科研之友
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摘要
Objective: To compare the clinical efficacy of arthroscopic meniscoplasty and meniscectomy in the treatment of knee meniscal injuries in elderly patients, with an aim to find an optimal minimally invasive therapy for knee meniscal injuries in elderly patients. Methods: A total of 90 elderly patients with unilateral meniscal injuries admitted to the Department of Orthopedics in our hospital from January 2014 to December 2015 were recruited in this study. In terms of a random number table, the patients were randomly assigned to the observation group or the control group, with 45 patients in each group. The patients in the observation group received arthroscopic meniscoplasty, whereas those in the control group underwent conventional arthroscopic meniscectomy. The operative duration, length of hospital stay and clinical outcomes were compared between the two groups. The Lysholm knee and IKDC scores, the knee functions and the rates of overall complications were compared between the two groups before surgery and at 6-month follow-up, respectively. Results: No significant differences were noted in the operative duration between the two groups (P=0.761); hospital stay was remarkably shorter in the observation group than in the control group (P=0.024); the effective rate was strikingly higher in the observation group (P=0.032); the Lysholm knee and IKDC scores of both groups after operation were substantially higher than those before operation (both P<0.05), with greater improvements in the observation group (both P<0.05); the excellent-and-good rate of knee functions was strikingly higher (P=0.020), but the rate of overall postoperative complications were significantly lower in the observation group (P=0.044). Conclusion: Arthroscopic meniscoplasty is effective in treating meniscal injuries in elderly patients, with shorter hospital stay, more significant improvements in knee functions and a lower rate of overall postoperative complications.
- 出版日期2018
- 单位聊城市人民医院
