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Evolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.

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dc.contributor.advisorGuzman, July
dc.creatorCorredor, Jose
dc.creatorGomez, Miguel
dc.creatorCabezas, Camilo
dc.creatorJoeris, Alexander
dc.creatorZapata, Ignacio
dc.creator.degreeEspecialista en Ortopedia y Traumatología FSFB
dc.date.accessioned2014-02-25T12:35:05Z
dc.date.available2014-02-25T12:35:05Z
dc.date.created2014-02-07
dc.date.issued2014
dc.description.abstractPurpose: To evaluate the evolution of clinical and functional outcomes of symptomatic discoid lateral meniscus treated arthroscopically over time and to investigate the relationship between associated intra-articular findings and outcomes. Methods: Of all patients treated arthroscopically between 1995 and 2010, patients treated for symptomatic discoid meniscus were identified in the hospital charts. Baseline data (demographics, previous trauma of ipsilateral knee, and associated intra-articular findings) and medium term outcome data from clinical follow-up examinations (pain, locking, snapping and instability of the operated knee) were extracted from clinical records. Telephone interviews were conducted at long term in 28 patients (31 knees). Interviews comprised clinical outcomes as well as functional outcomes as assessed by the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC). Results: All patients underwent arthroscopic partial meniscectomy. The mean follow-up time for data extracted from clinical records was 11 months (SD ± 12). A significant improvement was found for pain in 77% (p<0.001), locking in 13%, (p=0.045) and snapping in 39 % (p<0.005). The mean follow-up time of the telephone interview was 60 months (SD ± 43). Improvement from baseline was generally less after five years than after one year and functional outcomes of the IKDC indicated an abnormal function after surgery (IKDC mean= 84.5, SD ± 20). In some patients, 5 year-outcomes were even worse than their preoperative condition. Nonetheless, 74% of patients perceived their knee function as improved. Furthermore, better results were seen in patients without any associated intra-articular findings. Conclusions: Arthroscopical partial meniscectomy is an effective intervention to relieve symptoms in patients with discoid meniscus in the medium-term; however, results trend to deteriorate over time. A trend towards better outcome for patients with no associated intra-articular findings was observed.eng
dc.description.sponsorshipAO clinical investigation and documentationspa
dc.format.mimetypeapplication/pdf
dc.format.tipoDocumentospa
dc.identifier.doihttps://doi.org/10.48713/10336_4973
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4973
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Ortopedia y Traumatología FSFBspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectDiscoid Meniscusspa
dc.subjectarthroscopyspa
dc.subjectmeniscectomyspa
dc.subjectIKDC formspa
dc.subjectsaucerization.spa
dc.subject.decsArtroscopíaspa
dc.subject.decsInternational Knee Documentation Committee (IKDC) - Formulariosspa
dc.subject.decsMeniscectomíaspa
dc.subject.decsMenisco - Cirugíaspa
dc.subject.keywordDiscoid Meniscuseng
dc.subject.keywordarthroscopyeng
dc.subject.keywordmeniscectomyeng
dc.subject.keywordIKDC formeng
dc.subject.keywordsaucerization.eng
dc.titleEvolution of clinical and functional results after arthroscopic treatment of Discoid Meniscus. A case series study of 31 cases.spa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/submittedVersion
dc.type.spaTrabajo de gradospa
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