Clinical Effect of Arthroscopic Operation on Meniscus Injury of Knee Joint

2021 ◽  
Author(s):  
Islamova K. A . ◽  
◽  
Khasanov F. Sh ◽  
Toirov E. S. ◽  
◽  
...  

The purpose of this study was to investigate the function of knee joints in patients with early osteoarthritis (OA, according to the criteria of the American rheumatology Association 2010) stage I-III using visual analogue scale (VAS) for pain intensity and treatment outcomes, Lequesne index, expert indicators, samples of 4 meter walk to assess the effectiveness of intra-articular injection Hyaluronic Chondro. 80 patients aged 28 to 55 years were examined. The treatment regimen included recommendations from the European rheumatology League (EULAR, 2016) and Russia (Nasonov E. L., 2017). The results of therapy were evaluated in two groups. The first group included 43 patients who received Hyaluronic Chondro in the form of intra-articular injections, the second-37 patients who received chondroprotectors inside or in the form of intramuscular injections. Conclusion. Intra-articular administration of the drug Chondrogard has a positive clinical effect in early stage II-III OA with moderate impairment of knee joint function. The course of treatment should last at least 2 months


1977 ◽  
Author(s):  
Kl. Schimpf ◽  
K. Zimmermann ◽  
P. Zeltsch

Observations in 3 patients demonstrated, that joint-bleedings can be controlled with high doses of fraction FEIBA alone or in combination with factor (f) VIII on out-patient basis. First patient, inhibitor 5-10 units (u) per ml, suffered from 24 joint-bleedings within 392 days. 2o of them could be stopped by a single injection of 150-200 u of fraction FEIBA per kg bodyweight (bw). A combination of 90 u of FEIBA and 36 u of f VIII per kg bw had the same effect. But after 5 injections of this combination within 6 weeks, the inhibitor level had risen from 10 to 240 u per ml. During further treatment with 180 u of fraction FEIBA without addition of f VIII, the inhibitor fell down with a half life time of 50 days. The clinical effect of fraction FEIBA was not influenced by the elevated antibody level. Two further patients, inhibitors 2-4 and 32 u respectively, obtained combined injections of 50-100 u of FEIBA plus 36-42 u of f VIII. One patient was on a prophylaxis of 3 injections weekly for 193 days. After 57 injections the inhibitor had fallen from 2-4 u to unmeasurable values. The third patient obtained the above mentioned dosis twice a day for treatment of a knee joint effusion. After 1 week the inhibitor was diminished from 32 to 13 u.


2021 ◽  
Vol 11 (2) ◽  
pp. 453-461
Author(s):  
Bing Wang ◽  
Li Wang ◽  
Yingyi Wang ◽  
Fen Qin

This article mainly analyzes the clinical effects of magnetic resonance diagnosis in knee meniscus injury. Patients with knee meniscus injury were taken as the research object. All patients used magnetic resonance examination and surgery and arthroscopy examination, and surgery and arthroscopy examination as the control parameters. The analysis used magnetic resonance diagnosis results and the classification of meniscus injury diagnosed by magnetic resonance and surgery and arthroscopy. The results showed that the sensitivity, specificity, and accuracy of conventional MR1 sequence diagnosis of medial meniscus injury were 86.3%, 95.6%, and 92.4%, respectively. The sensitivity, specificity and accuracy of conventional MRI in diagnosing lateral meniscus injury of the knee joint were 91.3%, 94.5%, and 92.5% respectively. The sensitivity of MRI to medial and lateral meniscus injury was (χ2 = 0.07, P > 0.77), There were no significant differences in specificity χ2 = 0.01, P > 0.77) and accuracy χ2 = 0.01, P > 0.77). The knee meniscus injury has a greater impact on patients. The diagnostic effect of magnetic resonance imaging is better and the diagnostic accuracy is higher. It can help clinical judgment and treatment. The effect is obvious and worthy of clinical promotion.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Zijian Li ◽  
Shiyou Ren ◽  
Xintao Zhang ◽  
Lu Bai ◽  
Changqing Jiang ◽  
...  

The aim of this study is to explore the clinical effect of deep learning-based MRI-assisted arthroscopy in the early treatment of knee meniscus sports injury. Based on convolutional neural network algorithm, Adam algorithm was introduced to optimize it, and the magnetic resonance imaging (MRI) image super-resolution reconstruction model (SRCNN) was established. Peak signal-to-noise ratio (PSNR) and structural similarity (SSIM) were compared between SRCNN and other algorithms. Sixty patients with meniscus injury of knee joint were studied. Arthroscopic surgery was performed according to the patients’ actual type of injury, and knee scores were evaluated for all patients. Then, postoperative scores and MRI results were analyzed. The results showed that the PSNR and SSIM values of the SRCNN algorithm were (42.19 ± 4.37) dB and 0.9951, respectively, which were significantly higher than those of other algorithms ( P  < 0.05). Among patients with meniscus injury, 17 cases (28.33%) were treated with meniscus suture, 39 cases (65.00%) underwent secondary resection, 3 cases (5.00%) underwent partial resection, and 1 case (1.67%) underwent full resection. After meniscus suture, secondary resection, partial resection, and total resection, the knee function scores of patients after treatment were (83.17 ± 8.63), (80.06 ± 7.96), (84.34 ± 7.74), and (85.52 ± 5.97), respectively. There was no great difference in knee function scores after different methods of treatment ( P  > 0.05), and there were considerable differences compared with those before treatment ( P  < 0.01). Compared with the results of arthroscopy, there was no significant difference in the grading of meniscus injury by MRI ( P  > 0.05). To sum up, the SRCNN algorithm based on the deep convolutional network algorithm improved the MRI image quality and the diagnosis of knee meniscus injuries. Arthroscopic knee surgery had good results and had great clinical application and promotion value.


2021 ◽  
Vol 7 (5) ◽  
pp. 1696-1700
Author(s):  
Ligang Chen ◽  
Hao Lin

To study and analyze the clinical effect of arthroscopic minimally invasive surgery in the treatment of knee joint trauma. Methods: A total of 80 patients with knee joint bone trauma who were treated in our hospital from July 2018 to July 2019 were selected as the research objects, and randomly divided into observation group and control group. Patients in the control group were treated in the conventional way, patients in the observation group were treated with arthroscopic minimally invasive surgery, and the treatment effect, neer score and complications of the two groups were compared. Result: The treatment efficiency of the observation group was significantly higher than that of the control group (P < 0.05); the neer score of the observation group was significantly higher than that of the control group (P < 0.05); the number of complications in the observation group was significantly lower than that of the control group (P < 0.05), the difference was statistically significant. Conclusion: The application of arthroscopic minimally invasive surgery in the treatment of knee joint trauma patients has significant effect, improve the treatment effect, the number of patients with complications is lower, with higher safety, which is worth promoting in clinical treatment.


2019 ◽  
Vol 48 (4) ◽  
pp. 030006051987350
Author(s):  
Zhijun Dong ◽  
Fuyao Liu ◽  
Yuan Pan ◽  
Shengzhong Wu ◽  
Chunshan Luo

Objective This study was performed to evaluate the clinical effect of an anchor nail and titanium cable for lower patella fractures and identify an effective treatment. Methods Thirty-five patients with lower patella fractures were treated using anchor nail and titanium cable technology. The anchor was fixed to the main part of the patella; the lower patella was then fixed. A bone tunnel was created, and the titanium cable was fixed. The fracture was allowed to heal without tension. Postoperative radiographs were obtained at regular follow-up evaluations. The Böstman function scores were used to assess postoperative complications. Results All patients were followed for an average of 15 months. The fracture healing time ranged from 12 to 24 weeks. The postoperative Böstman function scores were as follows: average, 28.6 points; excellent and good scores in 28 and 7 patients, respectively (100% rate of excellent and good scores). At 6 and 12 months postoperatively, the maximum degree of active extension of the affected knee joint was comparable with that of the healthy contralateral joint. Conclusion The combination of an anchor nail and titanium cable for lower patella fractures is simple and clinically satisfactory, restores knee function well, and is a worthy orthopedic method.


2020 ◽  
Vol 185 ◽  
pp. 03019
Author(s):  
Zike He ◽  
Kaifei He ◽  
Shangzeng Wang

Objective: To study the effect of knee arthroscopy combined with Liuwei Gubi Pill on degenerative meniscus injury in middle-aged and elderly patients. Methods: A total of 92 middle-aged and elderly patients with degenerative meniscus injury who were treated in our hospital from August 2018 to February 2020 were collected. They were divided into two groups by envelope lottery. Knee arthroscopy was used for the reference group of 46 patients, and they were guided to perform joint function exercises after surgery; 46 patients in the experimental group took Liuwei Gubi Pill on the basis of the reference group, and compared the efficacy of the two groups. Results: The total effective rate of treatment in the experimental group was 97.83%, which was higher than the reference group’s 84.78%. The experimental group’s VAS score at 1st month, 2nd month, and 3rd month after surgery was lower than that in the reference group. The Lysholm score of the experimental group at 1st month, 2nd month, and 3rd month after operation was significantly higher than that of the reference group, and the data of the two groups was compared by P<0.05. Conclusion: The treatment of middle-aged and elderly patients with degenerative meniscus injury by knee arthroscopy combined with Liuwei Gubi Pill has an ideal effect, which can alleviate postoperative pain and benefit the recovery of knee function.


2014 ◽  
Vol 1078 ◽  
pp. 122-125
Author(s):  
Guo Xi Xu

The development of biological materials provides a new method for the treatment of meniscus injury of the knee joint, and has broad application prospects. Meniscus of knee joint peripheral region blood supply, with self-repair function, non blood supply area is not self-repair function, when the damage appears select biomaterial implanted prosthetic treatment, according to the source is divided into natural scaffolds and artificial synthetic polymer scaffold materials, application compatibility, elastic, according to the toughness, strength and other properties of biological materials and human body, select the appropriate biological materials to replace therapy.


1978 ◽  
Vol 27 (2) ◽  
pp. 198-201
Author(s):  
Y. Shimauchi ◽  
S. Tazoe ◽  
T. Norimatsu ◽  
Y. Narabayashi
Keyword(s):  

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