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KMID : 0950120090080020089
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Jouranl of Korean Orthopaedic Sports Medicine
2009 Volume.8 No. 2 p.89 ~ p.94
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Prognostic Factors Affecting the Treatment of the Tear of the Posterior Horn of Meniscus
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Ha Dong-Jun
Kim Chang-Wan
Seo Seung-Suk
Cho Il-Je
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Abstract
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Purpose: The purpose of this study was to evaluate the factors affecting the treatment results of medial meniscus posterior horn tear.
Materials and Methods: Forty seven patients who had been performed the arthroscopic surgery for medial meniscus posterior horn tear were enrolled in this study. We analyzed the clinical outcomes with Lysholm score and Tegner activity score in accordance with the factors such as patients’age, tibiofemoral angle, uptake in bone scintigraphy, surgical methods and patterns of meniscal tears, respectively.
Results: The patients’age didn’t affect to the results, but the preoperative tibiofemoral angle over valgus 4˚ and the preoperative normal uptake in scintigraphic assessment showed a positive influence on the clinical outcomes. The partial meniscectomy and repair in surgical methods had no statistically significance. In addition, the pattern of meniscal tear did not have an effect on the clinical results.
Conslusion: We can conclude that many factors should be considered to get satisfactory results. Among them, preoperative bone scintigraphy may be a good assessment factor for the postoperative prognosis, reflecting the condition of meniscal tear and the periarticular bone and soft tissue.
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KEYWORD
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Knee, Medial meniscal tear, Prognostic factor, Bone scintigraphy
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