Abstract
Since the introduction of therapeutic arthroscopy, by Oconnor, arthroscopic partial meniscectomy or meniscus repair become the golden stander treatment of meniscus tear, whenever possible, which allow preservation of normal or near normal meniscus function to avoid or reduce the risk of osteoarthritis of the knee joint, that might develop after complete meniscus removal. This study was aimed to evaluate the long-term functional and radiological results of arthroscopic partial meniscectomy. The present cross-sectional study was carried out in Al-Diwaniyah teaching hospital, orthopedic department. The study included 75 patients, 54 male patients and 21 female patients, known to undergo arthroscopic partial meniscectomy for isolated traumatic meniscus tear (6-7) years ago. The age range of the examined patients was 21 to 40 years. All patients were clinically assessed, according to Tapper and Hoover knee score scale and Lysholm knee score with a radiological assessment of the knee for early degenerative changes, using Kellgren and Lawrence system. Forty-five (45) patients with the excellent result (60%), eighteen (18) patients with good results (24%), teen (10) patients with fair results (13.33%) and two (2) patients with bad results (2.66%) according to tapper and Hoover scale. According to Lysholm score, the preoperative score was 22 to 70, while at the end of follow up was (92_100). Radiological examination of 48 patients was normal (grade 0), while grade 1 in 27 patients. Partial arthroscopic meniscectomy still gives excellent to good results on long-term, in otherwise stable knee without cartilage damage.
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