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KMID : 0388419990090010121
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Konkuk Journal of Medical Sciences
1999 Volume.9 No. 1 p.121 ~ p.126
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Treatment of the Degenerative Arthritis of the Knee by Arthroscopic Surgery
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Kim Dong-Heon
Shin Kyu-Chul
Chang Byeong-Chun
Lee Jae-Sung
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Abstract
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The arthroscopic surgery is an increasingly accepted procedure for the treatment of symptomatic arthritic knee. Authors reviewed the operative results of arthroscopic surgery in 35 knee joints of 27 patients from 1993 to 1997. 1. The average age of patients was 64 years old and the primary diagnosis was degenerative osteoarthritis in all patients. 2. Preoperative symptomes and signs were pain(98%), tenderness(85%), swelling(85%), decreased range of motion(71%) and effusion(55%). 3. The operative procedures were irrigation and synovectomy(20%), abrasion arthroplasty(57%), partial menisectomy and abrasion arthroplasty(23%). 4. The symptoms and signs were improved postoperatively : according to Nine point scale, the good results were recorded at postoperative 6 months and follow-up 2 years in nearly all patients.
5. The complications were minimal. Authors concluded that arthroscopic surgery is considered as a reliable method in the
treatment of degenerative osteoarthritis of the knee but not as a curable method, needing a long term observation.
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KEYWORD
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degenerative osteoarthritis, knee, arthroscopic surgery
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