication Type:Journal Article
- Keywords:
Arthroscopes;
Meniscus;
Risk factors;
Treatment outcome
- MeSH:
Arthroscopy;
Cartilage Diseases;
Female;
Humans;
Knee Joint/surgery*;
Menisci, Tibial/surgery*;
Retrospective Studies;
Risk Factors
- From:
China Journal of Orthopaedics and Traumatology
2021;34(12):1114-1120
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the influencing factors of the postoperative effect of arthroscopic treatment of symptomatic discoid lateral meniscus (DLM).
METHODS:From September 2008 to September 2015, patients with symptomatic DLM treated by arthroscopic surgery were retrospectively analyzed. The knee function was evaluated by Lysholm scoring system. According to the scoring results, it was divided into excellent (≥90 points), good (80 to 89 points), fair (70 to 79 points) and poor (<70 points). Sixteen research factors were collected, namely gender, operation age, body mass index, work intensity, symptom duration, history of knee injury, involved knee side, DLM classification, DLM injury type, DLM injury site, medial meniscus injury, knee cartilage injury site and degree, Kellgren-Lawrence (K-L) classification, operation method, and latest follow-up time. According to the data type, Kruskall-Wallis rank sum test or
RESULTS:According to the inclusion and exclusion criteria, 502 patients were included. Lysholm functional grade at the latest follow-up was higher than that before operation (
CONCLUSION:Arthroscopy is a safe and effective method for the treatment of symptomatic DLM. The gender, body mass index, work intensity, age of operation, duration of symptoms and degree of knee cartilage injury are independent influencing factors for the postoperative efficacy of symptomatic DLM.